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32556
Quick jump to procedure code: Printer Friendly Version
32560

CPT® 32557: PLEURAL DRAINAGE, PERCUTANEOUS, WITH INSERTION OF INDWELLING CATHETER; WITH IMAGING GUIDANCE

Short Description: Insert cath pleura w/ image

--

CPT copyright 2015 American Medical Association. All rights reserved.


Medicare Reimbursement Information         Hide this section.

ALABAMA-Entire State
ALASKA-Entire State
ARIZONA-Entire State
ARKANSAS-Entire State
CALIFORNIA NORTH-Marin/Napa/Solano
CALIFORNIA NORTH-San Francisco
CALIFORNIA NORTH-San Mateo
CALIFORNIA NORTH-Oakland/Berkeley
CALIFORNIA NORTH-Santa Clara
CALIFORNIA NORTH-Rest of North California
CALIFORNIA SOUTH-Ventura
CALIFORNIA SOUTH-Los Angeles
CALIFORNIA SOUTH-Anaheim/Santa Ana
CALIFORNIA SOUTH-Rest of South California
COLORADO-Entire State
CONNECTICUT-Entire State
DELAWARE-Entire State
DIST of COL-DC + MD/VA Suburbs
FLORIDA-Ft Lauderdale
FLORIDA-Miami
FLORIDA-Rest of Florida
GEORGIA-Atlanta
GEORGIA-Rest of Georgia
HAWAII/GUAM-Entire State/Terr.
IDAHO-Entire State
ILLINOIS-East St. Louis
ILLINOIS-Suburban Chicago
ILLINOIS-Chicago
ILLINOIS-Rest of Illinois
INDIANA-Entire State
IOWA-Entire State
KANSAS-Entire State
KENTUCKY-Entire State
LOUISIANA-New Orleans
LOUISIANA-Rest of Louisiana
MAINE-Southern Maine
MAINE-Rest of Maine
MARYLAND-Baltimore and suburbs
MARYLAND-Rest of Maryland
MASSACHUSETTS-Boston
MASSACHUSETTS-Rest of Massachusetts
MICHIGAN-Detroit
MICHIGAN-Rest of Michigan
MINNESOTA-Entire State
MISSISSIPPI-Entire State
MISSOURI-Kansas City
MISSOURI-St. Louis
MISSOURI-Rest of Missouri
MONTANA-Entire State
NEBRASKA-Entire State
NEVADA-Entire State
NEW HAMPSHIRE-Entire State
NEW JERSEY-Northern NJ
NEW JERSEY-Rest of New Jersey
NEW MEXICO-Entire State
NEW YORK-Manhattan
NEW YORK-NYC Suburbs/LI
NEW YORK-Poughkpsie/No NYC Sub
NEW YORK-Rest of New York
NEW YORK-Queens
NORTH CAROLINA-Entire State
NORTH DAKOTA-Entire State
OHIO-Entire State
OKLAHOMA-Entire State
OREGON-Portland
OREGON-Rest of Oregon
PENNSYLVANIA-Philadelphia
PENNSYLVANIA-Rest of Pennsylvania
PUERTO RICO-Entire Territory
RHODE ISLAND-Entire State
SOUTH CAROLINA-Entire State
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TEXAS-Brazoria
TEXAS-Dallas
TEXAS-Galveston
TEXAS-Houston
TEXAS-Beaumont
TEXAS-Fort Worth
TEXAS-Austin
TEXAS-Rest of Texas
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VERMONT-Entire State
VIRGIN ISLANDS-Entire State
VIRGINIA-Entire State
WASHINGTON-Seattle (King County)
WASHINGTON-Rest of Washington
WEST VIRGINIA-Entire State
WISCONSIN-Entire State
WYOMING-Entire State

2016 Physician
Fee Schedule:

Global Non-Facility Fee
Global Facility Fee
$524.88
$159.08

2016 Wage Index Adjustment for Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payments
Zip Code:
2016 October Unadjusted OPPS Payment $482.83
2016 October Unadjusted ASC Payment $269.99


*Based on National 2013 Medicare Part B submitted claims.
2016 APC Code: 5391
Level 1 Tube/Catheter Changes/Thoracentesis/Lavage

2016 OPPS Status Indicator: T

Effective April 1, 2013, and while sequestration is in effect, all CMS payments for services will be reduced by 2%. The fees above do not reflect this reduction. Click here for more information.

Commonly Associated Diagnosis Codes*            Hide this section.
No ICD-9 claims data for this code.

* Commonly Associated ICD-10 codes derived from 2010 Physician Supplier Part B Medicare claims data and 2015 CMS General Equivalency Mapping Codes (GEM).
This data represents an analysis of 43 million claims processed for 1.7 million beneficiaries in 2010.

Medicare Coverage Policy Information         Hide this section.
No contractor selected.

32557 not found in an Local Coverage Determination (LCD) for your contractor. No other coverage policies found in database.

CCI and MUE Edits*         Hide this section.

CCI Edits for 32557
Denied Codes (1)
Effective
Modifier
Accepted (2)
0051T Implant total heart system
01/01/2013 Yes
0052T Replace thrc unit hrt syst
01/01/2013 Yes
0053T Replace implantable hrt syst
01/01/2013 Yes
0236T Trluml perip athrc abd aorta
01/01/2013 Yes
0340T Ablate pulm tumors + extnsn
04/01/2014 Yes
0345T Transcath mtral vlve repair
04/01/2014 Yes
19260 Removal of chest wall lesion
01/01/2013 Yes
19271 Revision of chest wall
01/01/2013 Yes
19272 Extensive chest wall surgery
01/01/2013 Yes
32035 Thoracostomy w/rib resection
01/01/2013 Yes
32036 Thoracostomy w/flap drainage
01/01/2013 Yes
32096 Open wedge/bx lung infiltr
01/01/2013 Yes
32097 Open wedge/bx lung nodule
01/01/2013 Yes
32098 Open biopsy of lung pleura
01/01/2013 Yes
32100 Exploration of chest
01/01/2013 Yes
32110 Explore/repair chest
01/01/2013 Yes
32120 Re-exploration of chest
01/01/2013 Yes
32124 Explore chest free adhesions
01/01/2013 Yes
32140 Removal of lung lesion(s)
01/01/2013 Yes
32141 Remove/treat lung lesions
01/01/2013 Yes
32150 Removal of lung lesion(s)
01/01/2013 Yes
32151 Remove lung foreign body
01/01/2013 Yes
32160 Open chest heart massage
01/01/2013 Yes
32200 Drain open lung lesion
01/01/2013 Yes
32215 Treat chest lining
01/01/2013 Yes
32220 Release of lung
01/01/2013 Yes
32225 Partial release of lung
01/01/2013 Yes
32310 Removal of chest lining
01/01/2013 Yes
32320 Free/remove chest lining
01/01/2013 Yes
32400 Needle biopsy chest lining
01/01/2013 Yes
32442 Sleeve pneumonectomy
01/01/2013 Yes
32445 Removal of lung extrapleural
01/01/2013 Yes
32480 Partial removal of lung
01/01/2013 Yes
32482 Bilobectomy
01/01/2013 Yes
32484 Segmentectomy
01/01/2013 Yes
32486 Sleeve lobectomy
01/01/2013 Yes
32488 Completion pneumonectomy
01/01/2013 Yes
32491 Lung volume reduction
01/01/2013 Yes
32503 Resect apical lung tumor
01/01/2013 Yes
32504 Resect apical lung tum/chest
01/01/2013 Yes
32505 Wedge resect of lung initial
01/01/2013 Yes
32506 Wedge resect of lung add-on
01/01/2013 Yes
32507 Wedge resect of lung diag
01/01/2013 Yes
32540 Removal of lung lesion
01/01/2013 Yes
0213T Njx paravert w/us cer/thor
01/01/2013 No
0216T Njx paravert w/us lumb/sac
01/01/2013 No
0228T Njx tfrml eprl w/us cer/thor
01/01/2013 No
0230T Njx tfrml eprl w/us lumb/sac
01/01/2013 No
11000 Debride infected skin
10/01/2016 Yes
11001 Debride infected skin add-on
10/01/2016 Yes
11004 Debride genitalia & perineum
10/01/2016 Yes
11005 Debride abdom wall
10/01/2016 Yes
11006 Debride genit/per/abdom wall
10/01/2016 Yes
11042 Deb subq tissue 20 sq cm/<
10/01/2016 Yes
11043 Deb musc/fascia 20 sq cm/<
10/01/2016 Yes
11044 Deb bone 20 sq cm/<
10/01/2016 Yes
11045 Deb subq tissue add-on
10/01/2016 Yes
11046 Deb musc/fascia add-on
10/01/2016 Yes
11047 Deb bone add-on
10/01/2016 Yes
12001 Rpr s/n/ax/gen/trnk 2.5cm/<
01/01/2013 Yes
12002 Rpr s/n/ax/gen/trnk2.6-7.5cm
01/01/2013 Yes
12004 Rpr s/n/ax/gen/trk7.6-12.5cm
01/01/2013 Yes
12005 Rpr s/n/a/gen/trk12.6-20.0cm
01/01/2013 Yes
12006 Rpr s/n/a/gen/trk20.1-30.0cm
01/01/2013 Yes
12007 Rpr s/n/ax/gen/trnk >30.0 cm
01/01/2013 Yes
12011 Rpr f/e/e/n/l/m 2.5 cm/<
01/01/2013 Yes
12013 Rpr f/e/e/n/l/m 2.6-5.0 cm
01/01/2013 Yes
12014 Rpr f/e/e/n/l/m 5.1-7.5 cm
01/01/2013 Yes
12015 Rpr f/e/e/n/l/m 7.6-12.5 cm
01/01/2013 Yes
12016 Rpr fe/e/en/l/m 12.6-20.0 cm
01/01/2013 Yes
12017 Rpr fe/e/en/l/m 20.1-30.0 cm
01/01/2013 Yes
12018 Rpr f/e/e/n/l/m >30.0 cm
01/01/2013 Yes
12020 Closure of split wound
01/01/2013 Yes
12021 Closure of split wound
01/01/2013 Yes
12031 Intmd rpr s/a/t/ext 2.5 cm/<
01/01/2013 Yes
12032 Intmd rpr s/a/t/ext 2.6-7.5
01/01/2013 Yes
12034 Intmd rpr s/tr/ext 7.6-12.5
01/01/2013 Yes
12035 Intmd rpr s/a/t/ext 12.6-20
01/01/2013 Yes
12036 Intmd rpr s/a/t/ext 20.1-30
01/01/2013 Yes
12037 Intmd rpr s/tr/ext >30.0 cm
01/01/2013 Yes
12041 Intmd rpr n-hf/genit 2.5cm/<
01/01/2013 Yes
12042 Intmd rpr n-hf/genit2.6-7.5
01/01/2013 Yes
12044 Intmd rpr n-hf/genit7.6-12.5
01/01/2013 Yes
12045 Intmd rpr n-hf/genit12.6-20
01/01/2013 Yes
12046 Intmd rpr n-hf/genit20.1-30
01/01/2013 Yes
12047 Intmd rpr n-hf/genit >30.0cm
01/01/2013 Yes
12051 Intmd rpr face/mm 2.5 cm/<
01/01/2013 Yes
12052 Intmd rpr face/mm 2.6-5.0 cm
01/01/2013 Yes
12053 Intmd rpr face/mm 5.1-7.5 cm
01/01/2013 Yes
12054 Intmd rpr face/mm 7.6-12.5cm
01/01/2013 Yes
12055 Intmd rpr face/mm 12.6-20 cm
01/01/2013 Yes
12056 Intmd rpr face/mm 20.1-30.0
01/01/2013 Yes
12057 Intmd rpr face/mm >30.0 cm
01/01/2013 Yes
13100 Cmplx rpr trunk 1.1-2.5 cm
01/01/2013 Yes
13101 Cmplx rpr trunk 2.6-7.5 cm
01/01/2013 Yes
13102 Cmplx rpr trunk addl 5cm/<
01/01/2013 Yes
13120 Cmplx rpr s/a/l 1.1-2.5 cm
01/01/2013 Yes
13121 Cmplx rpr s/a/l 2.6-7.5 cm
01/01/2013 Yes
13122 Cmplx rpr s/a/l addl 5 cm/>
01/01/2013 Yes
13131 Cmplx rpr f/c/c/m/n/ax/g/h/f
01/01/2013 Yes
13132 Cmplx rpr f/c/c/m/n/ax/g/h/f
01/01/2013 Yes
13133 Cmplx rpr f/c/c/m/n/ax/g/h/f
01/01/2013 Yes
13151 Cmplx rpr e/n/e/l 1.1-2.5 cm
01/01/2013 Yes
13152 Cmplx rpr e/n/e/l 2.6-7.5 cm
01/01/2013 Yes
13153 Cmplx rpr e/n/e/l addl 5cm/<
01/01/2013 Yes
20101 Explore wound chest
01/01/2013 Yes
32550 Insert pleural cath
01/01/2013 Yes
32551 Insertion of chest tube
01/01/2013 Yes
32556 Insert cath pleura w/o image
01/01/2013 No
36000 Place needle in vein
01/01/2013 Yes
36400 Bl draw < 3 yrs fem/jugular
01/01/2013 Yes
36405 Bl draw <3 yrs scalp vein
01/01/2013 Yes
36406 Bl draw <3 yrs other vein
01/01/2013 Yes
36410 Non-routine bl draw 3/> yrs
01/01/2013 Yes
36420 Vein access cutdown < 1 yr
01/01/2013 Yes
36425 Vein access cutdown > 1 yr
01/01/2013 Yes
36430 Blood transfusion service
01/01/2013 Yes
36440 Bl push transfuse 2 yr/<
01/01/2013 Yes
36591 Draw blood off venous device
10/01/2015 No
36592 Collect blood from picc
10/01/2015 No
36600 Withdrawal of arterial blood
01/01/2013 Yes
36640 Insertion catheter artery
01/01/2013 Yes
43752 Nasal/orogastric w/tube plmt
01/01/2013 Yes
49185 Sclerotx fluid collection
01/01/2016 Yes
49424 Assess cyst contrast inject
01/01/2013 Yes
51701 Insert bladder catheter
01/01/2013 Yes
51702 Insert temp bladder cath
01/01/2013 Yes
51703 Insert bladder cath complex
01/01/2013 Yes
01/01/2013 No
01/01/2013 No
01/01/2013 No
01/01/2013 No
64400 N block inj trigeminal
01/01/2013 No
64402 N block inj facial
01/01/2013 No
64405 N block inj occipital
01/01/2013 No
64408 N block inj vagus
01/01/2013 No
64410 N block inj phrenic
01/01/2013 No
64413 N block inj cervical plexus
01/01/2013 No
64415 N block inj brachial plexus
01/01/2013 No
64416 N block cont infuse b plex
01/01/2013 No
64417 N block inj axillary
01/01/2013 No
64418 N block inj suprascapular
01/01/2013 No
64420 N block inj intercost sng
01/01/2013 No
64421 N block inj intercost mlt
01/01/2013 No
64425 N block inj ilio-ing/hypogi
01/01/2013 No
64430 N block inj pudendal
01/01/2013 No
64435 N block inj paracervical
01/01/2013 No
64445 N block inj sciatic sng
01/01/2013 No
64446 N blk inj sciatic cont inf
01/01/2013 No
64447 N block inj fem single
01/01/2013 No
64448 N block inj fem cont inf
01/01/2013 No
64449 N block inj lumbar plexus
01/01/2013 No
64450 N block other peripheral
01/01/2013 No
64461 Pvb thoracic single inj site
01/01/2016 No
64463 Pvb thoracic cont infusion
01/01/2016 No
64479 Inj foramen epidural c/t
01/01/2013 No
64483 Inj foramen epidural l/s
01/01/2013 No
64486 Tap block unil by injection
01/01/2015 No
64487 Tap block uni by infusion
01/01/2015 No
64488 Tap block bi injection
01/01/2015 No
64489 Tap block bi by infusion
01/01/2015 No
64490 Inj paravert f jnt c/t 1 lev
01/01/2013 No
64493 Inj paravert f jnt l/s 1 lev
01/01/2013 No
64505 N block spenopalatine gangl
01/01/2013 No
64508 N block carotid sinus s/p
01/01/2013 No
64510 N block stellate ganglion
01/01/2013 No
64517 N block inj hypogas plxs
01/01/2013 No
64520 N block lumbar/thoracic
01/01/2013 No
64530 N block inj celiac pelus
01/01/2013 No
69990 Microsurgery add-on
01/01/2013 No
71010 Chest x-ray 1 view frontal
01/01/2013 Yes
71020 Chest x-ray 2vw frontal&latl
01/01/2013 Yes
75989 Abscess drainage under x-ray
01/01/2013 Yes
76000 Fluoroscope examination
01/01/2013 Yes
76001 Fluoroscope exam extensive
01/01/2013 Yes
76380 Cat scan follow-up study
01/01/2013 Yes
76942 Echo guide for biopsy
01/01/2013 Yes
76998 Us guide intraop
01/01/2013 Yes
77002 Needle localization by xray
01/01/2013 Yes
77012 Ct scan for needle biopsy
01/01/2013 Yes
77021 Mr guidance for needle place
01/01/2013 Yes
92012 Eye exam establish patient
04/01/2014 Yes
92014 Eye exam&tx estab pt 1/>vst
04/01/2014 Yes
93000 Electrocardiogram complete
01/01/2013 Yes
93005 Electrocardiogram tracing
01/01/2013 Yes
93010 Electrocardiogram report
01/01/2013 Yes
93040 Rhythm ecg with report
01/01/2013 Yes
93041 Rhythm ecg tracing
01/01/2013 Yes
93042 Rhythm ecg report
01/01/2013 Yes
93318 Echo transesophageal intraop
01/01/2013 Yes
93355 Echo transesophageal (tee)
01/01/2015 Yes
94002 Vent mgmt inpat init day
01/01/2013 Yes
94200 Lung function test (mbc/mvv)
01/01/2013 Yes
94250 Expired gas collection
01/01/2013 Yes
94680 Exhaled air analysis o2
01/01/2013 Yes
94681 Exhaled air analysis o2/co2
01/01/2013 Yes
94690 Exhaled air analysis
01/01/2013 Yes
94770 Exhaled carbon dioxide test
01/01/2013 Yes
95812 Eeg 41-60 minutes
01/01/2013 Yes
95813 Eeg over 1 hour
01/01/2013 Yes
95816 Eeg awake and drowsy
01/01/2013 Yes
95819 Eeg awake and asleep
01/01/2013 Yes
95822 Eeg coma or sleep only
01/01/2013 Yes
95829 Surgery electrocorticogram
01/01/2013 Yes
95955 Eeg during surgery
01/01/2013 Yes
96360 Hydration iv infusion init
01/01/2013 Yes
96361 Hydrate iv infusion add-on
04/01/2016 Yes
96365 Ther/proph/diag iv inf init
01/01/2013 Yes
96366 Ther/proph/diag iv inf addon
04/01/2016 Yes
96367 Tx/proph/dg addl seq iv inf
04/01/2016 Yes
96368 Ther/diag concurrent inf
04/01/2016 Yes
96372 Ther/proph/diag inj sc/im
01/01/2013 Yes
96374 Ther/proph/diag inj iv push
01/01/2013 Yes
96375 Tx/pro/dx inj new drug addon
01/01/2013 Yes
96376 Tx/pro/dx inj same drug adon
01/01/2013 Yes
97597 Rmvl devital tis 20 cm/<
10/01/2016 Yes
97598 Rmvl devital tis addl 20cm/<
10/01/2016 Yes
97602 Wound(s) care non-selective
10/01/2016 Yes
01/01/2013 No
01/01/2013 No
01/01/2013 No
99211 Office/outpatient visit est
07/01/2013 Yes
99212 Office/outpatient visit est
07/01/2013 Yes
99213 Office/outpatient visit est
07/01/2013 Yes
99214 Office/outpatient visit est
07/01/2013 Yes
99215 Office/outpatient visit est
07/01/2013 Yes
99217 Observation care discharge
07/01/2013 Yes
99218 Initial observation care
07/01/2013 Yes
99219 Initial observation care
07/01/2013 Yes
99220 Initial observation care
07/01/2013 Yes
99221 Initial hospital care
07/01/2013 Yes
99222 Initial hospital care
07/01/2013 Yes
99223 Initial hospital care
07/01/2013 Yes
99231 Subsequent hospital care
07/01/2013 Yes
99232 Subsequent hospital care
07/01/2013 Yes
99233 Subsequent hospital care
07/01/2013 Yes
99234 Observ/hosp same date
07/01/2013 Yes
99235 Observ/hosp same date
07/01/2013 Yes
99236 Observ/hosp same date
07/01/2013 Yes
99238 Hospital discharge day
07/01/2013 Yes
99239 Hospital discharge day
07/01/2013 Yes
99241 Office consultation
07/01/2013 Yes
99242 Office consultation
07/01/2013 Yes
99243 Office consultation
07/01/2013 Yes
99244 Office consultation
07/01/2013 Yes
99245 Office consultation
07/01/2013 Yes
99251 Inpatient consultation
07/01/2013 Yes
99252 Inpatient consultation
07/01/2013 Yes
99253 Inpatient consultation
07/01/2013 Yes
99254 Inpatient consultation
07/01/2013 Yes
99255 Inpatient consultation
07/01/2013 Yes
99291 Critical care first hour
07/01/2013 Yes
99292 Critical care addl 30 min
07/01/2013 Yes
99304 Nursing facility care init
07/01/2013 Yes
99305 Nursing facility care init
07/01/2013 Yes
99306 Nursing facility care init
07/01/2013 Yes
99307 Nursing fac care subseq
07/01/2013 Yes
99308 Nursing fac care subseq
07/01/2013 Yes
99309 Nursing fac care subseq
07/01/2013 Yes
99310 Nursing fac care subseq
07/01/2013 Yes
99315 Nursing fac discharge day
07/01/2013 Yes
99316 Nursing fac discharge day
07/01/2013 Yes
99334 Domicil/r-home visit est pat
07/01/2013 Yes
99335 Domicil/r-home visit est pat
07/01/2013 Yes
99336 Domicil/r-home visit est pat
07/01/2013 Yes
99337 Domicil/r-home visit est pat
07/01/2013 Yes
99347 Home visit est patient
07/01/2013 Yes
99348 Home visit est patient
07/01/2013 Yes
99349 Home visit est patient
07/01/2013 Yes
99350 Home visit est patient
07/01/2013 Yes
99374 Home health care supervision
07/01/2013 Yes
99375 Home health care supervision
07/01/2013 Yes
99377 Hospice care supervision
07/01/2013 Yes
99378 Hospice care supervision
07/01/2013 Yes
99446 Interprof phone/online 5-10
01/01/2014 No
99447 Interprof phone/online 11-20
01/01/2014 No
99448 Interprof phone/online 21-30
01/01/2014 No
99449 Interprof phone/online 31/>
01/01/2014 No
99495 Trans care mgmt 14 day disch
01/01/2014 Yes
99496 Trans care mgmt 7 day disch
01/01/2014 Yes
G0463 Hospital outpt clinic visit
07/01/2014 Yes
G0471 Ven blood coll snf/hha
07/01/2015 Yes
32560 Treat pleurodesis w/agent
01/01/2013 Yes
32561 Lyse chest fibrin init day
01/01/2013 Yes
32562 Lyse chest fibrin subq day
01/01/2013 Yes
32601 Thoracoscopy diagnostic
01/01/2013 Yes
32606 Thoracoscopy w/bx med space
01/01/2013 Yes
32607 Thoracoscopy w/bx infiltrate
01/01/2013 Yes
32608 Thoracoscopy w/bx nodule
01/01/2013 Yes
32609 Thoracoscopy w/bx pleura
01/01/2013 Yes
32650 Thoracoscopy w/pleurodesis
01/01/2013 Yes
32651 Thoracoscopy remove cortex
01/01/2013 Yes
32653 Thoracoscopy remov fb/fibrin
01/01/2013 Yes
32654 Thoracoscopy contrl bleeding
01/01/2013 Yes
32655 Thoracoscopy resect bullae
01/01/2013 Yes
32658 Thoracoscopy w/sac fb remove
01/01/2013 Yes
32659 Thoracoscopy w/sac drainage
01/01/2013 Yes
32661 Thoracoscopy w/pericard exc
01/01/2013 Yes
32662 Thoracoscopy w/mediast exc
01/01/2013 Yes
32663 Thoracoscopy w/lobectomy
01/01/2013 Yes
 
Denied Codes (1)
Effective
Modifier
Accepted (2)
32664 Thoracoscopy w/ th nrv exc
01/01/2013 Yes
32665 Thoracoscop w/esoph musc exc
01/01/2013 Yes
32666 Thoracoscopy w/wedge resect
01/01/2013 Yes
32667 Thoracoscopy w/w resect addl
01/01/2013 Yes
32668 Thoracoscopy w/w resect diag
01/01/2013 Yes
32669 Thoracoscopy remove segment
01/01/2013 Yes
32670 Thoracoscopy bilobectomy
01/01/2013 Yes
32671 Thoracoscopy pneumonectomy
01/01/2013 Yes
32672 Thoracoscopy for lvrs
01/01/2013 Yes
32673 Thoracoscopy w/thymus resect
01/01/2013 Yes
32674 Thoracoscopy lymph node exc
01/01/2013 Yes
32800 Repair lung hernia
01/01/2013 Yes
32810 Close chest after drainage
01/01/2013 Yes
32815 Close bronchial fistula
01/01/2013 Yes
32820 Reconstruct injured chest
01/01/2013 Yes
32851 Lung transplant single
01/01/2013 Yes
32852 Lung transplant with bypass
01/01/2013 Yes
32853 Lung transplant double
01/01/2013 Yes
32854 Lung transplant with bypass
01/01/2013 Yes
33020 Incision of heart sac
01/01/2013 Yes
33025 Incision of heart sac
01/01/2013 Yes
33030 Partial removal of heart sac
01/01/2013 Yes
33031 Partial removal of heart sac
01/01/2013 Yes
33050 Resect heart sac lesion
01/01/2013 Yes
33120 Removal of heart lesion
01/01/2013 Yes
33130 Removal of heart lesion
01/01/2013 Yes
33202 Insert epicard eltrd open
01/01/2013 Yes
33203 Insert epicard eltrd endo
01/01/2013 Yes
33236 Remove electrode/thoracotomy
01/01/2013 Yes
33237 Remove electrode/thoracotomy
01/01/2013 Yes
33238 Remove electrode/thoracotomy
01/01/2013 Yes
33243 Remove eltrd/thoracotomy
01/01/2013 Yes
33250 Ablate heart dysrhythm focus
01/01/2013 Yes
33251 Ablate heart dysrhythm focus
01/01/2013 Yes
33254 Ablate atria lmtd
01/01/2013 Yes
33255 Ablate atria w/o bypass ext
01/01/2013 Yes
33256 Ablate atria w/bypass exten
01/01/2013 Yes
33261 Ablate heart dysrhythm focus
01/01/2013 Yes
33265 Ablate atria lmtd endo
01/01/2013 Yes
33266 Ablate atria x10sv endo
01/01/2013 Yes
33300 Repair of heart wound
01/01/2013 Yes
33305 Repair of heart wound
01/01/2013 Yes
33310 Exploratory heart surgery
01/01/2013 Yes
33315 Exploratory heart surgery
01/01/2013 Yes
33320 Repair major blood vessel(s)
01/01/2013 Yes
33321 Repair major vessel
01/01/2013 Yes
33322 Repair major blood vessel(s)
01/01/2013 Yes
33330 Insert major vessel graft
01/01/2013 Yes
33335 Insert major vessel graft
01/01/2013 Yes
33361 Replace aortic valve perq
01/01/2014 Yes
33362 Replace aortic valve open
01/01/2014 Yes
33363 Replace aortic valve open
01/01/2014 Yes
33364 Replace aortic valve open
01/01/2014 Yes
33365 Replace aortic valve open
10/01/2013 Yes
33366 Trcath replace aortic valve
01/01/2014 Yes
33367 Replace aortic valve w/byp
01/01/2014 Yes
33368 Replace aortic valve w/byp
01/01/2014 Yes
33369 Replace aortic valve w/byp
01/01/2014 Yes
01/01/2013 Yes
01/01/2013 Yes
01/01/2013 Yes
33404 Prepare heart-aorta conduit
01/01/2013 Yes
33405 Replacement aortic valve opn
01/01/2013 Yes
33406 Replacement aortic valve opn
01/01/2013 Yes
33410 Replacement aortic valve opn
01/01/2013 Yes
33411 Replacement of aortic valve
01/01/2013 Yes
33412 Replacement of aortic valve
01/01/2013 Yes
33413 Replacement of aortic valve
01/01/2013 Yes
33414 Repair of aortic valve
01/01/2013 Yes
33415 Revision subvalvular tissue
01/01/2013 Yes
33416 Revise ventricle muscle
01/01/2013 Yes
33417 Repair of aortic valve
01/01/2013 Yes
33418 Repair tcat mitral valve
01/01/2015 Yes
33419 Repair tcat mitral valve
01/01/2015 Yes
33420 Revision of mitral valve
01/01/2013 Yes
33422 Revision of mitral valve
01/01/2013 Yes
33425 Repair of mitral valve
01/01/2013 Yes
33426 Repair of mitral valve
01/01/2013 Yes
33427 Repair of mitral valve
01/01/2013 Yes
33430 Replacement of mitral valve
01/01/2013 Yes
33460 Revision of tricuspid valve
01/01/2013 Yes
33463 Valvuloplasty tricuspid
01/01/2013 Yes
33464 Valvuloplasty tricuspid
01/01/2013 Yes
33465 Replace tricuspid valve
01/01/2013 Yes
33468 Revision of tricuspid valve
01/01/2013 Yes
33470 Revision of pulmonary valve
01/01/2013 Yes
33471 Valvotomy pulmonary valve
01/01/2013 Yes
33474 Revision of pulmonary valve
01/01/2013 Yes
33475 Replacement pulmonary valve
01/01/2013 Yes
33476 Revision of heart chamber
01/01/2013 Yes
33477 Implant tcat pulm vlv perq
01/01/2016 Yes
33478 Revision of heart chamber
01/01/2013 Yes
33496 Repair prosth valve clot
10/01/2013 Yes
33500 Repair heart vessel fistula
01/01/2013 Yes
33501 Repair heart vessel fistula
01/01/2013 Yes
33502 Coronary artery correction
01/01/2013 Yes
33503 Coronary artery graft
01/01/2013 Yes
33504 Coronary artery graft
01/01/2013 Yes
33505 Repair artery w/tunnel
01/01/2013 Yes
33506 Repair artery translocation
01/01/2013 Yes
33507 Repair art intramural
01/01/2013 Yes
33510 Cabg vein single
01/01/2013 Yes
33511 Cabg vein two
01/01/2013 Yes
33512 Cabg vein three
01/01/2013 Yes
33513 Cabg vein four
01/01/2013 Yes
33514 Cabg vein five
01/01/2013 Yes
33516 Cabg vein six or more
01/01/2013 Yes
33517 Cabg artery-vein single
01/01/2013 Yes
33518 Cabg artery-vein two
01/01/2013 Yes
33519 Cabg artery-vein three
01/01/2013 Yes
33521 Cabg artery-vein four
01/01/2013 Yes
33523 Cabg art-vein six or more
01/01/2013 Yes
33533 Cabg arterial single
01/01/2013 Yes
33534 Cabg arterial two
01/01/2013 Yes
33535 Cabg arterial three
01/01/2013 Yes
33536 Cabg arterial four or more
01/01/2013 Yes
33542 Removal of heart lesion
01/01/2013 Yes
33545 Repair of heart damage
01/01/2013 Yes
33548 Restore/remodel ventricle
01/01/2013 Yes
33600 Closure of valve
01/01/2013 Yes
33602 Closure of valve
01/01/2013 Yes
33606 Anastomosis/artery-aorta
01/01/2013 Yes
33608 Repair anomaly w/conduit
01/01/2013 Yes
33610 Repair by enlargement
01/01/2013 Yes
33611 Repair double ventricle
01/01/2013 Yes
33612 Repair double ventricle
01/01/2013 Yes
33615 Repair modified fontan
01/01/2013 Yes
33617 Repair single ventricle
01/01/2013 Yes
33619 Repair single ventricle
01/01/2013 Yes
33641 Repair heart septum defect
01/01/2013 Yes
33645 Revision of heart veins
01/01/2013 Yes
33647 Repair heart septum defects
01/01/2013 Yes
33660 Repair of heart defects
01/01/2013 Yes
33665 Repair of heart defects
01/01/2013 Yes
33670 Repair of heart chambers
01/01/2013 Yes
33675 Close mult vsd
01/01/2013 Yes
33676 Close mult vsd w/resection
01/01/2013 Yes
33677 Cl mult vsd w/rem pul band
01/01/2013 Yes
33681 Repair heart septum defect
01/01/2013 Yes
33684 Repair heart septum defect
01/01/2013 Yes
33688 Repair heart septum defect
01/01/2013 Yes
33690 Reinforce pulmonary artery
01/01/2013 Yes
33692 Repair of heart defects
01/01/2013 Yes
33694 Repair of heart defects
01/01/2013 Yes
33697 Repair of heart defects
01/01/2013 Yes
33702 Repair of heart defects
01/01/2013 Yes
33710 Repair of heart defects
01/01/2013 Yes
33720 Repair of heart defect
01/01/2013 Yes
33722 Repair of heart defect
01/01/2013 Yes
33724 Repair venous anomaly
01/01/2013 Yes
33726 Repair pul venous stenosis
01/01/2013 Yes
33730 Repair heart-vein defect(s)
01/01/2013 Yes
33732 Repair heart-vein defect
01/01/2013 Yes
33735 Revision of heart chamber
01/01/2013 Yes
33736 Revision of heart chamber
01/01/2013 Yes
33737 Revision of heart chamber
01/01/2013 Yes
33750 Major vessel shunt
01/01/2013 Yes
33755 Major vessel shunt
01/01/2013 Yes
33762 Major vessel shunt
01/01/2013 Yes
33764 Major vessel shunt & graft
01/01/2013 Yes
33766 Major vessel shunt
01/01/2013 Yes
33767 Major vessel shunt
01/01/2013 Yes
33770 Repair great vessels defect
01/01/2013 Yes
33771 Repair great vessels defect
01/01/2013 Yes
33774 Repair great vessels defect
01/01/2013 Yes
33775 Repair great vessels defect
01/01/2013 Yes
33776 Repair great vessels defect
01/01/2013 Yes
33777 Repair great vessels defect
01/01/2013 Yes
33778 Repair great vessels defect
01/01/2013 Yes
33779 Repair great vessels defect
01/01/2013 Yes
33780 Repair great vessels defect
01/01/2013 Yes
33781 Repair great vessels defect
01/01/2013 Yes
33782 Nikaidoh proc
01/01/2013 Yes
33783 Nikaidoh proc w/ostia implt
01/01/2013 Yes
33786 Repair arterial trunk
01/01/2013 Yes
33788 Revision of pulmonary artery
01/01/2013 Yes
33800 Aortic suspension
01/01/2013 Yes
33802 Repair vessel defect
01/01/2013 Yes
33803 Repair vessel defect
01/01/2013 Yes
33813 Repair septal defect
01/01/2013 Yes
33814 Repair septal defect
01/01/2013 Yes
33820 Revise major vessel
01/01/2013 Yes
33822 Revise major vessel
01/01/2013 Yes
33824 Revise major vessel
01/01/2013 Yes
33840 Remove aorta constriction
10/01/2013 Yes
33845 Remove aorta constriction
01/01/2013 Yes
33851 Remove aorta constriction
01/01/2013 Yes
33852 Repair septal defect
01/01/2013 Yes
33853 Repair septal defect
01/01/2013 Yes
33860 Ascending aortic graft
01/01/2013 Yes
33863 Ascending aortic graft
01/01/2013 Yes
33864 Ascending aortic graft
01/01/2013 Yes
33870 Transverse aortic arch graft
01/01/2013 Yes
33875 Thoracic aortic graft
01/01/2013 Yes
33877 Thoracoabdominal graft
01/01/2013 Yes
33910 Remove lung artery emboli
01/01/2013 Yes
33915 Remove lung artery emboli
01/01/2013 Yes
33916 Surgery of great vessel
01/01/2013 Yes
33917 Repair pulmonary artery
01/01/2013 Yes
33920 Repair pulmonary atresia
01/01/2013 Yes
33922 Transect pulmonary artery
01/01/2013 Yes
33924 Remove pulmonary shunt
10/01/2013 Yes
33925 Rpr pul art unifocal w/o cpb
01/01/2013 Yes
33926 Repr pul art unifocal w/cpb
01/01/2013 Yes
33935 Transplantation heart/lung
01/01/2013 Yes
33945 Transplantation of heart
01/01/2013 Yes
33973 Insert balloon device
01/01/2013 Yes
33974 Remove intra-aortic balloon
01/01/2013 Yes
33976 Implant ventricular device
01/01/2013 Yes
33977 Remove ventricular device
01/01/2013 Yes
33978 Remove ventricular device
01/01/2013 Yes
33979 Insert intracorporeal device
01/01/2013 Yes
33980 Remove intracorporeal device
01/01/2013 Yes
33981 Replace vad pump ext
01/01/2013 Yes
33982 Replace vad intra w/o bp
01/01/2013 Yes
33983 Replace vad intra w/bp
01/01/2013 Yes
34051 Removal of artery clot
01/01/2013 Yes
34502 Reconstruct vena cava
01/01/2013 Yes
35021 Repair defect of artery
01/01/2013 Yes
35022 Repair artery rupture chest
01/01/2013 Yes
35182 Repair blood vessel lesion
01/01/2013 Yes
35189 Repair blood vessel lesion
01/01/2013 Yes
35211 Repair blood vessel lesion
01/01/2013 Yes
35216 Repair blood vessel lesion
01/01/2013 Yes
35241 Repair blood vessel lesion
01/01/2013 Yes
35246 Repair blood vessel lesion
01/01/2013 Yes
35271 Repair blood vessel lesion
01/01/2013 Yes
35276 Repair blood vessel lesion
01/01/2013 Yes
35311 Rechanneling of artery
01/01/2013 Yes
01/01/2013 Yes
35691 Art trnsposj vertbrl carotid
01/01/2013 Yes
35693 Art trnsposj subclavian
01/01/2013 Yes
35694 Art trnsposj subclav carotid
01/01/2013 Yes
35695 Art trnsposj carotid subclav
01/01/2013 Yes
35905 Excision graft thorax
01/01/2013 Yes
38381 Thoracic duct procedure
01/01/2013 Yes
38530 Biopsy/removal lymph nodes
01/01/2013 Yes
39000 Exploration of chest
01/01/2013 Yes
39010 Exploration of chest
01/01/2013 Yes
39200 Resect mediastinal cyst
01/01/2013 Yes
39220 Resect mediastinal tumor
01/01/2013 Yes
39501 Repair diaphragm laceration
01/01/2013 Yes
39503 Repair of diaphragm hernia
01/01/2013 Yes
39540 Repair of diaphragm hernia
01/01/2013 Yes
39541 Repair of diaphragm hernia
01/01/2013 Yes
39545 Revision of diaphragm
01/01/2013 Yes
39560 Resect diaphragm simple
01/01/2013 Yes
39561 Resect diaphragm complex
01/01/2013 Yes
43045 Incision of esophagus
01/01/2013 Yes
43101 Excision of esophagus lesion
01/01/2013 Yes
43107 Removal of esophagus
01/01/2013 Yes
43108 Removal of esophagus
01/01/2013 Yes
43112 Removal of esophagus
01/01/2013 Yes
43113 Removal of esophagus
01/01/2013 Yes
43117 Partial removal of esophagus
01/01/2013 Yes
43118 Partial removal of esophagus
01/01/2013 Yes
43121 Partial removal of esophagus
01/01/2013 Yes
43122 Partial removal of esophagus
01/01/2013 Yes
43123 Partial removal of esophagus
01/01/2013 Yes
43124 Removal of esophagus
01/01/2013 Yes
43135 Removal of esophagus pouch
01/01/2013 Yes
43310 Repair of esophagus
01/01/2013 Yes
43312 Repair esophagus and fistula
01/01/2013 Yes
43313 Esophagoplasty congenital
01/01/2013 Yes
43314 Tracheo-esophagoplasty cong
01/01/2013 Yes
43320 Fuse esophagus & stomach
01/01/2013 Yes
43325 Revise esophagus & stomach
01/01/2013 Yes
43327 Esoph fundoplasty lap
01/01/2013 Yes
43328 Esoph fundoplasty thor
01/01/2013 Yes
43331 Esophagomyotomy thoracic
01/01/2013 Yes
43332 Transab esoph hiat hern rpr
01/01/2013 Yes
43333 Transab esoph hiat hern rpr
01/01/2013 Yes
43334 Transthor diaphrag hern rpr
01/01/2013 Yes
43335 Transthor diaphrag hern rpr
01/01/2013 Yes
43336 Thorabd diaphr hern repair
01/01/2013 Yes
43337 Thorabd diaphr hern repair
01/01/2013 Yes
43341 Fuse esophagus & intestine
01/01/2013 Yes
43351 Surgical opening esophagus
01/01/2013 Yes
43400 Ligate esophagus veins
01/01/2013 Yes
43401 Esophagus surgery for veins
01/01/2013 Yes
43405 Ligate/staple esophagus
01/01/2013 Yes
43415 Repair esophagus wound
01/01/2013 Yes
43425 Repair esophagus opening
01/01/2013 Yes
47120 Partial removal of liver
01/01/2013 Yes
47122 Extensive removal of liver
01/01/2013 Yes
47125 Partial removal of liver
01/01/2013 Yes
47130 Partial removal of liver
01/01/2013 Yes
47135 Transplantation of liver
01/01/2013 Yes
47350 Repair liver wound
01/01/2013 Yes
47360 Repair liver wound
01/01/2013 Yes
49405 Image cath fluid colxn visc
04/01/2014 Yes
50220 Remove kidney open
01/01/2013 Yes
50225 Removal kidney open complex
01/01/2013 Yes
50230 Removal kidney open radical
01/01/2013 Yes
50234 Removal of kidney & ureter
01/01/2013 Yes
50236 Removal of kidney & ureter
01/01/2013 Yes
50240 Partial removal of kidney
01/01/2013 Yes
63173 Drainage of spinal cyst
01/01/2013 Yes
96440 Chemotherapy intracavitary
01/01/2013 Yes
(1) These codes will be denied when submitted for payment on the same date of service as 32557.

(2) "Yes" indicates that the use of a modifier with the denied code will overcome the edit and allow payment.
"No" indicates that the second code will always be denied.


Medically Unlikely Edits for 32557


Practitioner
Hospital Outpatient
DME Supplier
Allowed Frequency per Day: 2 2 Not Listed
Adjudication Indicator: 3 Date of Service Edit: Clinical 3 Date of Service Edit: Clinical Not Listed
Rationale: Clinical: Data Clinical: Data Not Listed

* The responsibility for the content of any "National Correct Coding Policy" included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse, or interpretation of information contained in this product.


   32557 Top 5 Ordering Providers National*
BRANDON AIMAN -ANDERSON,IN 169
PRABHU VIJAYVARGIYA -ENID,OK 122
DANIEL FLYNN -EAST BRUNSWICK,NJ 110
CHARLES OWENS -GRAND FORKS,ND 106
YOUSSEF YAMMINE -HOT SPRINGS,AR 106

*Based on 2014 Medicare Fee-For Service Provider Utilization & Payment Data, Physician and Other Supplier, Public Use File



   Medicare Part B Utilization Data for 32557*         Hide this section.


Annual Procedures / Tests Performed / Denied


Total National Services (all modifiers) Submitted 2015: 37,294
Total Services Denied 2015: 2,168 (5.8%)
National Charges Submitted 2015: $ 33,908,293.00
National Charges Allowed 2015: $ 5,634,991.00
National Average (No Modifier) Fee Submitted 2015: $863.41
National Average (No Modifier) Fee Allowed 2015: $162.23


Top 5 Performing Specialties 2015 Total Tests Percent
of Total
Average
Amount
Submitted
Denials Percent
Denied
Diagnostic radiology 24,140 64.7% $849.43 1,356 5.6%
Interventional radiology
(eff 5/92)
6,017 16.1% $1056.75 294 4.9%
Pulmonary disease 4,106 11.0% $1082.81 206 5.0%
Physician assistant
(eff 5/92)
1,306 3.5% $655.27 174 13.3%
Critical care
(intensivists)
(eff 5/92)
450 1.2% $1051.57 39 8.7%

Top 5 Places of Service 2014 Total Tests Percent
of Total
Average
Amount
Submitted
Denials Percent
Denied
Inpatient hospital 29,887 80.1% $869.28 1,664 5.6%
Outpatient hospital 5,659 15.2% $860.50 278 4.9%
Emergency room - hospital 639 1.7% $725.09 46 7.2%
Office 566 1.5% $1853.01 46 8.1%
Ambulatory surgical center 14 0.0% $1950.08 3 21.4%

Top 5 Modifiers Submitted 2015 Total Tests Percent
of Total
Average
Amount
Submitted
Denials Percent
Denied
No Modifier 24,858 66.7% $863.42 1,459 5.9%
RT - Right Side 3,584 9.6% $813.48 216 6.0%
LT - Left Side 2,625 7.0% $838.49 132 5.0%
GC 2,151 5.8% $1466.49 75 3.5%
51 - Multiple Procedures 1,082 2.9% $894.82 20 1.8%

Click here for more information on Custom CodeMap Medicare Utililation Reports.


*Utilization data is derived from analysis of the Physician Supplier Procedure Summary Master File (PSPSMF) which includes data from all Medicare Part B carriers. This data represents procedure-specific billing data for all physician/supplier services rendered to all Medicare beneficiaries during the calendar year named and processed by the Carriers through the six months of the following year.

Part B charge and utilization data for institutional services (hospital outpatient departments, home health agencies, comprehensive outpatient rehabilitation facilities, end-stage renal disease facilities, and rural health clinics) are processed by Medicare Part A fiscal intermediaries and are not included in this data. Data for services rendered to beneficiaries enrolled in risk-based Health Maintenance Organizations (HMOs) are also not included.


   CodeMap Compliance Briefings: Hide this section.

All information on this web site is compiled directly from information obtained from the Center for Medicare and Medicaid Services (CMS) and from its Contractors.

CodeMap® has made every reasonable effort to ensure the accuracy of the information contained on this web site. However, the ultimate responsibility for correct coding and claims submission lies with the provider of services. CodeMap® makes no representation, warranty, or guarantee that this compilation of Medicare information is error-free or that the use of this information will result in Medicare coverage and subsequent payment of claims. Final coverage and payment of claims are subject to many factors exclusively controlled by CMS and its contractors.

No part of this web page or data displayed may be redistibuted or used without the express written consent of Wheaton Partners, LLC.
12/07/2016 12:16:15 54.167.149.128

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