CPT code 32999: Unlisted lung procedure, lungs and pleura2026 Medicare rate & RVUs in Florida

Use CPT 32999 to report a lung or pleural procedure when no specific listed CPT code describes the service performed.

CMS RVU26DEffective Oct 1, 20263 payment localities730 Medicare services in 2024

CMS doesn’t publish an office rate for 32999 in Florida.

—Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Florida
  2. What 32999 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 32999 covers

CPT 32999 is the unlisted CPT code for a procedure involving the lungs or pleura when no specific CPT code describes the work. The physician performing the procedure reports it for lung or pleural surgical work that does not fit a named procedure code. It identifies an unlisted service rather than a particular technique or defined operation. Select a named code instead when it accurately describes the procedure; nearby examples include total lung lavage and pulmonary tumor ablation, which have their own codes.

For Medicare physician fee schedule claims, status C means CMS publishes no national payment amount, and the Medicare Administrative Contractor prices each claim. The contractor also sets the global period. When multiple procedures are performed in the same session, standard multiple procedure reduction applies: the highest-valued procedure is paid in full and the others are reduced. Use 32999 to represent the unlisted lung or pleural service, not a procedure that has its own specific code.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 32999 pays more and less in Florida

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

32999 office and facility rates by payment locality
Payment localityOfficeFacility
Fort Lauderdale, FLUnavailableUnavailable
Miami, FLUnavailableUnavailable
Rest of FloridaUnavailableUnavailable

How the 32999 rate is calculated

Each of 32999’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 32999

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 32999

The CMS indicators that decide how 32999 is paid alongside other services.

CMS payment indicators · 32999

Unlisted lung procedure, lungs and pleura

RuleCMS valueWhat it means
Global periodYYYThe Medicare contractor sets the global period.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)1Permitted with supporting documentation.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

32999 without 51 · national facility

$0.00

Unlisted lung procedure, lungs and pleura

32999-51 · Second procedure: 50%

$0.00

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

32999 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 32999

    Unlisted lung procedure, lungs and pleura0 wRVU

    Not priced

  • 32997

    Lung lavage, whole-lung lavage7.13 wRVU

    Not priced

  • 32998

    Lung tumor ablation, percutaneous, radiofrequency8.8 wRVU

    $2,922.58

  • 32994

    Lung tumor ablation, percutaneous cryoablation8.8 wRVU

    $4,544.53

  • 32960

    Therapeutic pneumothorax, intrapleural air introduction1.79 wRVU

    $134.27

How to choose

32997Lung lavageWhole-lung lavage
32997 identifies total lung lavage. Use 32999 when no specific listed code describes the lung or pleural procedure performed.
32998Lung tumor ablationPercutaneous, radiofrequency
32998 identifies percutaneous radiofrequency ablation of a pulmonary tumor. Use 32999 only for a different procedure without a specific listed code.
32994Lung tumor ablationPercutaneous cryoablation
32994 identifies percutaneous cryoablation of a pulmonary tumor. Use 32999 only when no specific listed code describes the procedure performed.
32960Therapeutic pneumothoraxIntrapleural air introduction
32960 identifies therapeutic pneumothorax. Use 32999 only for a different lung or pleural procedure without a specific listed code.

32999 billing questions

When should 32999 be used instead of a specific lung procedure code?

Use 32999 when no specific listed CPT code describes the lung or pleural procedure performed. Total lung lavage, for example, has its own code, 32997.

How does Medicare price 32999?

Its physician fee schedule status is C: CMS publishes no national payment, and the Medicare Administrative Contractor prices each claim.

Who determines the global period for 32999?

The Medicare contractor sets the global period.

How are multiple procedures treated when 32999 is performed in the same session?

The standard multiple procedure reduction applies: the highest-valued procedure is paid in full and the others are reduced.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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