CPT code 32669: Lung resection, anatomic segmentectomy2026 Medicare rate & RVUs in Connecticut

Reports thoracoscopic removal of an anatomic lung segment, typically for a localized lesion when segmentectomy is chosen instead of wedge resection or lobectomy.

CMS RVU26DEffective Oct 1, 2026One payment locality4.3K Medicare services in 2024

In Connecticut, Medicare pays $1,347.12 for 32669 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,347.12Hospital or facility

Check a contract rate as a % of Medicare · 32669 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 32669 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 32669 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 32669 covers

This video-assisted thoracoscopic operation removes one anatomically defined bronchopulmonary segment while preserving the rest of the lobe. A thoracic surgeon may perform it for a localized lung lesion when anatomic segment removal is selected rather than a nonanatomic wedge or removal of an entire lobe. The procedure is performed in an operating room, generally under general anesthesia with thoracoscopic instruments and lung isolation.

Report 32669 when the operative report supports thoracoscopic anatomic segmentectomy. Document the side, segment removed, indication, and extent of resection. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires 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 Connecticut compares for 32669

Across 109 of 109 payment localities, the facility rate for 32669 runs from $1,121.24 in Wisconsin to $1,584.20 in Alaska. Connecticut pays $1,347.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

32669 in Connecticut vs other payment areas
  1. Connecticut · this page$1,347.12
  2. Los Angeles, CA · California$1,290.70−$56.42
  3. Washington, DC area · District of Columbia$1,385.65+$38.53
  4. Miami, FL · Florida$1,574.89+$227.77
  5. Chicago, IL · Illinois$1,524.05+$176.93
  6. Manhattan, NY · New York$1,479.53+$132.41
  7. Alaska · Alaska$1,584.20+$237.08

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

Every other payment area

32669 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,145.34
ArkansasArkansas—$1,130.58
ArizonaArizona—$1,230.24
Bakersfield, CACalifornia—$1,236.40
Chico, CACalifornia—$1,220.79
El Centro, CACalifornia—$1,221.76
Fresno, CACalifornia—$1,220.79
Hanford, CACalifornia—$1,220.79

32669 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
32669 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 32669 in every payment locality

How the 32669 rate is calculated

Each of 32669’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 · 32669

RVUs × geographic indexes × conversion factor

Office or facility?

Work22.94

22.94 RVUs× 1.000 GPCI

Practice expense9.24

9.24 RVUs× 1.000 GPCI

Malpractice5.77

5.77 RVUs× 1.000 GPCI

Adjusted RVUs

37.9500

Conversion factor

$33.4009

Medicare rate

$1,267.56

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,765

Code
32669
Physician work
22.94
Practice expense
9.24
Malpractice
5.77

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 32669 in Connecticut
ComponentRVULocality factorAdjusted
Physician work22.94× 1.02023.3988
Practice expense9.24× 1.0779.9515
Malpractice5.77× 1.2106.9817
Total RVUs40.3320
Conversion factor× 33.4009

Facility rate, Connecticut$1347.12

Facility: (22.94 × 1.02 + 9.24 × 1.077 + 5.77 × 1.21) × $33.4009 = $1347.12

Open 32669 in the RVU calculator

Payment rules and modifiers for 32669

32669 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32669

Lung resection, anatomic segmentectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 32669

Lung resection, anatomic segmentectomy

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

32669 without 51 · national facility

$1,267.56

Lung resection, anatomic segmentectomy

32669-51 · Second procedure: 50%

$633.78

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 32669 has changed in Connecticut

32669 · 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$1,347.12RVU26D
2026-07-01Not available in this setting$1,347.12RVU26C
2026-04-01Not available in this setting$1,347.12RVU26B
2026-01-01Not available in this setting$1,347.12RVU26A
2025-10-01Not available in this setting$1,373.53RVU25D
2025-07-01Not available in this setting$1,373.53RVU25C
2025-04-01Not available in this setting$1,373.53RVU25B
2025-01-01Not available in this setting$1,373.53RVU25A
2024-10-01Not available in this setting$1,408.27RVU24D
2024-07-01Not available in this setting$1,408.27RVU24C
2024-04-01Not available in this setting$1,408.27RVU24B
2024-03-09Not available in this setting$1,408.27RVU24AR
2024-01-01Not available in this setting$1,385.28RVU24A
2023-10-01Not available in this setting$1,410.43RVU23D
2023-07-01Not available in this setting$1,410.43RVU23C
2023-04-01Not available in this setting$1,410.43RVU23B
2023-01-01Not available in this setting$1,410.43RVU23A
2022-10-01Not available in this setting$1,422.56RVU22D
2022-07-01Not available in this setting$1,422.56RVU22C
2022-04-01Not available in this setting$1,422.56RVU22B
2022-01-01Not available in this setting$1,422.56RVU22A
2021-10-01Not available in this setting$1,428.48RVU21D
2021-07-01Not available in this setting$1,428.48RVU21C
2021-04-01Not available in this setting$1,428.48RVU21B
2021-01-01Not available in this setting$1,428.48RVU21A
2020-10-01Not available in this setting$1,484.69RVU20D
2020-07-01Not available in this setting$1,484.69RVU20C
2020-04-01Not available in this setting$1,484.69RVU20B
2020-01-01Not available in this setting$1,484.69RVU20A
2019-10-01Not available in this setting$1,505.45RVU19D
2019-07-01Not available in this setting$1,505.45RVU19C
2019-04-01Not available in this setting$1,505.45RVU19B
2019-01-01Not available in this setting$1,505.45RVU19A
2018-10-01Not available in this setting$1,505.30RVU18D
2018-07-01Not available in this setting$1,505.30RVU18C
2018-04-01Not available in this setting$1,505.30RVU18B
2018-01-01Not available in this setting$1,505.30RVU18AR1
2017-10-01Not available in this setting$1,507.23RVU17D
2017-07-01Not available in this setting$1,507.23RVU17C
2017-04-01Not available in this setting$1,507.23RVU17B
2017-01-01Not available in this setting$1,507.23RVU17A
2016-10-01Not available in this setting$1,511.53RVU16D
2016-07-01Not available in this setting$1,511.53RVU16C
2016-04-01Not available in this setting$1,511.53RVU16B
2016-01-01Not available in this setting$1,511.53RVU16A
2015-10-01Not available in this setting$1,514.81RVU15D
2015-07-01Not available in this setting$1,514.81RVU15C
2015-04-01Not available in this setting$1,507.27RVU15B
2015-01-01Not available in this setting$1,507.27RVU15A
2014-10-01Not available in this setting$1,501.75RVU14D
2014-07-01Not available in this setting$1,501.75RVU14C
2014-04-01Not available in this setting$1,501.75RVU14B
2014-01-01Not available in this setting$1,501.75RVU14A
2013-10-01Not available in this setting$1,472.25RVU13D
2013-07-01Not available in this setting$1,472.25RVU13C
2013-04-01Not available in this setting$1,472.25RVU13B
2013-01-01Not available in this setting$1,472.25RVU13AR

Price 32669 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

32669 billing questions

How is a segmentectomy different from a wedge resection?

A segmentectomy removes an anatomically defined lung segment; a wedge removes a limited, nonanatomic portion of lung. Use the operative description of the resection, not just the lesion size, to distinguish them.

When is this code used instead of a lobectomy code?

Use 32669 for thoracoscopic removal of a lung segment. Use 32663 when the surgeon removes an entire lobe.

What postoperative care is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be appended for a bilateral procedure?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50% under the standard multiple procedure reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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 32669PPRRVU2026_Oct_nonQPP.csv, line 3,765 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 32669 pays in Connecticut?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 32669 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet