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

In North Carolina, Medicare pays $779.50 for 32666 in a facility. There’s no office rate.

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.

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 North Carolina 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. North Carolina pays $779.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

32666 rates by state

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

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.

Payment rules and modifiers for 32666

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

What modifiers do to the payment

When to use modifier 50

Codes related to 32666

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

How 32666 has changed in North Carolina

Price 32666 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

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