CPT code 32608: Thoracoscopic biopsy, pulmonary nodule or mass2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $316.01 for 32608 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 32608 nationwide

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

What 32608 covers

This service involves using a thoracoscope to locate and sample a nodule or mass in the lung. Thoracic surgeons commonly perform it in the operating room when imaging has identified a lung lesion that needs tissue diagnosis. The biopsy specimen is submitted for examination; this code describes sampling the lung lesion, not removing it by wedge resection.

Select this code when the operative report supports biopsy of a pulmonary nodule or mass, rather than biopsy of an infiltrate, pleura, or mediastinal structure. Document the target and the biopsy performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this descriptor and anatomy. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment 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.

How South Dakota compares for 32608

Across 109 of 109 payment localities, the facility rate for 32608 runs from $311.32 in Wisconsin to $444.24 in Alaska. South Dakota pays $316.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

32608 rates by state

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

See 32608 in every payment locality

How the 32608 rate is calculated

Each of 32608’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 32608

The CMS indicators that decide how 32608 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 32608

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

How 32608 has changed in South Dakota

Price 32608 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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