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CPT 32658 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.

Thoracoscopy Surgical With R, Thoracoscopy Surgical With Removal Of Clot Or Foreign Bodyfrom Pericardial Sac Thoracoscopy Surgical With Removal Of Clot Or Foreign Body
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Respiratory System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

51 - Multiple procedures

78 - Return to OR - related procedure

Complexity LevelModerate
Medicare Fee Schedule$695.41 national non-facility rate (2026) · View Medicare rates for 32658
Medicaid Fee Schedule$567.43 median of the 8 states in the free preview · View Medicaid rates for 32658

National average reimbursement for CPT 32658 by major payers:

bcbs

$952.92

uhc

$967.81

aetna

$986.39

cigna

$1,168.75

Compare published rates across providers.

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CPT 32658
5 of 25 sample ratesHigher to lower in this preview
  1. Emerald Coast Surgery Center, Lp, Emerald Coast Surgery Center

    Emerald Coast Surgery Center Lp

    FLAmbulatory Surgical Clinic/CenterNPI 1437114378Tax ID 62-1502718

    $2,401.66Published rate
  2. Summit Ambulatory Surgical Center, LLC

    MDAmbulatory Surgical Clinic/CenterNPI 1891148219Tax ID 52-2148280

    $1,028.00Published rate
  3. Eye Laser And Surgery Center LLC

    OHAmbulatory Surgical Clinic/CenterNPI 1578881009Tax ID 27-2376757

    $578.00Published rate
  4. Shore Health System, Inc., Shore Health System Surgery Center

    Shore Health System Inc

    MDAmbulatory Surgical Clinic/CenterNPI 1649501073Tax ID 52-0610538

    $436.00Published rate
  5. Central Ohio Endoscopy Center, LLC

    Central Ohio Endoscopy Center LLC

    OHAmbulatory Surgical Clinic/CenterNPI 1902431646Tax ID 31-1674561

    $257.00Published rate

National sample. Rates vary by location, specialty, and contract.

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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.

CodeComplexityDescription
32655-CPTHighThoracoscopy Surgical With E, Thoracoscopy Surgical With Excision-Plication Ofbullaeincluding Any Pleural Procedure Thoracosc Opy Surgical With Excision-Plication Of Bullae
32656-CPTHighSurgery To Remove Chest Lining, Chest Surgery Aided By A Scope (Thoracoscopy) To Remove All Or Part Of The Tissue Lining The Chest Cavity (Parietal Pleura).
32658-CPTModerateThoracoscopy Surgical With R, Thoracoscopy Surgical With Removal Of Clot Or Foreign Bodyfrom Pericardial Sac Thoracoscopy Surgical With Removal Of Clot Or Foreign Body
32659-CPTModerateThoracoscopy Surgical With C, Thoracoscopy Surgical With Creation Of Pericardial Window Or Partial Resection Of Pericardial Thoracoscopy Surgical With Creation Of Pericardial Window

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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