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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 11 - Office |
| Common Modifiers | LT - Left side of body 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $1,175.04 national non-facility rate (2026) · View Medicare rates for 32940 |
| Medicaid Fee Schedule | $918.545 median of the 8 states in the free preview · View Medicaid rates for 32940 |
National average reimbursement for CPT 32940 by major payers:

$1,615.30

$1,645.98

$1,712.26

$1,977.17
Choose a payer to see a sample of rates for CPT 32940.
Thr/Stt Southlake Asc, LLC
Thrstt Southlake Asc LLC
Banner Estrella Surgery Center
Professional Recreation Organization, Inc.
Pro Surgery Center LLC
Miracle Hills Surgery Center LLC
Md Laser Surgery Center, LLC
Md Laser Surgery 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 32940 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32940 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 32940 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. |
| 32940-CPT | High | Release Constrained Lung, Surgery To Separate Lung Tissue From The Tissue That Lines The Chest Cavity. This Enables The Lung To Expand Fully. |
| 32960-CPT | Low | Inject Air Into Chest Cavity, Surgical Injection Of Air Into The Chest Cavity Causing A Lung To Partially Collapse. This Is A Therapy Used For Conditions Like Tuberculosis. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32940. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32940 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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