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See a sample rate comparisonCPT 32098 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-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 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $721.46 national non-facility rate (2026) · View Medicare rates for 32098 |
| Medicaid Fee Schedule | $561.515 median of the 8 states in the free preview · View Medicaid rates for 32098 |
National average reimbursement for CPT 32098 by major payers:
$982.40
$1,049.23
$1,039.90
$1,253.33
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CPT 32098
5 of 25 sample ratesHigher to lower in this preview
Bjosc, LLC, Bjosc, LLC @ Westwood
Bjosc LLC
$3,201.00Published ratePacific Endo-Surgical Center, Lp, Pacific Endo-Surgical Center
Pacific Endosurgical Center Lp
$1,274.00Published rateGastroenterology Diagnostics Of Northern New Jersey, PA
Gastroenterology Diagnostics Of Northern New Jersey, P.A.
$988.00Published rateMission Surgery Center, Inc.
$650.00Published ratePremier Endoscopy Center, LLC
Premier Endoscopy Center, P.L.L.C.
$100.00Published rate
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See a sample payer proposalCPT 32098 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32098 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 32098 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 |
|---|---|---|
| 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). |
| 32097-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). |
| 32098-CPT | Moderate | 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 32098. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32098 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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