CPT code 32607: Lung biopsy, infiltrate, thoracoscopic2026 Medicare rate & RVUs

Medicare pays $289.25 for 32607 nationally in a facility.

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

What 32607 covers

A thoracic surgeon uses a thoracoscope to obtain lung tissue from an infiltrative parenchymal abnormality, often during evaluation of suspected interstitial or other diffuse lung disease when tissue is needed for diagnosis. The procedure is typically performed in an operating room, with specimens sent for pathologic examination. This code distinguishes lung infiltrates from discrete nodules or masses and from abnormalities in the pleura or mediastinum.

Report the service when the operative record documents thoracoscopic biopsy of lung infiltrate(s), including the sampled site and the reason tissue was obtained. The biopsy service includes the thoracoscopic inspection and access needed to perform it; a diagnostic thoracoscopy alone is a different service. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery billing are not permitted.

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 32607 pays more and less

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

109 of 109 payment localities

32607 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 32607 rate is calculated

Each of 32607’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.

Payment rules and modifiers for 32607

The CMS indicators that decide how 32607 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

32607 compared with similar codes

How to choose

32608Thoracoscopic biopsyPulmonary nodule or mass

Use 32607 for infiltrative lung parenchymal abnormalities; use 32608 when the biopsy target is a discrete lung nodule or mass.

32606Thoracoscopy biopsyMediastinal mass

Code 32606 describes biopsy of a mediastinal target, not lung tissue.

32609Pleural biopsyThoracoscopic approach

Code 32609 is for pleural biopsy; 32607 is for biopsy of lung infiltrate(s).

32601Diagnostic thoracoscopyWithout biopsy

Code 32601 describes diagnostic thoracoscopy without the lung biopsy service reported under 32607.

Codes related to 32607

Related codes aren’t interchangeable: bill the code that matches the service performed.

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