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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 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | $1,167.36 national non-facility rate (2026) · View Medicare rates for 32665 |
| Medicaid Fee Schedule | $905.56 median of the 8 states in the free preview · View Medicaid rates for 32665 |
National average reimbursement for CPT 32665 by major payers:

$1,485.35

$1,612.39

$1,662.93

$1,945.68
Choose a payer to see a sample of rates for CPT 32665.
Memorial Hermann Surgery Center, Memorial Hermann Surgery Center, The Woodlands
Memorial Hermann Surgery Center
Advanced Surgical Care Of Lutz, LLC, Advanced Surgical Care Of New Tampa
Advanced Surgical Care Of Lutz LLC
St Lukes Surgical Center Inc
Ophthalmic Outpatient Surgery Center Partners, LLC, Outpatient Surgery Center For Sight
Ophthalmic Outpatient Surgery Center Partners LLC
Surgery Center Of Volusia, LLC, Surgery Center Of Volusia
Surgery Center Of Volusia
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 32665 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32665 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 32665 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 |
|---|---|---|
| 32664-CPT | High | Remove Nerve In Chest Cavity, Surgery With The Aid Of A Scope (Thoracoscopy) To Cut Nerves Within The Chest Cavity That May Be Involved In Abnormal Function. |
| 32665-CPT | High | Surgical Repair Of Esophagus, Surgery Aided By A Scope (Endoscope) To Repair The Esophagus By Manipulating The Surrounding Muscle Tissue. Instruments Are Inserted Into The Chest And Esophagus. |
| 32667-CPT | Moderate | Thoracoscopy W W Resect Addl, Thoracoscopy Surgical With Therapeutic Wedge Resection Eg Mass Or Nodule Each Additional Resection Ipsilateral List Separately In Addition To Code For Primary Procedure |
| 32668-CPT | Moderate | Thoracoscopy W/W Resect Diag, Thoracoscopy Surgical; With Diagnostic Wedge Resection Followed By Anatomic Lung Resection (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32665. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32665 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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