Preoperative Diagnosis: Pulmonary Nodule, Left Lower Lobe

Preoperative Diagnosis: Pulmonary nodule, left lower lobe
Postoperative Diagnosis: Pathology report came back as squamous cell carcinoma of the left lower lobe
Procedure: Left lower lobectomy
Operation: General endotracheal anesthesia was administered satisfactorily. With the patient in the left lateral decubitus position, we made a left posterolateral thoracotomy with resection of the sixth rib. I could identify the lesion in the lateral segment of the left lower lobe. I carefully dissected the lobe out, being certain that the lesion was peripheral. I then dissected down and identified the vein to the left lower lobe, and tied it with 0 silk suture ligated. I then dissected down and identified two arteries to the lower lobe, and tied each of these. I carefully removed the fissure between the upper lobe and lower lobe using the stapler. I dissected out some nodes for staging purposes. I palpated the superior mediastinum and did not find any abnormalities. I placed a #32 chest tube in the wound, then closed it with 1 Vicryl and 0 Vicryl on the fascia, 3-0 Plain on the subcutaneous and skin staples on the skin. Estimated blood loss was 250 cc. We administered an epidural and removed the patient to the recovery room in stable condition.
Select the appropriate CPT and ICD-10-CM codes.

A) 32440, C34.30
B) 32440, C34.32
C) 32480, C34.30
D) 32480, C34.32