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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 LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,538.45 national non-facility rate (2026) · View Medicare rates for 32220 |
| Medicaid Fee Schedule | $1,206.25 median of the 8 states in the free preview · View Medicaid rates for 32220 |
National average reimbursement for CPT 32220 by major payers:

$2,028.43

$2,111.98

$2,229.04

$2,547.97
Choose a payer to see a sample of rates for CPT 32220.
Memorial Hermann Bay Area Endoscopy Center, LLC, Bay Area Endoscopy
Berkshire Eye, LLC
Loveland Endoscopy Center, LLC, Skyline Endoscopy Center
Loveland Endoscopy Center LLC
Amarillo Surgery And Endoscopy, Lp, Adc Endoscopy Specialists
Amarillo Surgery And Endoscopy Lp
Bowden Gastro Associates LLC
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 32220 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32220 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 32220 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. |
| 32120-CPT | High | Chest Surgery For Complication, Surgery To Open The Chest And Repair Damage Or Deal With A Complication From A Previous Chest Surgery. |
| 32141-CPT | High | Thoracotomy Major With Excis, Thoracotomy Major With Excision-Plication Of Bullae With Or Without Any Pleural Procedure Thoracotomy Major With Excision-Plication Of Bullae With |
| 32220-CPT | High | Decortication, Pulmonary; Total |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32220 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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