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See a sample rate comparisonCPT 32854 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 Transplnt Double (Bilate Sequent Or En Bloc); W/ Cardio, Lung Transplant Double (Bilateral Sequential Or En Bloc); With Cardio
| 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 | 82 - Assistant surgeon - no qualified resident 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | $4,494.76 national non-facility rate (2026) · View Medicare rates for 32854 |
| Medicaid Fee Schedule | $3,476.005 median of the 8 states in the free preview · View Medicaid rates for 32854 |
National average reimbursement for CPT 32854 by major payers:
$5,488.05
$6,018.64
$6,645.56
$7,614.12
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CPT 32854
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Main Street, LLC
$5,554.00Published rateNovamed Management Services LLC, Atlanta Eye Surgery Center
Novamed, Inc.
$1,231.00Published rateUpstate Surgery Center, LLC
Upstate Surgery Center LLC
$732.00Published rateSun City Center Ambulatory Surgery Center, LLC, Sun City Asc
Sun City Center Ambulatory Surgery Center LLC
$512.00Published rateSouth Pointe Surgical Center
South Pointe Surgical Center, LLC
$200.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 32854 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32854 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 32854 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 |
|---|---|---|
| 32852-CPT | High | Lung Transplant, Single, With Cardiopulmonary Bypass |
| 32853-CPT | High | Lung Transplnt Double (Bilate Sequent Or En Bloc); W/O Car, Lung Transplant Double (Bilateral Sequential Or En Bloc); Without Car |
| 32854-CPT | High | Lung Transplnt Double (Bilate Sequent Or En Bloc); W/ Cardio, Lung Transplant Double (Bilateral Sequential Or En Bloc); With Cardio |
| 32855-CPT | Moderate | Prepare Donor Lung Single, Backbench Standard Preparation Of Cadaver Donor Lung Allograft Prior To Transplantation Including Dissection Of Allograft From Surrounding Soft Tissues To Prepare Pulmonary Venous Atrial Cuff Pulmonary Artery And Bronchus Unilateral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32854. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32854 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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