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See a sample rate comparisonCPT 32400 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.
Biopsy Of Lung Sac, A Procedure To Remove A Sample Of Tissue From The Protective Sac Around A Lung For Testing (Biopsy). The Sample May Be Taken During A Surgery Or With A Needle.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $166.34 national non-facility rate (2026) · View Medicare rates for 32400 |
| Medicaid Fee Schedule | $132.29 median of the 8 states in the free preview · View Medicaid rates for 32400 |
National average reimbursement for CPT 32400 by major payers:
$198.52
$203.65
$226.92
$146.02
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CPT 32400
5 of 25 sample ratesHigher to lower in this preview
Canonsburg General Hospital
Highmark Health
$4,278.10Published rateThe Surgery Center At Jensen Beach, LLC
The Surgery Center At Jensen B
$1,276.00Published rateInland Ear Nose And Throat A Medical Group Inc, Foothill Ambulatory Surgery Center
M.M. Kanok, M.D., A Medical Corpora
$703.00Published rateProspect Blackstone Valley Surgicare, LLC, Blackstone Valley Surgicare
Prospect Blackstone Valley Surgicare LLC
$594.00Published rateClifford Dotson
Deaconess Hospital Inc
$273.95Published rate
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See a sample payer proposalCPT 32400 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32400 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 32400 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 |
|---|---|---|
| 32150-CPT | High | Thoracotomy Major With Remov, Thoracotomy Major With Removal Of Intrapleural Foreignbody Or Fibrin Deposit Thoracotomy Major With Removal Of Intrapleural Foreign |
| 32151-CPT | High | Thoracotomy Major With Remov, Thoracotomy Major With Removal Of Intrapulmonaryforeignbody Thoracotomy Major With Removal Of Intrapulmonary Foreign |
| 32310-CPT | High | Pleurectomy; Parietal |
| 32400-CPT | Low | Biopsy Of Lung Sac, A Procedure To Remove A Sample Of Tissue From The Protective Sac Around A Lung For Testing (Biopsy). The Sample May Be Taken During A Surgery Or With A Needle. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32400. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32400 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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