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See a sample rate comparisonCPT 32096 Fee Schedule
Last Verified: October 2026
Healthcare 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.
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).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $764.21 national non-facility rate (2026) · View Medicare rates for 32096 |
| Medicaid Fee Schedule | $593.825 median of the 8 states in the free preview · View Medicaid rates for 32096 |
National average reimbursement for CPT 32096 by major payers:
$1,115.38
$1,109.19
$1,105.31
$1,346.42
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CPT 32096
5 of 25 sample ratesHigher to lower in this preview
Webster Ambulatory Surgery Center Lp, Webster Surgery Center
$2,517.00Published rateMaple Lawn Surgery Center
Maple Lawn Surgery Center, LLC
$1,028.00Published rateSkin Cancer And Laser Surgery Center LLC
$703.00Published rateSeascape Surgery Center LLC
$446.00Published rateBarnet Dulaney Perkins Eye Center, PC, American Vision Partners
Barnet Dulaney Perkins Eye Center PLLC
$100.00Published rate
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See a sample payer proposalCPT 32096 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32096 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 32096 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 32096. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32096 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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