CPT code 32666: Lung wedge resection, therapeutic, initial resection2026 Medicare rate & RVUs in Mississippi

Reports an initial video-assisted thoracoscopic wedge resection that removes a limited portion of lung to treat a nodule, mass, or other lesion.

CMS RVU26DEffective Oct 1, 2026One payment locality9.5K Medicare services in 2024

In Mississippi, Medicare pays $773.55 for 32666 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$773.55Hospital or facility

Check a contract rate as a % of Medicare · 32666 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 32666 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 32666 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 32666 covers

A thoracic or general surgeon uses a thoracoscopic approach to remove a limited, nonanatomic portion of lung containing a lesion. The procedure is typically performed in an operating room for a nodule or mass being treated by excision, rather than removed solely to establish a diagnosis. The specimen is submitted for examination, with the operative record identifying the target and the lung tissue removed.

Report 32666 for the initial therapeutic wedge resection. Documentation should establish the therapeutic purpose, thoracoscopic approach, lesion location, and extent of resection; additional wedge resections in the same lobe may be reported with add-on code 32667 when supported. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require 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 Mississippi compares for 32666

Across 109 of 109 payment localities, the facility rate for 32666 runs from $745.99 in Nebraska to $1,037.89 in Alaska. Mississippi pays $773.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

32666 in Mississippi vs other payment areas
  1. Mississippi · this page$773.55
  2. Los Angeles, CA · California$863.80+$90.25
  3. Washington, DC area · District of Columbia$922.09+$148.54
  4. Miami, FL · Florida$1,031.00+$257.45
  5. Chicago, IL · Illinois$997.56+$224.01
  6. Manhattan, NY · New York$979.09+$205.54
  7. Alaska · Alaska$1,037.89+$264.34

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

Every other payment area

32666 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$756.45
ArkansasArkansas—$746.42
ArizonaArizona—$814.23
Bakersfield, CACalifornia—$825.30
Chico, CACalifornia—$815.68
El Centro, CACalifornia—$816.27
Fresno, CACalifornia—$815.68
Hanford, CACalifornia—$815.68

32666 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
32666 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 32666 in every payment locality

How the 32666 rate is calculated

Each of 32666’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 · 32666

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.14

14.14 RVUs× 1.000 GPCI

Practice expense7.42

7.42 RVUs× 1.000 GPCI

Malpractice3.56

3.56 RVUs× 1.000 GPCI

Adjusted RVUs

25.1200

Conversion factor

$33.4009

Medicare rate

$839.03

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,762

Code
32666
Physician work
14.14
Practice expense
7.42
Malpractice
3.56

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 32666 in Mississippi
ComponentRVULocality factorAdjusted
Physician work14.14× 1.00014.1400
Practice expense7.42× 0.8616.3886
Malpractice3.56× 0.7392.6308
Total RVUs23.1595
Conversion factor× 33.4009

Facility rate, Mississippi$773.55

Facility: (14.14 × 1 + 7.42 × 0.861 + 3.56 × 0.739) × $33.4009 = $773.55

Open 32666 in the RVU calculator

Payment rules and modifiers for 32666

32666 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32666

Lung wedge resection, therapeutic, initial resection

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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)0.10/0.76/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 32666

Lung wedge resection, therapeutic, initial resection

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 50 · payment effect

With and without the modifier

32666 without 50 · national facility

$839.03

Lung wedge resection, therapeutic, initial resection

32666-50 · Bilateral: 150%

$1,258.55

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 32666 has changed in Mississippi

32666 · 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$773.55RVU26D
2026-07-01Not available in this setting$773.55RVU26C
2026-04-01Not available in this setting$773.55RVU26B
2026-01-01Not available in this setting$773.55RVU26A
2025-10-01Not available in this setting$774.76RVU25D
2025-07-01Not available in this setting$774.76RVU25C
2025-04-01Not available in this setting$774.76RVU25B
2025-01-01Not available in this setting$774.76RVU25A
2024-10-01Not available in this setting$793.76RVU24D
2024-07-01Not available in this setting$793.76RVU24C
2024-04-01Not available in this setting$793.76RVU24B
2024-03-09Not available in this setting$793.76RVU24AR
2024-01-01Not available in this setting$780.81RVU24A
2023-10-01Not available in this setting$796.75RVU23D
2023-07-01Not available in this setting$796.75RVU23C
2023-04-01Not available in this setting$796.75RVU23B
2023-01-01Not available in this setting$796.75RVU23A
2022-10-01Not available in this setting$804.75RVU22D
2022-07-01Not available in this setting$804.75RVU22C
2022-04-01Not available in this setting$804.75RVU22B
2022-01-01Not available in this setting$804.75RVU22A
2021-10-01Not available in this setting$807.73RVU21D
2021-07-01Not available in this setting$807.73RVU21C
2021-04-01Not available in this setting$807.73RVU21B
2021-01-01Not available in this setting$807.73RVU21A
2020-10-01Not available in this setting$810.37RVU20D
2020-07-01Not available in this setting$810.37RVU20C
2020-04-01Not available in this setting$810.37RVU20B
2020-01-01Not available in this setting$810.37RVU20A
2019-10-01Not available in this setting$794.69RVU19D
2019-07-01Not available in this setting$794.69RVU19C
2019-04-01Not available in this setting$794.69RVU19B
2019-01-01Not available in this setting$794.69RVU19A
2018-10-01Not available in this setting$794.67RVU18D
2018-07-01Not available in this setting$794.67RVU18C
2018-04-01Not available in this setting$794.67RVU18B
2018-01-01Not available in this setting$794.67RVU18AR1
2017-10-01Not available in this setting$808.24RVU17D
2017-07-01Not available in this setting$808.24RVU17C
2017-04-01Not available in this setting$808.24RVU17B
2017-01-01Not available in this setting$808.24RVU17A
2016-10-01Not available in this setting$822.97RVU16D
2016-07-01Not available in this setting$822.97RVU16C
2016-04-01Not available in this setting$822.97RVU16B
2016-01-01Not available in this setting$822.97RVU16A
2015-10-01Not available in this setting$826.03RVU15D
2015-07-01Not available in this setting$826.03RVU15C
2015-04-01Not available in this setting$821.92RVU15B
2015-01-01Not available in this setting$821.92RVU15A
2014-10-01Not available in this setting$829.40RVU14D
2014-07-01Not available in this setting$829.40RVU14C
2014-04-01Not available in this setting$829.40RVU14B
2014-01-01Not available in this setting$829.40RVU14A
2013-10-01Not available in this setting$841.57RVU13D
2013-07-01Not available in this setting$841.57RVU13C
2013-04-01Not available in this setting$841.57RVU13B
2013-01-01Not available in this setting$841.57RVU13AR

Price 32666 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

32666 billing questions

How is a therapeutic wedge resection distinguished from a diagnostic wedge?

Use 32666 when the wedge is performed to treat the lesion by removing it. A wedge performed to obtain tissue for diagnosis is reported with 32668.

Can additional wedge resections be reported with 32666?

Code 32667 is the add-on for each additional therapeutic wedge resection in the same lobe. The operative report should identify the additional resection and its location.

When is 32608 used instead?

32608 describes thoracoscopic biopsy of a lung nodule. Choose 32666 when the surgeon removes a wedge of lung therapeutically rather than performing a nodule biopsy.

What global and multiple-procedure payment rules apply?

32666 has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure payment, the highest-valued procedure is paid in full and others at 50%.

How are bilateral procedures and assisting surgeons handled?

A bilateral procedure reported with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.

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 32666PPRRVU2026_Oct_nonQPP.csv, line 3,762 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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