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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 23 - Emergency Room 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,313.99 national non-facility rate (2026) · View Medicare rates for 32820 |
| Medicaid Fee Schedule | $1,030.615 median of the 8 states in the free preview · View Medicaid rates for 32820 |
National average reimbursement for CPT 32820 by major payers:

$1,751.22

$1,795.14

$1,846.02

$2,167.50
Choose a payer to see a sample of rates for CPT 32820.
Summit Orthopedic Surgery Center, LLC, Sosc
Summit Orthopedic Surgery Center LLC
Morris Avenue Endoscopy LLC
Morris Avenue Endoscopy, LLC
Summit Ambulatory Surgical Center, LLC
Evergreen Eye Center, PLLC, Eye Associates Northwest Surgery Center
Eye Associates Northwest, PLLC
Acute & Chronic Pain Management Center PA, Acute & Chronic Pain And Spine Center
Acute And Chronic Pain And Spine Center
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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 32820 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32820 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 32820 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 32820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32820 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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