CPT code 32667: Lung wedge resection, each additional resection2026 Medicare rate & RVUs in Virginia

Reports each additional thoracoscopic therapeutic wedge excision of lung tissue after the initial wedge resection during the same operative session.

CMS RVU26DEffective Oct 1, 2026One payment locality2.1K Medicare services in 2024

In Virginia, Medicare pays $134.12 for 32667 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$134.12Hospital or facility

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.

We’ll open 32667 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 32667 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 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 Virginia 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. Virginia pays $134.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

32667 in Virginia vs other payment areas
  1. Virginia · this page$134.12
  2. Los Angeles, CA · California$140.98+$6.86
  3. Washington, DC area · District of Columbia$153.11+$18.99
  4. Miami, FL · Florida$179.70+$45.58
  5. Chicago, IL · Illinois$173.98+$39.86
  6. Manhattan, NY · New York$165.31+$31.19
  7. Alaska · Alaska$180.86+$46.74

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

Every other payment area

32667 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$128.62
ArkansasArkansas—$127.06
ArizonaArizona—$137.51
Bakersfield, CACalifornia—$135.81
Chico, CACalifornia—$133.83
El Centro, CACalifornia—$133.95
Fresno, CACalifornia—$133.83
Hanford, CACalifornia—$133.83

32667 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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32667 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 32667 in every payment locality

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

Office or facility?

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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Facility calculation for 32667 in Virginia
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0002.9300
Practice expense0.58× 0.9830.5701
Malpractice0.73× 0.7060.5154
Total RVUs4.0155
Conversion factor× 33.4009

Facility rate, Virginia$134.12

Facility: (2.93 × 1 + 0.58 × 0.983 + 0.73 × 0.706) × $33.4009 = $134.12

Open 32667 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

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.

When to use modifier 80

How 32667 has changed in Virginia

32667 · 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$134.12RVU26D
2026-07-01Not available in this setting$134.12RVU26C
2026-04-01Not available in this setting$134.12RVU26B
2026-01-01Not available in this setting$134.12RVU26A
2025-10-01Not available in this setting$142.19RVU25D
2025-07-01Not available in this setting$142.19RVU25C
2025-04-01Not available in this setting$142.19RVU25B
2025-01-01Not available in this setting$142.19RVU25A
2024-10-01Not available in this setting$146.50RVU24D
2024-07-01Not available in this setting$146.50RVU24C
2024-04-01Not available in this setting$146.50RVU24B
2024-03-09Not available in this setting$146.50RVU24AR
2024-01-01Not available in this setting$144.11RVU24A
2023-10-01Not available in this setting$150.67RVU23D
2023-07-01Not available in this setting$150.67RVU23C
2023-04-01Not available in this setting$150.67RVU23B
2023-01-01Not available in this setting$150.67RVU23A
2022-10-01Not available in this setting$156.47RVU22D
2022-07-01Not available in this setting$156.47RVU22C
2022-04-01Not available in this setting$156.47RVU22B
2022-01-01Not available in this setting$156.47RVU22A
2021-10-01Not available in this setting$156.83RVU21D
2021-07-01Not available in this setting$156.83RVU21C
2021-04-01Not available in this setting$156.83RVU21B
2021-01-01Not available in this setting$156.83RVU21A
2020-10-01Not available in this setting$160.89RVU20D
2020-07-01Not available in this setting$160.89RVU20C
2020-04-01Not available in this setting$160.89RVU20B
2020-01-01Not available in this setting$160.89RVU20A
2019-10-01Not available in this setting$160.90RVU19D
2019-07-01Not available in this setting$160.90RVU19C
2019-04-01Not available in this setting$160.90RVU19B
2019-01-01Not available in this setting$160.90RVU19A
2018-10-01Not available in this setting$160.72RVU18D
2018-07-01Not available in this setting$160.72RVU18C
2018-04-01Not available in this setting$160.72RVU18B
2018-01-01Not available in this setting$160.72RVU18AR1
2017-10-01Not available in this setting$159.87RVU17D
2017-07-01Not available in this setting$159.87RVU17C
2017-04-01Not available in this setting$159.87RVU17B
2017-01-01Not available in this setting$159.87RVU17A
2016-10-01Not available in this setting$159.04RVU16D
2016-07-01Not available in this setting$159.04RVU16C
2016-04-01Not available in this setting$159.04RVU16B
2016-01-01Not available in this setting$159.04RVU16A
2015-10-01Not available in this setting$159.96RVU15D
2015-07-01Not available in this setting$159.96RVU15C
2015-04-01Not available in this setting$159.17RVU15B
2015-01-01Not available in this setting$159.17RVU15A
2014-10-01Not available in this setting$158.02RVU14D
2014-07-01Not available in this setting$158.02RVU14C
2014-04-01Not available in this setting$158.02RVU14B
2014-01-01Not available in this setting$158.02RVU14A
2013-10-01Not available in this setting$160.28RVU13D
2013-07-01Not available in this setting$160.28RVU13C
2013-04-01Not available in this setting$160.28RVU13B
2013-01-01Not available in this setting$160.28RVU13AR

Price 32667 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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
RVUs for 32667PPRRVU2026_Oct_nonQPP.csv, line 3,763 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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