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See a sample rate comparisonCPT 32659 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 C, Thoracoscopy Surgical With Creation Of Pericardial Window Or Partial Resection Of Pericardial Thoracoscopy Surgical With Creation Of Pericardial Window
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $716.45 national non-facility rate (2026) · View Medicare rates for 32659 |
| Medicaid Fee Schedule | $581.255 median of the 8 states in the free preview · View Medicaid rates for 32659 |
National average reimbursement for CPT 32659 by major payers:
$971.87
$988.01
$1,047.31
$1,196.84
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CPT 32659
5 of 25 sample ratesHigher to lower in this preview
Surgical Center At Columbia Orthopaedic Group LLC
$2,989.00Published rateCherokee Farm Orthopedic Surgery Center, LLC
Cherokee Farm Orthopedic Surgery Center LLC
$1,100.00Published ratePhysician'S Surgery Center Of Knoxville LLC
Physicians Surgery Center Of Knoxville LLC
$983.00Published rateSurgicare Of Mobile Ltd
$558.00Published rateSnks Enterprises LLC, Sol Valley Surgery Center
Snks Enterprises LLC
$175.00Published rate
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See a sample payer proposalCPT 32659 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32659 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 32659 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 |
|---|---|---|
| 32658-CPT | Moderate | Thoracoscopy Surgical With R, Thoracoscopy Surgical With Removal Of Clot Or Foreign Bodyfrom Pericardial Sac Thoracoscopy Surgical With Removal Of Clot Or Foreign Body |
| 32659-CPT | Moderate | Thoracoscopy Surgical With C, Thoracoscopy Surgical With Creation Of Pericardial Window Or Partial Resection Of Pericardial Thoracoscopy Surgical With Creation Of Pericardial Window |
| 32661-CPT | High | Remove Growth From Heart Sac, Surgery With The Aid Of A Scope (Thoracoscopy) To Remove Abnormal Tissue (Tumor) Or A Fluid-Filled Sac (Cyst) From The Protective Sac Around The Heart. |
| 32662-CPT | High | Removal Of Chest Growth, Surgery With The Aid Of A Scope (Thoracoscopy) To Remove Abnormal Tissue A Tumor Or A Cyst (Fluid-Filled Sac) From Structures Inside The Chest. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32659. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32659 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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