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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-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 | GC - Service performed by resident under supervision 50 - Bilateral Procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $300.27 national non-facility rate (2026) · View Medicare rates for 32997 |
| Medicaid Fee Schedule | $246.61 median of the 8 states in the free preview · View Medicaid rates for 32997 |
National average reimbursement for CPT 32997 by major payers:

$472.61

$458.14

$478.71

$555.71
Choose a payer to see a sample of rates for CPT 32997.
San Antonio Surgicenter, LLC, The Center For Special Surgery At Tca
Nhpe, LLC, New Hyde Park Endoscopy
Georgia Surgical Center On Peachtree, LLC
Georgia Surgical Center On Peachtree LLC
Medical Center Surgery Associates, Lp
Medical Center Surgery Associates Lp
Southern Maryland Endoscopy Center
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 32997 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 32997 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 32997 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 |
| 32997-CPT | Moderate | Lung Tissue Wash, Surgery Aided By A Scope (Bronchoscope) To Wash Lung Tissue With A Saline Solution. The Fluid Is Removed With Suction And May Be Analyzed For Cell Types. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 32997. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 32997 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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