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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 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,267.56 national non-facility rate (2026) · View Medicare rates for 32905 |
| Medicaid Fee Schedule | $990.195 median of the 8 states in the free preview · View Medicaid rates for 32905 |
National average reimbursement for CPT 32905 by major payers:

$1,785.85

$1,783.07

$1,815.37

$2,133.64
Choose a payer to see a sample of rates for CPT 32905.
Monterey Peninsula Surgery Center Capitola, Capitola Surgery Center
Monterey Peninsula Surgery Center, LLC
Bluffton Okatie Surgery Center, L.L.C.
Tamarac Surgery Center LLC, The Surgery Center Of Ft Lauderdale
Tamarac Surgery Center LLC
Marietta Outpatient Surgery, Ltd
Marietta Outpatient Surgery Ltd
Southern Surgical Center, LLC
Southern Surgical Center LLC
Choose your state and specialty to build a report from payer-published rates.
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 32905 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32905 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 32905 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 |
|---|---|---|
| 32900-CPT | High | Partial Rib Removal, Surgery To Remove A Portion Of A Rib Without Allowing Air Into The Chest Cavity. The Wound Is Closed With A Skin Graft. |
| 32905-CPT | High | Upper Chest Surgery, Surgery To Remove The Skeletal Support Portion Of The Upper Chest To Treat Fluid Buildup From Chest Infection (Empyema). The Procedure Can Include Closing An Abnormal Passageway (Fistula) From The Airway Into The Lungs Or Chest Cavity. |
| 32906-CPT | High | Upper Chest Surgery, Surgery To Remove The Skeletal Support Portion Of The Upper Chest To Treat Fluid Buildup From Chest Infection (Empyema). The Procedure Can Include Closing An Abnormal Passageway (Fistula) From The Airway Into The Lungs Or Chest Cavity. |
| 32994-CPT | High | Ablation Therapy For Reduction, Ablation Therapy For Reduction Or Eradication Of 1or More Pulmonary Tumor(S) Including Pleura Or Ch Est Wall When Involved By Tumor Extension Percutaneous Including Imaging Guidance When Performed Unilateral Cryoablation Tery Disease Data Preparation And Transmission A |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32905. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32905 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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