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See a sample rate comparisonCPT 32486 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.
Surgery To Remove Part Of Lung, Surgery To Remove One Or More Sections Of A Lung Or A Portion Of Lung Tissue. The Procedure May Involve Removal Of Nonfunctioning Air Sacs (Bullae) Or Removal Of Part Of The Airway (Bronchus).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | RT - Right side of body AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $2,176.07 national non-facility rate (2026) · View Medicare rates for 32486 |
| Medicaid Fee Schedule | $1,682.98 median of the 8 states in the free preview · View Medicaid rates for 32486 |
National average reimbursement for CPT 32486 by major payers:
$3,097.67
$3,043.81
$3,213.63
$3,729.84
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CPT 32486
5 of 25 sample ratesHigher to lower in this preview
Surgical Caregivers Of Fort Worth LLC, Texas Health Surgery Center Fort Worth Midtown
Surgical Caregivers Of Fort Worth LLC
$6,068.00Published rateProliance Surgeons, Inc., P.S., Proliance Eastside Surgery Center
Proliance Surgeons, Inc., P.S.
$1,367.00Published rateConcord Eye Surgery LLC
$814.00Published rateFront Range Endoscopy Centers, LLC
Front Range Endoscopy Centers LLC
$426.00Published rateLakeland Fl Endoscopy Asc LLC, Surgery Center Of Lakeland Hills Boulevard
Lakeland Fl Endoscopy Asc LLC
$50.00Published rate
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See a sample payer proposalCPT 32486 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32486 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 32486 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 |
|---|---|---|
| 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. |
| 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). |
| 32445-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). |
| 32486-CPT | High | Surgery To Remove Part Of Lung, Surgery To Remove One Or More Sections Of A Lung Or A Portion Of Lung Tissue. The Procedure May Involve Removal Of Nonfunctioning Air Sacs (Bullae) Or Removal Of Part Of The Airway (Bronchus). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32486. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32486 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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