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See a sample rate comparisonCPT 32160 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.
Open Heart Massage, Surgery To Open The Chest Cavity By Spreading Apart The Ribs In Order To Manually Pump The Heart During A Heart Attack.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $772.23 national non-facility rate (2026) · View Medicare rates for 32160 |
| Medicaid Fee Schedule | $607.15 median of the 8 states in the free preview · View Medicaid rates for 32160 |
National average reimbursement for CPT 32160 by major payers:
$1,077.55
$1,031.00
$1,119.17
$1,288.00
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CPT 32160
5 of 25 sample ratesHigher to lower in this preview
Medical Center Surgery Associates, Lp
Medical Center Surgery Associates Lp
$2,732.00Published rateSurgicare LLC
$900.00Published ratePacific Cataract And Laser Institute, Inc., P.C.
Pacific Cataract And Laser Institute, Inc., PC
$624.00Published ratePshs Beta Partners Ltd, The Gables Surgical Center
Pshs Beta Partners Ltd
$394.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 32160 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32160 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 32160 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. |
| 32160-CPT | High | Open Heart Massage, Surgery To Open The Chest Cavity By Spreading Apart The Ribs In Order To Manually Pump The Heart During A Heart Attack. |
| 32200-CPT | High | Drainage Of Lung Inflammation, Surgery To Drain A Cyst (Fluid-Filled Sac) Or Abscess (Infection) From Inside The Lung. A Dressing May Absorb The Fluid Or A Drainage Tube May Be Inserted. |
| 32440-CPT | High | Removal Of Entire Lung, Surgery To Remove An Entire Lung. The Procedure May Additionally Involve Removal Of Part Of The Airway (Bronchus) Or Removal Of The Heart Sac (Pericardium) Part Of The Diaphragm And Part Of The Interior Lining Of The Chest (Parietal Pleura). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32160 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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