CPT code 32667: Lung wedge resection, each additional resection2026 Medicare rate & RVUs in Arkansas
Reports each additional thoracoscopic therapeutic wedge excision of lung tissue after the initial wedge resection during the same operative session.
In Arkansas, Medicare pays $127.06 for 32667 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 32667 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 32667 covers
This code represents an additional therapeutic wedge excision of lung tissue performed through thoracoscopy, beyond the initial wedge resection. A thoracic surgeon may remove additional peripheral lung nodules or masses during an operative session, whether the additional resection is in the same lobe or another lobe. The service is typically performed in a hospital operating room or other surgical facility.
Report 32667 with the primary thoracoscopic therapeutic wedge resection, 32666, when the operative report supports one or more additional therapeutic wedge resections. Documentation should distinguish the initial resection from each additional excision and identify the targets and lung locations. This is an add-on code: CMS requires it to be billed with a primary procedure, and its payment is included within that procedure’s global period.
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 Arkansas compares for 32667
Across 109 of 109 payment localities, the facility rate for 32667 runs from $123.93 in Wisconsin to $180.86 in Alaska. Arkansas pays $127.06. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$127.06
- Los Angeles, CA · California$140.98+$13.92
- Washington, DC area · District of Columbia$153.11+$26.05
- Miami, FL · Florida$179.70+$52.64
- Chicago, IL · Illinois$173.98+$46.92
- Manhattan, NY · New York$165.31+$38.25
- Alaska · Alaska$180.86+$53.80
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $128.62 |
| ArizonaArizona | — | $137.51 |
| Bakersfield, CACalifornia | — | $135.81 |
| Chico, CACalifornia | — | $133.83 |
| El Centro, CACalifornia | — | $133.95 |
| Fresno, CACalifornia | — | $133.83 |
| Hanford, CACalifornia | — | $133.83 |
| Madera, CACalifornia | — | $133.83 |
| Merced, CACalifornia | — | $133.83 |
| Modesto, CACalifornia | — | $133.83 |
| Napa, CACalifornia | — | $141.95 |
| Oxnard, CACalifornia | — | $138.69 |
| Redding, CACalifornia | — | $133.83 |
| Rest of CaliforniaCalifornia | — | $133.83 |
| Riverside, CACalifornia | — | $141.66 |
| Sacramento, CACalifornia | — | $136.99 |
| Salinas, CACalifornia | — | $136.42 |
| San Diego, CACalifornia | — | $137.19 |
| Marin County, CACalifornia | — | $145.67 |
| San Francisco, CACalifornia | — | $144.84 |
| San Benito County, CACalifornia | — | $149.63 |
| Santa Clara County, CACalifornia | — | $146.24 |
| San Luis Obispo, CACalifornia | — | $134.66 |
| Santa Cruz, CACalifornia | — | $136.53 |
| Santa Maria, CACalifornia | — | $136.26 |
| Santa Rosa, CACalifornia | — | $137.66 |
| Stockton, CACalifornia | — | $133.83 |
| Vallejo, CACalifornia | — | $140.75 |
| Visalia, CACalifornia | — | $133.83 |
| Yuba City, CACalifornia | — | $133.83 |
| ColoradoColorado | — | $138.69 |
| ConnecticutConnecticut | — | $150.19 |
| DelawareDelaware | — | $139.41 |
| Fort Lauderdale, FLFlorida | — | $161.57 |
| Rest of FloridaFlorida | — | $153.03 |
| Atlanta, GAGeorgia | — | $147.12 |
| Rest of GeorgiaGeorgia | — | $144.21 |
| Hawaii, Guam, HIHawaii | — | $134.01 |
| IowaIowa | — | $125.27 |
| IdahoIdaho | — | $127.22 |
| East St. Louis, ILIllinois | — | $164.79 |
| Rest of IllinoisIllinois | — | $153.66 |
| Suburban Chicago, ILIllinois | — | $161.65 |
| IndianaIndiana | — | $127.67 |
| KansasKansas | — | $127.67 |
| KentuckyKentucky | — | $137.40 |
| New Orleans, LALouisiana | — | $143.79 |
| Rest of LouisianaLouisiana | — | $138.37 |
| Metropolitan Boston, MAMassachusetts | — | $146.71 |
| Rest of MassachusettsMassachusetts | — | $139.26 |
| Baltimore area, MDMaryland | — | $150.38 |
| Rest of MarylandMaryland | — | $140.83 |
| Rest of MaineMaine | — | $130.85 |
| Southern Maine, MEMaine | — | $132.45 |
| Detroit, MIMichigan | — | $157.67 |
| Rest of MichiganMichigan | — | $143.08 |
| MinnesotaMinnesota | — | $125.02 |
| Metropolitan Kansas City, MOMissouri | — | $139.88 |
| Metropolitan St. Louis, MOMissouri | — | $140.74 |
| Rest of MissouriMissouri | — | $138.31 |
| MississippiMississippi | — | $132.56 |
| MontanaMontana | — | $141.57 |
| North CarolinaNorth Carolina | — | $131.52 |
| North DakotaNorth Dakota | — | $127.14 |
| NebraskaNebraska | — | $124.96 |
| New HampshireNew Hampshire | — | $139.37 |
| Northern New JerseyNew Jersey | — | $152.54 |
| Rest of New JerseyNew Jersey | — | $149.68 |
| New MexicoNew Mexico | — | $144.91 |
| NevadaNevada | — | $137.57 |
| NYC suburbs and Long Island, NYNew York | — | $172.44 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $152.98 |
| Queens, NYNew York | — | $162.19 |
| Rest of New YorkNew York | — | $133.41 |
| OhioOhio | — | $140.13 |
| OklahomaOklahoma | — | $134.11 |
| Portland, OROregon | — | $139.09 |
| Rest of OregonOregon | — | $134.30 |
| Metropolitan Philadelphia, PAPennsylvania | — | $148.88 |
| Rest of PennsylvaniaPennsylvania | — | $138.69 |
| Puerto RicoPuerto Rico | — | $141.47 |
| Rhode IslandRhode Island | — | $141.49 |
| South CarolinaSouth Carolina | — | $136.49 |
| South DakotaSouth Dakota | — | $125.43 |
| TennesseeTennessee | — | $128.57 |
| Austin, TXTexas | — | $140.16 |
| Beaumont, TXTexas | — | $138.15 |
| Brazoria, TXTexas | — | $136.86 |
| Dallas, TXTexas | — | $138.96 |
| Fort Worth, TXTexas | — | $139.08 |
| Galveston, TXTexas | — | $138.07 |
| Houston, TXTexas | — | $151.44 |
| Rest of TexasTexas | — | $138.27 |
| UtahUtah | — | $137.97 |
| VirginiaVirginia | — | $134.12 |
| Virgin Islands, VIUnited States Virgin Islands | — | $141.47 |
| VermontVermont | — | $129.38 |
| Rest of WashingtonWashington | — | $138.09 |
| King County, WAWashington | — | $146.45 |
| WisconsinWisconsin | — | $123.93 |
| West VirginiaWest Virginia | — | $149.59 |
| WyomingWyoming | — | $135.28 |
32667 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 32667 rate is calculated
Each of 32667’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 · 32667
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense0.58
0.58 RVUs× 1.000 GPCI
Malpractice0.73
0.73 RVUs× 1.000 GPCI
Adjusted RVUs
4.2400
Conversion factor
$33.4009
Medicare rate
$141.62
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,763
- Code
- 32667
- Physician work
- 2.93
- Practice expense
- 0.58
- Malpractice
- 0.73
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 0.58 | × 0.859 | 0.4982 |
| Malpractice | 0.73 | × 0.515 | 0.3760 |
| Total RVUs | 3.8042 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$127.06
Facility: (2.93 × 1 + 0.58 × 0.859 + 0.73 × 0.515) × $33.4009 = $127.06
Payment rules and modifiers for 32667
The CMS indicators that decide how 32667 is paid alongside other services.
CMS payment indicators · 32667
Lung wedge resection, each additional resection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
32667 without 80 · national facility
$141.62
Lung wedge resection, each additional resection
32667-80 · Assistant: 16%
$22.66
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 32667 has changed in Arkansas
32667 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $127.06 | RVU26D |
| 2026-07-01 | Not available in this setting | $127.06 | RVU26C |
| 2026-04-01 | Not available in this setting | $127.06 | RVU26B |
| 2026-01-01 | Not available in this setting | $127.06 | RVU26A |
| 2025-10-01 | Not available in this setting | $133.03 | RVU25D |
| 2025-07-01 | Not available in this setting | $133.03 | RVU25C |
| 2025-04-01 | Not available in this setting | $133.03 | RVU25B |
| 2025-01-01 | Not available in this setting | $133.03 | RVU25A |
| 2024-10-01 | Not available in this setting | $136.96 | RVU24D |
| 2024-07-01 | Not available in this setting | $136.96 | RVU24C |
| 2024-04-01 | Not available in this setting | $136.96 | RVU24B |
| 2024-03-09 | Not available in this setting | $136.96 | RVU24AR |
| 2024-01-01 | Not available in this setting | $134.72 | RVU24A |
| 2023-10-01 | Not available in this setting | $138.52 | RVU23D |
| 2023-07-01 | Not available in this setting | $138.52 | RVU23C |
| 2023-04-01 | Not available in this setting | $138.52 | RVU23B |
| 2023-01-01 | Not available in this setting | $138.52 | RVU23A |
| 2022-10-01 | Not available in this setting | $141.20 | RVU22D |
| 2022-07-01 | Not available in this setting | $141.20 | RVU22C |
| 2022-04-01 | Not available in this setting | $141.20 | RVU22B |
| 2022-01-01 | Not available in this setting | $141.20 | RVU22A |
| 2021-10-01 | Not available in this setting | $141.88 | RVU21D |
| 2021-07-01 | Not available in this setting | $141.88 | RVU21C |
| 2021-04-01 | Not available in this setting | $141.88 | RVU21B |
| 2021-01-01 | Not available in this setting | $141.88 | RVU21A |
| 2020-10-01 | Not available in this setting | $147.65 | RVU20D |
| 2020-07-01 | Not available in this setting | $147.65 | RVU20C |
| 2020-04-01 | Not available in this setting | $147.65 | RVU20B |
| 2020-01-01 | Not available in this setting | $147.65 | RVU20A |
| 2019-10-01 | Not available in this setting | $149.15 | RVU19D |
| 2019-07-01 | Not available in this setting | $149.15 | RVU19C |
| 2019-04-01 | Not available in this setting | $149.15 | RVU19B |
| 2019-01-01 | Not available in this setting | $149.15 | RVU19A |
| 2018-10-01 | Not available in this setting | $148.99 | RVU18D |
| 2018-07-01 | Not available in this setting | $148.99 | RVU18C |
| 2018-04-01 | Not available in this setting | $148.99 | RVU18B |
| 2018-01-01 | Not available in this setting | $148.99 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $148.57 | RVU17D |
| 2017-07-01 | Not available in this setting | $148.57 | RVU17C |
| 2017-04-01 | Not available in this setting | $148.57 | RVU17B |
| 2017-01-01 | Not available in this setting | $148.57 | RVU17A |
| 2016-10-01 | Not available in this setting | $148.11 | RVU16D |
| 2016-07-01 | Not available in this setting | $148.11 | RVU16C |
| 2016-04-01 | Not available in this setting | $148.11 | RVU16B |
| 2016-01-01 | Not available in this setting | $148.11 | RVU16A |
| 2015-10-01 | Not available in this setting | $148.96 | RVU15D |
| 2015-07-01 | Not available in this setting | $148.96 | RVU15C |
| 2015-04-01 | Not available in this setting | $148.22 | RVU15B |
| 2015-01-01 | Not available in this setting | $148.22 | RVU15A |
| 2014-10-01 | Not available in this setting | $147.37 | RVU14D |
| 2014-07-01 | Not available in this setting | $147.37 | RVU14C |
| 2014-04-01 | Not available in this setting | $147.37 | RVU14B |
| 2014-01-01 | Not available in this setting | $147.37 | RVU14A |
| 2013-10-01 | Not available in this setting | $148.84 | RVU13D |
| 2013-07-01 | Not available in this setting | $148.84 | RVU13C |
| 2013-04-01 | Not available in this setting | $148.84 | RVU13B |
| 2013-01-01 | Not available in this setting | $148.84 | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
32667 billing questions
Can 32667 be billed by itself?
No. It is an add-on code reported with the primary thoracoscopic therapeutic wedge resection, generally 32666, and is paid within that procedure’s global period.
How many units should be reported?
Report each additional therapeutic wedge resection beyond the initial one. The operative note should identify the additional excisions and their lung locations.
How is 32667 different from 32666?
32666 represents the initial therapeutic wedge resection; 32667 represents each additional therapeutic wedge resection in the operative session.
When is 32668 more appropriate?
Use 32668 for a diagnostic wedge resection followed by an anatomic lung resection. Use 32667 for additional therapeutic wedge resections, not that diagnostic-to-anatomic sequence.
Does 32667 describe a lobectomy or segmentectomy?
No. It describes additional wedge excision. Codes 32663 and 32669 represent thoracoscopic lobectomy and segmentectomy, respectively.
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
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