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See a sample rate comparisonCPT 32491 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.
Lung Volume Reduction, Removal Of Lung Other Than Pneumonectomy With Resection Plication Of Emphysematous Lung S Bullous Or Non Bullous For Lung Volume Reduction Sternal Split Or Transthoracic Approach Includes Any Pleural Procedure When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body 50 - Bilateral Procedure |
| Complexity Level | High |
| Medicare Fee Schedule | $1,407.51 national non-facility rate (2026) · View Medicare rates for 32491 |
| Medicaid Fee Schedule | $1,098.045 median of the 8 states in the free preview · View Medicaid rates for 32491 |
National average reimbursement for CPT 32491 by major payers:
$2,065.74
$1,951.45
$2,016.62
$2,354.73
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CPT 32491
5 of 25 sample ratesHigher to lower in this preview
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
$16,236.00Published rateBanner Mesa Surgery Center LLC
$1,146.00Published rateOregon Eye Surgery Center, Inc.
Oregon Eye Surgery Center Inc
$600.00Published rateDigestive Health & Endoscopy Center LLC
$344.00Published rateAnderson Endoscopy Center LLC
$99.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 32491 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32491 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 32491 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 |
|---|---|---|
| 32482-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). |
| 32484-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). |
| 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). |
| 32491-CPT | High | Lung Volume Reduction, Removal Of Lung Other Than Pneumonectomy With Resection Plication Of Emphysematous Lung S Bullous Or Non Bullous For Lung Volume Reduction Sternal Split Or Transthoracic Approach Includes Any Pleural Procedure When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32491. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32491 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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