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See a sample rate comparisonCPT 32504 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.
Resect Apical Lung Tum Chest, Resection Of Apical Lung Tumor Eg Pancoast Tumor Including Chest Wall Resection Rib S Resection S Neurovascular Dissection When Performed With Chest Wall Reconstruction
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 51 - Multiple procedures RT - Right side of body AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | $1,919.55 national non-facility rate (2026) · View Medicare rates for 32504 |
| Medicaid Fee Schedule | $1,496.34 median of the 8 states in the free preview · View Medicaid rates for 32504 |
National average reimbursement for CPT 32504 by major payers:
$2,664.96
$2,758.97
$2,827.84
$3,297.86
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CPT 32504
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Memorial City LLC, Memorial Hermann Memorial Village Surgery Center
$5,554.00Published rateCentral Delaware Endoscopy Unit LLC
$1,064.00Published rateRestorative Surgery Center LLC, Ips Surgery Center, LLC
Restorative Surgery Center LLC
$775.00Published rateDelphos Ambulatory Surgery Center Inc, Delphos Asc
Delphos Ambulatory Surgery Center Inc
$473.00Published ratePeninsula Eye Center, P.A, Peninsula Cataract & Laser Center
Peninsula Eye Center PA
$388.00Published rate
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See a sample payer proposalCPT 32504 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32504 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 32504 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 |
|---|---|---|
| 32501-CPT | Moderate | Resection And Repair Of Portio, Resection And Repair Of Portion Of Bronchus (Bronchoplasty) When Performed At Time Of Lobectomy Or Segmentectomy (List Separately In Addition To Codefor Primary Procedure) |
| 32503-CPT | High | Resection Of Apical Lung Tumor, Resection Of Apical Lung Tumor (Eg Pancoast Tumor) Including Chest Wall Resection Rib(S) Resection(S) Neurovascular Dissection When Performed Without Chest Wall Reconstruction(S) |
| 32504-CPT | High | Resect Apical Lung Tum Chest, Resection Of Apical Lung Tumor Eg Pancoast Tumor Including Chest Wall Resection Rib S Resection S Neurovascular Dissection When Performed With Chest Wall Reconstruction |
| 32505-CPT | High | Lung Surgery To Remove A Mass, Surgery On A Lung To Remove A Lump Or Mass Of Tissue. The Procedure May Remove More Than One Mass. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32504. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32504 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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