Table 7Pulmonary lobectomy CPT codes and ICD-9 codes setsCPT 32480Removal of lung, other than total pneumonectomy; single lobe (lobectomy)ICD 32.49Other lobectomy of lungVATS procedures (i.e., via thoracoscopy)CPT 32663Thoracoscopy, surgical; with lobectomy, total or segmental15 more rows
ICD-10-PCS codeOperationApproach0BTD0ZZResectionOpen0BTD4ZZResectionPercutaneous endoscopic0BTF0ZZResectionOpen0BTF4ZZResectionPercutaneous endoscopic8 more rows
Resection of Left Lower Lung Lobe, Open Approach ICD-10-PCS 0BTJ0ZZ is a specific/billable code that can be used to indicate a procedure.
A lobectomy is a surgical procedure where an entire lobe of your lung is removed for a variety of reasons that may include a lung cancer diagnosis, infection, COPD or benign tumors. There are three lobes of your right lung and two lobes of your left lung.
Resection includes all of a body part or any subdivision of a body part having its own body part value in ICD-10-PCS, while excision includes only a portion of a body part. Examples of resection are total nephrectomy, total lobectomy of lung, total mastectomy, resection cecum, prostatectomy, or cholecystectomy.
Root Operation “Resection” This root operation would be selected when the physician removes all of a body part without replacement. When resection of an organ is completed, no portion of that specific organ is left behind.
Z90. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z90.
Wedge resection: A wedge resection involves the removal of lung cancer along with a wedge-shaped section of tissue surrounding the tumor. This procedure removes less lung tissue than a lobectomy. Lobectomy: The most common type of lung resection. In this procedure, one or multiple lobes are removed from your lungs.
Z48. 813 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z48. 813 became effective on October 1, 2021.
A lobectomy is a surgery done to treat lung cancer by removing one or two lobes of the lung. It is a partial lung removal surgery that can be done to remove cancerous lung masses and growths.
A lobectomy may be done when a problem is found in just part of a lung. The affected lobe is removed, and the remaining healthy lung tissue can work as normal. A lobectomy is most often done during a surgery called a thoracotomy.
Right lower lobectomy The lower lobe is mobilized by dividing the inferior pulmonary ligament. The inferior vein is dissected free from surrounding tissue and divided using an endoscopic linear stapling device. The bronchus is identified and the bronchial vessels are clipped proximally.
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure
Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure
Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane
The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:
The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
As with all codes in ICD-10-PCS, the medical and surgical procedure codes contain seven characters, with each character representing one particular aspect of the procedure. The third character defines the root operation, or the objective of the procedure.
Some organs such as the liver, stomach, and lung have subdivisions of body parts. The liver contains right lobe and left lobe, the stomach includes the pylorus as a specific body part, and the lung has multiple body parts such as right and left upper lobe, right middle lobe, and right and left lower lobe.
Resection includes all of a body part or any subdivision of a body part having its own body part value in ICD-10-PCS, while excision includes only a portion of a body part. Examples of resection are total nephrectomy, total lobectomy of lung, total mastectomy, resection cecum, prostatectomy, or cholecystectomy.
When a procedure is performed on the body part, it is necessary to know if the entire body part was excised. A prostatectomy is the removal of the prostate, while a transurethral resection of the prostate removes the section of the prostate causing symptoms.
The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:
The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
The root operation “excision” takes out some or all of a body part without replacement (some of a body part).
The root operation “resection” takes out some all of a body part without replacement (all of a body part…no portion of the organ left behind).
The information contained in this coding advice is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.