Chest Tube Removal: CPT Codes, ICD-10 Diagnoses, and Procedure Overview

Procedure

Removal of a thoracostomy (chest) tube after resolution of pneumothorax, hemothorax, or effusion.

CPT Codes

• 32405: Removal with bronchoscopy (e.g., to evaluate airway).
• 32406: Removal without bronchoscopy (routine).

Common ICD-10-CM Diagnoses

Key Steps

1. Confirm lung re-expansion on imaging.
2. Remove suture, have patient perform Valsalva or hold breath.
3. Swiftly withdraw tube; apply occlusive dressing (petrolatum gauze).
4. Post-removal CXR to rule out recurrence.

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Code	Description
J93.0	Spontaneous tension pneumothorax
J93.1	Primary spontaneous pneumothorax
J93.8	Other pneumothorax
J93.9	Pneumothorax, unspecified
J94.0	Chylous effusion
J94.1	Fibrothorax
J94.2	Hemothorax
J94.8	Other specified pleural conditions
J94.9	Pleural condition, unspecified