Results 1 to 5 of 5

32422 and 32551

  1. #1
    Default 32422 and 32551
    New Call-to-action
    Does anyone have any hints as to what the difference is between CPT 32422 and 32551? Which is a true chest tube insertion?
    I feel like the CDR descriptions of these procedures is nearly identical. Please help!

  2. Default
    In simple words I explain:

    32440- NEEDLE puncture for removing air or fluid for small amount withdrawal with the syringe. short lived procedure, thin density/viscus fluid or air and mostly diagnostic( could effect therapeutic along with diagnostic).

    32551- is TROCAR punctured( big bore puncture) for removing thick viscus /thick density fluid like pus, hemmorrhagic fluid for removing large amount for a long duration by securing to the skin and leaving there for days together as a therapeutic measure, for like promoting the lung expansion. this is the true tube thoracostomy an dthe true test tube insertion for therapeutic purpose

  3. #3
    I use 32422 for Thoracentesis:
    Code 32422 is used for catheter drainage of fluid from the pleural space for therapeutic purposes. This is usually 3-6 French in size, and anywhere from 50-1500 cc fluid is removed to help the patient breath better. The catheter is removed at the end of the procedure.
    I use 32551 for chest tube insertion:
    Code 32551 describes a chest tube placement. The chest tube that is placed may be of small diameter ("Heimlich Valve" type) or large bore (as placed in the emergency room for hemothorax in trauma cases).
    Hope this helps,
    Trinia Roberto CPC,CIRCC

  4. Default
    Sorry the number is typed as 32440 instead of 32422 which I MEANT. It is obviously a typing error
    Then, what I meant by big bore is that the TROCOR is definitely bigger than the needle though there are varying numbers available and ALSO IN SHAPE ie, the tip is like a lancet shaped SHAPE for a trocor; and thorococentesis is short lived procedure not an indwelling for days and can be from a few ccs to thousands at that time of the procedure
    Where as the chest tube -real tube thorocostomy is for a longer basis of contninum and left indwelling bieng secured to the skin until the physician could/need to have it so.
    This is what I meant in simple words and it is not having deviation from what you explained

  5. #5
    Thanks very much all the information was extremely helpful.

Similar Threads

  1. Cpt 32551
    By MSUEEMBRY in forum General Surgery
    Replies: 2
    Last Post: 06-24-2014, 02:00 PM
  2. 32421 or 32422
    By mariecass in forum Cardiology
    Replies: 1
    Last Post: 04-24-2012, 10:08 PM
  3. Chest Tube 32551 or 32422 ?
    By bill2doc in forum Emergency Department
    Replies: 3
    Last Post: 02-27-2012, 01:26 PM
  4. cpt 325510 vs 32422
    By daniel in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 09-16-2010, 02:27 PM
  5. 32551 and 31622?
    By pgrila in forum General Surgery
    Replies: 1
    Last Post: 03-04-2010, 12:51 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.