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BackTable / VI / Article
2025 Chest Tube Placement CPT Code
Bryant Schmitz • Updated Jul 31, 2025 • 220 hits
Chest tube placement, reported using CPT code 32551, is typically performed by thoracic surgeons, emergency physicians, and interventional radiologists to drain air, blood, or other fluids from the pleural space. This procedure is crucial in the management of pneumothorax, hemothorax, and pleural effusions. This article clarifies the use of CPT code 32551 to assist healthcare providers in ensuring accurate billing and documentation.
Table of Contents
(1) CPT Code for Chest Tube Placement
(2) Detailed Description of CPT Code 32551
(3) Coding & Billing Considerations
(4) Why Proper Coding Is Important
(5) What is a CPT Code?
(6) Disclaimer
CPT Code for Chest Tube Placement
The CPT code 32551 is used to report open (surgical) insertion of a chest tube into the pleural space. It includes the use of a thoracostomy approach without image guidance.
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Detailed Description of CPT Code 32551
• CPT Code: 32551
• Code Description: Tube thoracostomy, includes connection to drainage system (e.g., water seal), when performed, open (separate procedure)
• Inclusions: Open thoracostomy approach, placement of drainage tube, connection to water seal or suction drainage system
• Exclusions: Placement using percutaneous or image-guided techniques (coded separately under 32556 or 32557); thoracotomy for more extensive procedures
Coding & Billing Considerations
• CPT code 32551 should be used only for open (surgical) chest tube insertions without imaging guidance.
• Image-guided or percutaneous chest tube placements should be coded using 32556 or 32557.
• The procedure is considered a separate surgical intervention and should not be bundled with unrelated thoracic procedures.
• Ensure documentation includes the open approach and rationale for chest tube placement.
• Modifier use may be required depending on bilateral procedures or additional services performed concurrently.
Why Proper Coding Is Important
Accurate use of CPT code 32551 ensures proper reimbursement for chest tube placement procedures and supports clear documentation of the clinical indication and approach used. Misuse of this code can lead to claim denials or underpayment. Proper coding also helps maintain compliance with payer requirements and enhances the integrity of the medical record.
What is a CPT Code?
CPT stands for Current Procedural Terminology. These codes are used by medical professionals to describe procedures and services performed. CPT codes are crucial for the billing process, allowing healthcare providers to communicate with insurance companies and other payers about the procedures performed.
Disclaimer
The information provided here reflects our understanding of the procedure(s) and/or device(s). This information should not be construed as authoritative. We encourage you to consult CMS.
Podcast Contributors
Cite This Podcast
BackTable, LLC (Producer). (2024, June 11). Ep. 453 – Thoracentesis Best Practices [Audio podcast]. Retrieved from https://www.backtable.com
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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