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See a sample rate comparisonHealthcare 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.
| 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 | AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $771.56 national non-facility rate (2026) · View Medicare rates for 32661 |
| Medicaid Fee Schedule | $604.72 median of the 8 states in the free preview · View Medicaid rates for 32661 |
National average reimbursement for CPT 32661 by major payers:

$1,070.13

$1,078.92

$1,119.65

$1,300.28
Choose a payer to see a sample of rates for CPT 32661.
Memorial Hermann Surgery Center Richmond, LLC, Memorial Hermann Surgery Center Richmond
Pacific Endo-Surgical Center Lp
Pacific Endosurgical Center Lp
Ks Sc LLC, Kelsey-Seybold Clinic Ambulatory Surgery Center
Lb Surgical Center LLC
Mid Cities Asc, Lp
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 32661 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32661 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 32661 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 32661. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32661 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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