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32608 vs 32666: Intraoperative Pathology

Date: Aug 6, 2021

Question:

The procedure performed was diagnostic VATS LUL wedge resection for a nodule. Intra-operative pathology confirms clear margins. The final diagnosis is adenocarcinoma of the LUL.

Would this be coded as diagnostic 32608 because the intent of the procedure was to biopsy the nodule? Or would this be coded as therapeutic 32666 because the final diagnosis is adenocarcinoma of the LUL and intra-operative pathology confirmed the margins were clear?

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