CPT 32672 Fee Schedule
Healthcare 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 11 - Office |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 32672 |
| Medicaid Fee Schedule | View Medicaid rates for 32672 |
National average reimbursement for CPT 32672 by major payers:
$2,084.47
$2,100.70
$2,090.17
$2,478.08
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 32672 | $520.00 | 1710615869 - ORTHOILLINOIS SURGERY CENTER ELGIN, LLC | 851212739 - (IL) ORTHOILLINOIS SURGERY CENTER ELGIN LLC | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $618.00 | 1750308763 - SURGICAL SPECIALTIES OF ARROYO GRANDE INC. | 770580453 - (CA) OAK PARK SURGERY CENTER | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $3046.00 | 1063757227 - PARKVIEW ORTHO CENTER, LLC | 611697669 - (IN) PARKVIEW ORTHO CENTER LLC | IN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $1215.00 | 1255353389 - SOMERSET AMBULATORY SURGICAL CENTER, LLC | 371743209 | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $1883.00 | 1497705883 - MISSION AMBULATORY SURGICENTER LTD., MISSION SURGERY CENTER | 330355575 - (CA) MISSION AMBULATORY SURGICENTER LTD | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $170.00 | 1265966444 - CHILDREN'S SURGERY CENTER OF LEHIGH VALLEY, LLC | 611830897 - (PA) CHILDRENS SURGERY CENTER OF LEHIGH VALLEY LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $316.00 | 1578600979 - HOTCHKISS AND KATZEN AMBULATORY SURGICAL CENTER, METRO AMBULATORY SURGICAL CENTER | 522048920 - (MD) HOTCHKISS AND KATZEN AMBULATORY SURGICAL CENTER | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $715.00 | 1194959809 - BEVERLY HILLS REGIONAL SURGERY CENTER LP | 263718069 - (CA) BEVERLY HILLS REGIONAL SURGERY CENTER LP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $1028.00 | 1285815522 - TLC ASC, LLC, KZMSS AGAIN, LLLP | 201952603 - (FL) TLC ASC LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $2705.00 | 1699738112 - NORTH AUSTIN SURGERY CENTER, L.P. | 200648730 - (TX) NORTH AUSTIN SURGERY CENTER LP | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $441.00 | 1710151063 - HENDI AMBULATORY SURGERY CENTER, PC | 262238944 - (MD) HENDI AMBULATORY SURGERY CENTER PC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $991.00 | 1366154304 - OPTUM CARE WASHINGTON PLLC, OPTUM - HELEN HOLM PUMPHREY SURGERY CENTER | 910214500 - THE EVERETT CLINIC, PLLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $1344.00 | 1922237213 - ENDOSCOPY CENTER OF TOMS RIVER, LLC | 300568338 - (NJ) ENDOSCOPY CENTER OF TOMS RIVER LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $450.00 | 1831349406 - GASTROENTEROLOGY EAST, P.A. | 202964888 - (NC) GASTROENTEROLOGY EAST, P.A. | NC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 32672 | $448.00 | 1265435176 - POCONO AMBULATORY SURGERY CENTER LTD | 232611442 - (PA) POCONO AMBULATORY SURGERY CENTER LTD | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 32672 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32672 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 32672 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 |
|---|---|---|
| 32670-CPT | High | Removal Of Parts Of Both Lungs, Surgery Aided By A Scope (Thoracoscope) To Remove The Lower Portion (Lobe) Of Both Lungs. |
| 32671-CPT | High | Thoracosco Surg; W/Remval Of Lung (Pneumonectomy), Thoracoscopy Surgical; With Removal Of Lung (Pneumonectomy) |
| 32672-CPT | High | Thoracoscopy Surgical With R, Thoracoscopy Surgical With Resection-Plication For Emphysematous Lung (Bullous Or Non-Bullous) Forlung Volume Reduction (Lvrs) Unilateral Includes Any Pleural Procedure When Performed |
| 32673-CPT | High | Scope Surgery Of Thymus Gland, Surgery Aided By A Scope (Thoracoscope) To Remove Tissue From One Or Both Sides Of The Thymus Gland. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32672. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32672 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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