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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | $774.57 national non-facility rate (2026) · View Medicare rates for 32036 |
| Medicaid Fee Schedule | $604.045 median of the 8 states in the free preview · View Medicaid rates for 32036 |
National average reimbursement for CPT 32036 by major payers:

$1,079.32

$1,023.70

$1,086.27

$1,258.58
Choose a payer to see a sample of rates for CPT 32036.
Texas Health Arlington Memorial Hospital
Metroeast Endoscopic Surgery Center
New Albany Outpatient Surgery, LLC, Surgical Center Of New Albany
Mosc, LLC
Mosc LLC
Podiatry Group Of Annapolis Ambulatory Surgical Center, Podiatry Group Of Annapolis Ambulatory Surgical Center LLC
Podiatry Group Of Annapolis Ambulatory Surgical Center
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 32036 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32036 code is part of the Surgery services used for Surgical Procedures on the Respiratory System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 32036 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 32035-CPT | High | Surgery For Chest Infection, Surgery To Insert A Tube Into The Chest In Order To Drain A Chest Infection. The Procedure May Involve Removing A Section Of Rib For Access Or Creating A Skin Flap To Close The Surgical Opening. |
| 32036-CPT | High | Surgery For Chest Infection, Surgery To Insert A Tube Into The Chest In Order To Drain A Chest Infection. The Procedure May Involve Removing A Section Of Rib For Access Or Creating A Skin Flap To Close The Surgical Opening. |
| 32096-CPT | High | Lung Surgery With Biopsy, Surgery On A Lung To Remove A Sample Of Tissue For Testing (Biopsy). The Procedure May Remove Tissue From The Lung Itself Or From The Protective Sac Around The Lung (Pleura). |
| 32100-CPT | High | Thoracotomy Major With Explo, Thoracotomy Major With Exploration And Biopsythoracotomy Major With Exploration And Biopsy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32036. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32036 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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