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See a sample rate comparisonCPT 32851 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.
Lung Transplant, Single; Without Cardiopulmonary Bypass
| 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $3,048.50 national non-facility rate (2026) · View Medicare rates for 32851 |
| Medicaid Fee Schedule | $2,359.32 median of the 8 states in the free preview · View Medicaid rates for 32851 |
National average reimbursement for CPT 32851 by major payers:
$3,899.01
$4,165.45
$4,463.03
$5,218.66
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CPT 32851
5 of 25 sample ratesHigher to lower in this preview
Howard Community Surgery Center LLC
$6,659.00Published rateDenton Regional Ambulatory Surgery Center, L.P., Medical City Surgery Center/Denton
Denton Regional Ambulatory Surgery Center Lp
$2,652.00Published rateSurgical Eye Experts, LLC, Surgical Eye Experts Of New England, LLC
Surgical Eye Experts LLC
$775.00Published rateM/S Surgery Center LLC, M/S Surgery Center LLC Whit
Ms Surgery Center LLC
$477.00Published rateKeystone Kidney Associates, PC
Keystone Kidney Associates PC
$150.00Published rate
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See a sample payer proposalCPT 32851 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32851 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 32851 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). |
| 32850-CPT | High | Lung Organ Donation, Surgical Removal Of A Lung From A Donor Body Including Cold Preservation Until Transport To The Receiving Person. |
| 32851-CPT | High | Lung Transplant, Single; Without Cardiopulmonary Bypass |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32851. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32851 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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