CPT code 32668: Thoracoscopic wedge, each additional diagnostic resection2026 Medicare rate & RVUs in Arkansas

Reports each additional lung wedge resection performed for diagnostic sampling during thoracoscopy, beyond the initial resection, with a qualifying primary procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality1.9K Medicare services in 2024

In Arkansas, Medicare pays $127.35 for 32668 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$127.35Hospital or facility

Check a contract rate as a % of Medicare · 32668 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 32668 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 32668 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 32668 covers

A thoracic surgeon uses thoracoscopy to remove an additional wedge-shaped portion of lung for diagnostic examination, often when more than one nodule or area requires tissue sampling. The specimen is submitted for pathology. This code describes an additional diagnostic resection, not the initial wedge or a wedge performed therapeutically to remove a lesion. The service is typically performed in an operating room with the patient under anesthesia.

Report this add-on code only with a qualifying primary thoracoscopic procedure; it is commonly paired with diagnostic thoracoscopy for biopsy of a lung nodule or mass, such as 32608. The operative report should establish that an additional diagnostic wedge was actually resected, rather than simply biopsied or included in a therapeutic wedge procedure. CMS treats payment as part of the primary procedure’s global period, so this code is paid only when reported with the primary procedure and within that 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 32668

Across 109 of 109 payment localities, the facility rate for 32668 runs from $124.25 in Wisconsin to $181.22 in Alaska. Arkansas pays $127.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

32668 in Arkansas vs other payment areas
  1. Arkansas · this page$127.35
  2. Los Angeles, CA · California$141.38+$14.03
  3. Washington, DC area · District of Columbia$153.50+$26.15
  4. Miami, FL · Florida$180.04+$52.69
  5. Chicago, IL · Illinois$174.31+$46.96
  6. Manhattan, NY · New York$165.70+$38.35
  7. Alaska · Alaska$181.22+$53.87

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

Every other payment area

32668 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$128.91
ArizonaArizona—$137.83
Bakersfield, CACalifornia—$136.17
Chico, CACalifornia—$134.20
El Centro, CACalifornia—$134.32
Fresno, CACalifornia—$134.20
Hanford, CACalifornia—$134.20
Madera, CACalifornia—$134.20

32668 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
32668 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 32668 in every payment locality

How the 32668 rate is calculated

Each of 32668’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 · 32668

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.93

2.93 RVUs× 1.000 GPCI

Practice expense0.59

0.59 RVUs× 1.000 GPCI

Malpractice0.73

0.73 RVUs× 1.000 GPCI

Adjusted RVUs

4.2500

Conversion factor

$33.4009

Medicare rate

$141.95

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

3,764

Code
32668
Physician work
2.93
Practice expense
0.59
Malpractice
0.73

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Facility calculation for 32668 in Arkansas
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0002.9300
Practice expense0.59× 0.8590.5068
Malpractice0.73× 0.5150.3760
Total RVUs3.8128
Conversion factor× 33.4009

Facility rate, Arkansas$127.35

Facility: (2.93 × 1 + 0.59 × 0.859 + 0.73 × 0.515) × $33.4009 = $127.35

Open 32668 in the RVU calculator

Payment rules and modifiers for 32668

The CMS indicators that decide how 32668 is paid alongside other services.

CMS payment indicators · 32668

Thoracoscopic wedge, each additional diagnostic 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

32668 without 80 · national facility

$141.95

Thoracoscopic wedge, each additional diagnostic resection

32668-80 · Assistant: 16%

$22.71

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

How 32668 has changed in Arkansas

32668 · 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$127.35RVU26D
2026-07-01Not available in this setting$127.35RVU26C
2026-04-01Not available in this setting$127.35RVU26B
2026-01-01Not available in this setting$127.35RVU26A
2025-10-01Not available in this setting$133.31RVU25D
2025-07-01Not available in this setting$133.31RVU25C
2025-04-01Not available in this setting$133.31RVU25B
2025-01-01Not available in this setting$133.31RVU25A
2024-10-01Not available in this setting$136.96RVU24D
2024-07-01Not available in this setting$136.96RVU24C
2024-04-01Not available in this setting$136.96RVU24B
2024-03-09Not available in this setting$136.96RVU24AR
2024-01-01Not available in this setting$134.72RVU24A
2023-10-01Not available in this setting$138.52RVU23D
2023-07-01Not available in this setting$138.52RVU23C
2023-04-01Not available in this setting$138.52RVU23B
2023-01-01Not available in this setting$138.52RVU23A
2022-10-01Not available in this setting$141.36RVU22D
2022-07-01Not available in this setting$141.36RVU22C
2022-04-01Not available in this setting$141.36RVU22B
2022-01-01Not available in this setting$141.36RVU22A
2021-10-01Not available in this setting$142.18RVU21D
2021-07-01Not available in this setting$142.18RVU21C
2021-04-01Not available in this setting$142.18RVU21B
2021-01-01Not available in this setting$142.18RVU21A
2020-10-01Not available in this setting$147.65RVU20D
2020-07-01Not available in this setting$147.65RVU20C
2020-04-01Not available in this setting$147.65RVU20B
2020-01-01Not available in this setting$147.65RVU20A
2019-10-01Not available in this setting$149.15RVU19D
2019-07-01Not available in this setting$149.15RVU19C
2019-04-01Not available in this setting$149.15RVU19B
2019-01-01Not available in this setting$149.15RVU19A
2018-10-01Not available in this setting$148.99RVU18D
2018-07-01Not available in this setting$148.99RVU18C
2018-04-01Not available in this setting$148.99RVU18B
2018-01-01Not available in this setting$148.99RVU18AR1
2017-10-01Not available in this setting$148.57RVU17D
2017-07-01Not available in this setting$148.57RVU17C
2017-04-01Not available in this setting$148.57RVU17B
2017-01-01Not available in this setting$148.57RVU17A
2016-10-01Not available in this setting$147.80RVU16D
2016-07-01Not available in this setting$147.80RVU16C
2016-04-01Not available in this setting$147.80RVU16B
2016-01-01Not available in this setting$147.80RVU16A
2015-10-01Not available in this setting$148.65RVU15D
2015-07-01Not available in this setting$148.65RVU15C
2015-04-01Not available in this setting$147.91RVU15B
2015-01-01Not available in this setting$147.91RVU15A
2014-10-01Not available in this setting$147.11RVU14D
2014-07-01Not available in this setting$147.11RVU14C
2014-04-01Not available in this setting$147.11RVU14B
2014-01-01Not available in this setting$147.11RVU14A
2013-10-01Not available in this setting$149.15RVU13D
2013-07-01Not available in this setting$149.15RVU13C
2013-04-01Not available in this setting$149.15RVU13B
2013-01-01Not available in this setting$149.15RVU13AR

Price 32668 for an earlier date of service

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

Browse all communities in Arkansas

32668 billing questions

When should 32668 be reported instead of 32608?

Use 32608 for the primary thoracoscopic biopsy of a lung nodule or mass. Report 32668 for each additional diagnostic lung wedge resection when the primary procedure and documentation support the add-on service.

Can 32668 be billed by itself?

No. CMS identifies it as an add-on code, so it must be reported with a primary procedure and is paid within that procedure’s global period.

How does 32668 differ from 32667?

32668 describes an additional wedge resection for diagnostic sampling. 32667 describes each additional therapeutic wedge resection.

Does a diagnostic wedge performed during therapeutic resection support 32668?

A diagnostic wedge included with a therapeutic wedge procedure is not separately reported as an additional diagnostic resection. The operative report should distinguish a separately performed additional diagnostic wedge from tissue removed as part of therapeutic resection.

What documentation supports reporting an additional unit?

Document the additional diagnostic wedge resection, the lung site or lesion sampled, and the reason for obtaining the additional specimen. The record should distinguish it from the initial biopsy or wedge and from a therapeutic resection.

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 32668PPRRVU2026_Oct_nonQPP.csv, line 3,764 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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