CPT 32408
Global 000 ActiveCore ndl bx lng/med perq
CPT 32408 Billing & Documentation Guide
CPT code 32408 (Core ndl bx lng/med perq) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 3.1, a non-facility practice expense RVU of 20.64, and a malpractice RVU of 0.34, a total non-facility RVU of 24.08 and facility RVU of 3.91. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $834.86, though rates vary from $701.58 to $1115.13 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 32408, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 32408 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 32408 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 32408
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3.1 | 3.1 |
| Practice Expense RVU | 20.64 | 0.47 |
| Malpractice RVU | 0.34 | 0.34 |
| Total RVU | 24.08 | 3.91 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 32408
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $929.16 | $131.99 | $866.97 - $1115.13 | 29 |
| Florida | $817.34 | $141.4 | $779.67 - $849.92 | 3 |
| Georgia | $774.97 | $132.26 | $732.02 - $817.92 | 2 |
| Illinois | $791.74 | $140.78 | $750.71 - $832.4 | 4 |
| Michigan | $766.87 | $134.27 | $745.78 - $787.96 | 2 |
| North Carolina | $754 | $125.45 | $754 - $754 | 1 |
| New York | $892.98 | $141.4 | $766.45 - $950.95 | 5 |
| Ohio | $744.41 | $129.32 | $744.41 - $744.41 | 1 |
| Pennsylvania | $791.88 | $132 | $747.14 - $836.61 | 2 |
| Texas | $793.37 | $130.12 | $741.44 - $843.19 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 32408
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 32408 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0577T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 32408
What does CPT code 32408 mean? +
CPT code 32408 represents: Core ndl bx lng/med perq. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 32408? +
The 2026 Medicare national average non-facility payment for CPT 32408 is $834.86. Rates range from $701.58 to $1115.13 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 32408? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 32408? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team