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

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, 2026One payment locality12.6K Medicare services in 2024

In North Carolina, Medicare pays $1,224.86 for 32663 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,224.86Hospital or facility

Check a contract rate as a % of Medicare · 32663 nationwide

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

We’ll open 32663 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 32663 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How North Carolina compares for 32663

Across 109 of 109 payment localities, the facility rate for 32663 runs from $1,166.06 in Wisconsin to $1,649.85 in Alaska. North Carolina pays $1,224.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

32663 in North Carolina vs other payment areas
  1. North Carolina · this page$1,224.86
  2. Los Angeles, CA · California$1,341.53+$116.67
  3. Washington, DC area · District of Columbia$1,440.81+$215.95
  4. Miami, FL · Florida$1,639.53+$414.67
  5. Chicago, IL · Illinois$1,586.68+$361.82
  6. Manhattan, NY · New York$1,539.06+$314.20
  7. Alaska · Alaska$1,649.85+$424.99

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

32663 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,191.89
ArkansasArkansas—$1,176.57
ArizonaArizona—$1,279.90
Bakersfield, CACalifornia—$1,285.40
Chico, CACalifornia—$1,269.09
El Centro, CACalifornia—$1,270.10
Fresno, CACalifornia—$1,269.09
Hanford, CACalifornia—$1,269.09

32663 rates by state

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

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

See 32663 in every payment locality

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.

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,759

Code
32663
Physician work
24.02
Practice expense
9.43
Malpractice
6.03

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Facility calculation for 32663 in North Carolina
ComponentRVULocality factorAdjusted
Physician work24.02× 1.00024.0200
Practice expense9.43× 0.9338.7982
Malpractice6.03× 0.6393.8532
Total RVUs36.6714
Conversion factor× 33.4009

Facility rate, North Carolina$1224.86

Facility: (24.02 × 1 + 9.43 × 0.933 + 6.03 × 0.639) × $33.4009 = $1224.86

Open 32663 in the RVU calculator

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

How 32663 has changed in North Carolina

32663 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,224.86RVU26D
2026-07-01Not available in this setting$1,224.86RVU26C
2026-04-01Not available in this setting$1,224.86RVU26B
2026-01-01Not available in this setting$1,224.86RVU26A
2025-10-01Not available in this setting$1,249.66RVU25D
2025-07-01Not available in this setting$1,249.66RVU25C
2025-04-01Not available in this setting$1,249.66RVU25B
2025-01-01Not available in this setting$1,249.66RVU25A
2024-10-01Not available in this setting$1,280.86RVU24D
2024-07-01Not available in this setting$1,280.86RVU24C
2024-04-01Not available in this setting$1,280.86RVU24B
2024-03-09Not available in this setting$1,280.86RVU24AR
2024-01-01Not available in this setting$1,259.96RVU24A
2023-10-01Not available in this setting$1,315.69RVU23D
2023-07-01Not available in this setting$1,315.69RVU23C
2023-04-01Not available in this setting$1,315.69RVU23B
2023-01-01Not available in this setting$1,315.69RVU23A
2022-10-01Not available in this setting$1,358.91RVU22D
2022-07-01Not available in this setting$1,358.91RVU22C
2022-04-01Not available in this setting$1,358.91RVU22B
2022-01-01Not available in this setting$1,358.91RVU22A
2021-10-01Not available in this setting$1,365.36RVU21D
2021-07-01Not available in this setting$1,365.36RVU21C
2021-04-01Not available in this setting$1,365.36RVU21B
2021-01-01Not available in this setting$1,365.36RVU21A
2020-10-01Not available in this setting$1,384.37RVU20D
2020-07-01Not available in this setting$1,384.37RVU20C
2020-04-01Not available in this setting$1,384.37RVU20B
2020-01-01Not available in this setting$1,384.37RVU20A
2019-10-01Not available in this setting$1,369.32RVU19D
2019-07-01Not available in this setting$1,369.32RVU19C
2019-04-01Not available in this setting$1,369.32RVU19B
2019-01-01Not available in this setting$1,369.32RVU19A
2018-10-01Not available in this setting$1,367.99RVU18D
2018-07-01Not available in this setting$1,367.99RVU18C
2018-04-01Not available in this setting$1,367.99RVU18B
2018-01-01Not available in this setting$1,367.99RVU18AR1
2017-10-01Not available in this setting$1,375.80RVU17D
2017-07-01Not available in this setting$1,375.80RVU17C
2017-04-01Not available in this setting$1,375.80RVU17B
2017-01-01Not available in this setting$1,375.80RVU17A
2016-10-01Not available in this setting$1,384.81RVU16D
2016-07-01Not available in this setting$1,384.81RVU16C
2016-04-01Not available in this setting$1,384.81RVU16B
2016-01-01Not available in this setting$1,384.81RVU16A
2015-10-01Not available in this setting$1,389.64RVU15D
2015-07-01Not available in this setting$1,389.64RVU15C
2015-04-01Not available in this setting$1,382.73RVU15B
2015-01-01Not available in this setting$1,382.73RVU15A
2014-10-01Not available in this setting$1,373.07RVU14D
2014-07-01Not available in this setting$1,373.07RVU14C
2014-04-01Not available in this setting$1,373.07RVU14B
2014-01-01Not available in this setting$1,373.07RVU14A
2013-10-01Not available in this setting$1,336.13RVU13D
2013-07-01Not available in this setting$1,336.13RVU13C
2013-04-01Not available in this setting$1,336.13RVU13B
2013-01-01Not available in this setting$1,336.13RVU13AR

Price 32663 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

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)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 32663 pays in North Carolina?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 32663 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet