CPT code 32667: Lung wedge resection, each additional resection2026 Medicare rate & RVUs in Texas
Reports each additional thoracoscopic therapeutic wedge excision of lung tissue after the initial wedge resection during the same operative session.
CMS doesn’t publish an office rate for 32667 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
Where 32667 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $140.16 |
| Beaumont, TX | Unavailable | $138.15 |
| Brazoria, TX | Unavailable | $136.86 |
| Dallas, TX | Unavailable | $138.96 |
| Fort Worth, TX | Unavailable | $139.08 |
| Galveston, TX | Unavailable | $138.07 |
| Houston, TX | Unavailable | $151.44 |
| Rest of Texas | Unavailable | $138.27 |
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.
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.
32667 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 32666Lung wedge resectionTherapeutic, initial resection
- 32666 reports the initial therapeutic wedge resection; 32667 reports each additional therapeutic wedge resection beyond it.
- 32668Thoracoscopic wedgeEach additional diagnostic resection
- 32668 describes a diagnostic wedge resection followed by an anatomic lung resection. 32667 is for additional therapeutic wedge excisions.
- 32669Lung resectionAnatomic segmentectomy
- 32669 represents thoracoscopic segmentectomy, an anatomic resection; 32667 represents an additional wedge resection.
- 32663Thoracoscopic lobectomySingle pulmonary lobe
- 32663 represents thoracoscopic lobectomy. Choose 32667 when the documented additional lung removal is a therapeutic wedge rather than a lobectomy.
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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