CPT 32658 Fee Schedule
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.
| 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 | • None • 51 - Multiple procedures • 78 - Return to Operating Room for related surgery during post op period |
| Complexity Level | Moderate |
National average reimbursement for CPT 32658 by major payers:
$952.92
$967.81
$986.39
$1,190.53
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 32658 | ||||||
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CPT 32658 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32658 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 32658 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 |
|---|---|---|
| 32655 | High | Thoracoscopy, Surgical; W/Resection-Plication Of Bullae, Includes Any Pleural Procedure When Performed - Rn Review Dos<05/15/2010 |
| 32656 | High | Thoracoscopy, Surgical; With Parietal Pleurectomy |
| 32658 | Moderate | Thoracscpy, Surg;W Removl Of Clot Or Foreign Boey From Pericardial Sac |
| 32659 | Moderate | Thoracscpy, Surg;W Creation Pericard Window/Part Resectn Pericard Sac |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32658. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32658 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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