A 48-year-old female with a 20+ year smoking history is diagnosed with a pulmonary nodule growing in the left lower lobe of the lung. After discussion with her surgeon, the patient is brought to the OR for a laproscopic wedge resection of the nodule using VATS approach to obtain a frozen section. Following a pathology report of adenocarcinoma of the lung, a VATS lobectomy of the left lower lobe was performed. The patient tolerated the procedure and was sent to the surgical ICU in stable condition. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT codes are 32663 for the VATS lobectomy of the left lower lobe and 32668-LT for the laparoscopic wedge resection with a modifier LT indicating the procedure was performed on the left side. The ICD-10-CM code C34.32 specifies adenocarcinoma of the left lower lobe of the lung, and Z87.891 indicates a personal history of tobacco use, which is relevant given the patient's smoking history.

A 48-Year-Old Female with a 20+ Year Smoking History Is