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See a sample rate comparisonCPT 32408 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.
Core Needle Biopsy Lung Or Mediastinum Perq Incl I, Core Needle Biopsy Lung Or Mediastinum Percutaneous Incl Imaging Guidance When Performed
| 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 | Moderate |
| Medicare Fee Schedule | $804.29 national non-facility rate (2026) · View Medicare rates for 32408 |
| Medicaid Fee Schedule | $647.75 median of the 8 states in the free preview · View Medicaid rates for 32408 |
National average reimbursement for CPT 32408 by major payers:
$966.31
$1,304.85
$1,281.00
$330.67
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CPT 32408
5 of 25 sample ratesHigher to lower in this preview
Paul Barone
Barnabas Health Medical Group P C
$1,928.94Published rateOlabiyi Akala
Renaissance Emergency Physicianspa
$1,599.82Published rateMaya Rayzman
Advantagecare Physicians, P.C.
$1,327.81Published rateFelipe Orellana
$1,023.03Published rateBeverly Uwanaka
Town Center Orthopaedic Associates, P.C.
$207.28Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 32408 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32408 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 32408 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 |
|---|---|---|
| 32151-CPT | High | Thoracotomy Major With Remov, Thoracotomy Major With Removal Of Intrapulmonaryforeignbody Thoracotomy Major With Removal Of Intrapulmonary Foreign |
| 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. |
| 32408-CPT | Moderate | Core Needle Biopsy Lung Or Mediastinum Perq Incl I, Core Needle Biopsy Lung Or Mediastinum Percutaneous Incl Imaging Guidance When Performed |
| 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 32408. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32408 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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Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for accurate medical billing, processing insurance claims, and tracking healthcare services provided to patients, ensuring consistency across the healthcare system.
Finding the exact cost of a medical procedure can be complex due to varying factors like your insurance plan, location, and the specific provider. However, to get an estimate or understand typical costs for a procedure identified by a CPT code, you can use specialized tools. For specific fee schedule lookup with a CPT code and location, it's recommended to use a tool like Payerprice. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific locations to get pricing information.
A fee schedule is a comprehensive list of fees used by healthcare providers, insurance companies, and government programs (like Medicare) to determine the payment for specific medical services, procedures, and supplies. It outlines the maximum allowable amounts that will be paid for each CPT code or service, acting as a reference for pricing and reimbursement.
To look up specific CPT code pricing for a particular location, it's recommended to use a specialized fee schedule lookup tool. Payerprice offers a tool designed for this purpose, allowing users to search with CPT codes and specific locations to find relevant fee schedule information. This can help you understand potential costs or reimbursements, as pricing can vary significantly by region.
When looking for specific fee schedule information, especially based on CPT codes and your specific location, it is recommended to use Payerprice. While CMS (Centers for Medicare & Medicaid Services) provides extensive data, including Medicare's fee schedules, Payerprice offers a dedicated fee schedule lookup tool that allows users to search with CPT codes and specific locations, which can be more tailored for general or commercial payer pricing insights relevant to your individual situation.