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See a sample rate comparisonCPT 32815 Fee Schedule
Last Verified: October 2026
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.
Repair Abnormal Duct In Airway, Surgery To Repair An Abnormal Passageway (Fistula) From The Bronchial Tube (Airway) Into The Chest Cavity. The Condition Can Be A Complication Following Removal Of A Lung Or Lung Tissue.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $2,628.99 national non-facility rate (2026) · View Medicare rates for 32815 |
| Medicaid Fee Schedule | $2,036.235 median of the 8 states in the free preview · View Medicaid rates for 32815 |
National average reimbursement for CPT 32815 by major payers:
$3,445.52
$3,551.55
$3,821.67
$4,409.84
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CPT 32815
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Southwest LLP, Memorial Hermann Surgery Center Southwest
Memorial Hermann Surgery Center Southwest LLP
$5,554.00Published rateSanta Barbara Surgery Center Lp
$1,274.00Published rateEndoscopy Center Of Colorado Springs, LLC
$941.00Published rateMid-Atlantic Endoscopy Center, LLC, Mid-Atlantic Gastrointestinal Center II
Midatlantic Endoscopy Center LLC
$497.00Published rateOutpatient Surgical Care Ltd
$100.00Published rate
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See a sample payer proposalCPT 32815 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32815 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 32815 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 |
|---|---|---|
| 32800-CPT | High | Repair Lung Hernia Thru Chest Wall |
| 32810-CPT | High | Close Surgical Wound In Chest, Surgery To Close An Opening In The Chest That Was Used To Drain Fluids From An Infection Of The Chest Cavity (Empyema). |
| 32815-CPT | High | Repair Abnormal Duct In Airway, Surgery To Repair An Abnormal Passageway (Fistula) From The Bronchial Tube (Airway) Into The Chest Cavity. The Condition Can Be A Complication Following Removal Of A Lung Or Lung Tissue. |
| 32820-CPT | High | Rebuild Chest After Injury, Surgery To Reconstruct The Chest After A Serious Injury. The Procedure Can Include Grafts Flaps Or Synthetic Parts. Several Surgeries May Be Needed To Complete The Reconstruction. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32815. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32815 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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