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CPT code 32663: Thoracoscopic lobectomy, single pulmonary lobe2026 Medicare rate & RVUs

Report this service when a surgeon removes one pulmonary lobe through a thoracoscopic approach, such as for a localized lung tumor.

CMS RVU26DEffective Oct 1, 2026109 payment localities12.6K Medicare services in 2024

Medicare pays $1,318.67 for 32663 nationally in a facility.

Medicare rate · 32663

Thoracoscopic lobectomy, single pulmonary lobe

Office or facility?

Work RVUs
24.02
Total RVUs
39.48
Global days
090

National rate · 2026

$1,318.67

Facility setting, before claim adjustments.

See every locality for 32663 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 32663 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 32663 covers

A thoracic surgeon performs a thoracoscopic lobectomy to remove one anatomic lobe of lung, such as an upper, middle, or lower lobe. The operation typically involves dividing the lobe’s bronchovascular structures and removing the specimen through the thoracoscopic approach. It is used for conditions such as a localized lung cancer or other disease requiring removal of an entire lobe, rather than a wedge of lung or an anatomic segment. These procedures are commonly performed in a hospital operating room.

Select the code when the operative report supports removal of a single lobe thoracoscopically; document the lobe, approach, and extent of resection. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 32663 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

32663 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,191.89
AlaskaUnavailable$1,649.85
ArizonaUnavailable$1,279.90
ArkansasUnavailable$1,176.57
Atlanta, GAUnavailable$1,366.60
Austin, TXUnavailable$1,315.58
Bakersfield, CAUnavailable$1,285.40
Baltimore area, MDUnavailable$1,402.23
Beaumont, TXUnavailable$1,276.02
Brazoria, TXUnavailable$1,277.94

32663 rates by state

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

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
32663 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 32663 rate is calculated

Each of 32663’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 · 32663

RVUs × geographic indexes × conversion factor

Office or facility?

Work24.02

24.02 RVUs× 1.000 GPCI

Practice expense9.43

9.43 RVUs× 1.000 GPCI

Malpractice6.03

6.03 RVUs× 1.000 GPCI

Adjusted RVUs

39.4800

Conversion factor

$33.4009

Medicare rate

$1,318.67

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

Payment rules and modifiers for 32663

32663 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32663

Thoracoscopic lobectomy, single pulmonary lobe

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 32663

Thoracoscopic lobectomy, single pulmonary lobe

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

32663 without 51 · national facility

$1,318.67

Thoracoscopic lobectomy, single pulmonary lobe

32663-51 · Second procedure: 50%

$659.34

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

32663 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 32663

    Thoracoscopic lobectomy, single pulmonary lobe24.02 wRVU

    Not priced

  • 32669

    Lung resection, anatomic segmentectomy22.94 wRVU

    Not priced

  • 32670

    Thoracoscopic lung resection, two lobes removed27.81 wRVU

    Not priced

  • 32666

    Lung wedge resection, therapeutic, initial resection14.14 wRVU

    Not priced

  • 32671

    Pneumonectomy, thoracoscopic approach31.12 wRVU

    Not priced

How to choose

32669Lung resectionAnatomic segmentectomy
Use 32669 for thoracoscopic anatomic segmentectomy. Use 32663 when the surgeon removes the whole pulmonary lobe.
32670Thoracoscopic lung resectionTwo lobes removed
32670 describes thoracoscopic bilobectomy, the removal of two lobes. Code 32663 is for a single lobe.
32666Lung wedge resectionTherapeutic, initial resection
32666 is for thoracoscopic wedge resection, a limited nonanatomic removal. It is not a substitute for a documented lobectomy.
32671PneumonectomyThoracoscopic approach
32671 describes thoracoscopic pneumonectomy, removal of an entire lung. Code 32663 removes one lobe.

Codes related to 32663

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

Codes related to 32663
CodeHow it relatesNational office range
Same family
32669Lung resection, anatomic segmentectomyThoracoscopic removal of a pulmonary segment rather than an entire lobe.No office rate
32670Thoracoscopic lung resection, two lobes removedThoracoscopic removal of two lobes, rather than one.No office rate
32671Pneumonectomy, thoracoscopic approachThoracoscopic removal of an entire lung.No office rate
Used instead
32666Lung wedge resection, therapeutic, initial resectionThoracoscopic wedge resection when the resection is limited and nonanatomic.No office rate
Add-on codes
32674Node dissection, mediastinal and regional nodesAdd-on code for thoracoscopic mediastinal and regional lymphadenectomy.No office rate

32663 billing questions

How does a lobectomy differ from a segmentectomy?

A lobectomy removes an entire anatomic pulmonary lobe. A segmentectomy removes only an anatomic segment within a lobe and is reported with 32669.

Is this the code for a wedge resection?

No. A wedge removes a limited, nonanatomic portion of lung; 32666 describes thoracoscopic wedge resection. Use 32663 when the operative report documents removal of a full lobe.

Should modifier 50 be used for bilateral lobectomies?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How is this code affected when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

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

Show the CMS file lines behind this rate
RVUs for 32663PPRRVU2026_Oct_nonQPP.csv, line 3,759 (RVU26D)

Open CMS sourceHow we calculate rates

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