For a biopsy of the mediastinal space performed via thoracoscopy, which code should be reported?

The appropriate code for a biopsy of the mediastinal space performed via thoracoscopy is 32606. This code specifically refers to a thoracoscopic biopsy, which is a minimally invasive procedure that allows for the examination of tissue in the thorax, including the mediastinum, through small incisions and the use of a camera.

In this case, the biopsy is being performed in the mediastinum, a central compartment of the thoracic cavity, making this code particularly relevant. CPT code 32606 covers various aspects related to the procedure, including the nature of the approach (thoracoscopic) and the anatomical site (mediastinum), making it the most accurate choice for the described activity.

Other options do not pertain to the thoracoscopic approach or the mediastinal location. For instance, codes related to more extensive surgical procedures or other anatomical sites would not apply to a simple biopsy of the mediastinal space. Therefore, the selection of code 32606 is justified as it directly aligns with the procedure performed.