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See a sample rate comparisonCPT 32609 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.
Lung Biopsy With Scope, Surgery Aided By A Scope (Thoracoscope) To Remove A Sample Of Tissue From A Lung For Testing (Biopsy). The Procedure May Remove Tissue From The Lung Itself Or From The Protective Sac Around The Lung (Pleura).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $238.82 national non-facility rate (2026) · View Medicare rates for 32609 |
| Medicaid Fee Schedule | $186.70 median of the 8 states in the free preview · View Medicaid rates for 32609 |
National average reimbursement for CPT 32609 by major payers:
$353.19
$358.02
$362.60
$433.72
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CPT 32609
5 of 25 sample ratesHigher to lower in this preview
Henry Ford Medical Center Fairlane, Henry Ford Health System
Henry Ford Health System
$9,106.00Published rateWarner Park Surgery Center LLC, Center For Advanced Surgery
Warner Park Surgery Center LLC
$5,354.00Published rateCentral Arkansas Radiation Therapy Institute Inc, Carti Surgery Center
Central Arkansas Radiation Therapy Institute Inc
$3,661.00Published rateInland Outpatient Surgery Center, Inc.
$2,500.00Published rateSurgery Center Of Coral Gables LLC, Surgery Center Of Coral Gables LLC
$945.00Published rate
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See a sample payer proposalCPT 32609 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32609 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 32609 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 |
|---|---|---|
| 32601-CPT | Moderate | Scope Exam Of Chest Interior, An Exam Of The Interior Of The Chest Using A Scope (Thoracoscopy). The Exam May Include The Lungs Or The Protective Sac Around The Heart. |
| 32607-CPT | Moderate | Lung Biopsy With Scope, Surgery Aided By A Scope (Thoracoscope) To Remove A Sample Of Tissue From A Lung For Testing (Biopsy). The Procedure May Remove Tissue From The Lung Itself Or From The Protective Sac Around The Lung (Pleura). |
| 32608-CPT | Moderate | Lung Biopsy With Scope, Surgery Aided By A Scope (Thoracoscope) To Remove A Sample Of Tissue From A Lung For Testing (Biopsy). The Procedure May Remove Tissue From The Lung Itself Or From The Protective Sac Around The Lung (Pleura). |
| 32609-CPT | Moderate | Lung Biopsy With Scope, Surgery Aided By A Scope (Thoracoscope) To Remove A Sample Of Tissue From A Lung For Testing (Biopsy). The Procedure May Remove Tissue From The Lung Itself Or From The Protective Sac Around The Lung (Pleura). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32609. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32609 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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