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.
In Connecticut, Medicare pays $1,347.12 for 32669 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Connecticut · this page$1,347.12
- Los Angeles, CA · California$1,290.70−$56.42
- Washington, DC area · District of Columbia$1,385.65+$38.53
- Miami, FL · Florida$1,574.89+$227.77
- Chicago, IL · Illinois$1,524.05+$176.93
- Manhattan, NY · New York$1,479.53+$132.41
- Alaska · Alaska$1,584.20+$237.08
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $1,220.79 |
| Merced, CACalifornia | — | $1,220.79 |
| Modesto, CACalifornia | — | $1,220.79 |
| Napa, CACalifornia | — | $1,319.16 |
| Oxnard, CACalifornia | — | $1,272.53 |
| Redding, CACalifornia | — | $1,220.79 |
| Rest of CaliforniaCalifornia | — | $1,220.79 |
| Riverside, CACalifornia | — | $1,282.65 |
| Sacramento, CACalifornia | — | $1,256.03 |
| Salinas, CACalifornia | — | $1,250.96 |
| San Diego, CACalifornia | — | $1,262.77 |
| Marin County, CACalifornia | — | $1,362.63 |
| San Francisco, CACalifornia | — | $1,356.07 |
| San Benito County, CACalifornia | — | $1,398.84 |
| Santa Clara County, CACalifornia | — | $1,372.05 |
| San Luis Obispo, CACalifornia | — | $1,234.07 |
| Santa Cruz, CACalifornia | — | $1,260.59 |
| Santa Maria, CACalifornia | — | $1,250.83 |
| Santa Rosa, CACalifornia | — | $1,271.49 |
| Stockton, CACalifornia | — | $1,220.79 |
| Vallejo, CACalifornia | — | $1,309.72 |
| Visalia, CACalifornia | — | $1,220.79 |
| Yuba City, CACalifornia | — | $1,220.79 |
| ColoradoColorado | — | $1,254.30 |
| DelawareDelaware | — | $1,248.23 |
| Fort Lauderdale, FLFlorida | — | $1,427.30 |
| Rest of FloridaFlorida | — | $1,350.92 |
| Atlanta, GAGeorgia | — | $1,313.54 |
| Rest of GeorgiaGeorgia | — | $1,271.24 |
| Hawaii, Guam, HIHawaii | — | $1,228.71 |
| IowaIowa | — | $1,125.12 |
| IdahoIdaho | — | $1,141.31 |
| East St. Louis, ILIllinois | — | $1,438.30 |
| Rest of IllinoisIllinois | — | $1,349.22 |
| Suburban Chicago, ILIllinois | — | $1,430.04 |
| IndianaIndiana | — | $1,145.97 |
| KansasKansas | — | $1,142.35 |
| KentuckyKentucky | — | $1,216.93 |
| New Orleans, LALouisiana | — | $1,275.57 |
| Rest of LouisianaLouisiana | — | $1,223.98 |
| Metropolitan Boston, MAMassachusetts | — | $1,337.65 |
| Rest of MassachusettsMassachusetts | — | $1,257.06 |
| Baltimore area, MDMaryland | — | $1,348.03 |
| Rest of MarylandMaryland | — | $1,263.13 |
| Rest of MaineMaine | — | $1,170.02 |
| Southern Maine, MEMaine | — | $1,193.67 |
| Detroit, MIMichigan | — | $1,388.97 |
| Rest of MichiganMichigan | — | $1,265.58 |
| MinnesotaMinnesota | — | $1,140.84 |
| Metropolitan Kansas City, MOMissouri | — | $1,244.31 |
| Metropolitan St. Louis, MOMissouri | — | $1,253.14 |
| Rest of MissouriMissouri | — | $1,219.96 |
| MississippiMississippi | — | $1,174.36 |
| MontanaMontana | — | $1,267.18 |
| North CarolinaNorth Carolina | — | $1,177.31 |
| North DakotaNorth Dakota | — | $1,153.09 |
| NebraskaNebraska | — | $1,123.93 |
| New HampshireNew Hampshire | — | $1,256.13 |
| Northern New JerseyNew Jersey | — | $1,378.32 |
| Rest of New JerseyNew Jersey | — | $1,345.30 |
| New MexicoNew Mexico | — | $1,280.69 |
| NevadaNevada | — | $1,235.69 |
| NYC suburbs and Long Island, NYNew York | — | $1,540.10 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,371.84 |
| Queens, NYNew York | — | $1,457.96 |
| Rest of New YorkNew York | — | $1,194.89 |
| OhioOhio | — | $1,242.26 |
| OklahomaOklahoma | — | $1,191.56 |
| Portland, OROregon | — | $1,264.74 |
| Rest of OregonOregon | — | $1,209.09 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,331.21 |
| Rest of PennsylvaniaPennsylvania | — | $1,231.66 |
| Puerto RicoPuerto Rico | — | $1,268.07 |
| Rhode IslandRhode Island | — | $1,271.49 |
| South CarolinaSouth Carolina | — | $1,215.20 |
| South DakotaSouth Dakota | — | $1,139.60 |
| TennesseeTennessee | — | $1,150.25 |
| Austin, TXTexas | — | $1,265.03 |
| Beaumont, TXTexas | — | $1,226.10 |
| Brazoria, TXTexas | — | $1,228.52 |
| Dallas, TXTexas | — | $1,245.86 |
| Fort Worth, TXTexas | — | $1,245.28 |
| Galveston, TXTexas | — | $1,238.39 |
| Houston, TXTexas | — | $1,344.00 |
| Rest of TexasTexas | — | $1,233.13 |
| UtahUtah | — | $1,229.39 |
| VirginiaVirginia | — | $1,205.66 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,268.07 |
| VermontVermont | — | $1,169.27 |
| Rest of WashingtonWashington | — | $1,247.82 |
| King County, WAWashington | — | $1,340.66 |
| WisconsinWisconsin | — | $1,121.24 |
| West VirginiaWest Virginia | — | $1,310.20 |
| WyomingWyoming | — | $1,217.46 |
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
| 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 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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.94 | × 1.020 | 23.3988 |
| Practice expense | 9.24 | × 1.077 | 9.9515 |
| Malpractice | 5.77 | × 1.210 | 6.9817 |
| Total RVUs | 40.3320 | ||
| 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share 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.
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%).
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.
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 | $1,347.12 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,347.12 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,347.12 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,347.12 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,373.53 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,373.53 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,373.53 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,373.53 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,408.27 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,408.27 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,408.27 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,408.27 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,385.28 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,410.43 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,410.43 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,410.43 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,410.43 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,422.56 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,422.56 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,422.56 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,422.56 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,428.48 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,428.48 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,428.48 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,428.48 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,484.69 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,484.69 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,484.69 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,484.69 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,505.45 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,505.45 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,505.45 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,505.45 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,505.30 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,505.30 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,505.30 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,505.30 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,507.23 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,507.23 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,507.23 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,507.23 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,511.53 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,511.53 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,511.53 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,511.53 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,514.81 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,514.81 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,507.27 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,507.27 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,501.75 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,501.75 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,501.75 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,501.75 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,472.25 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,472.25 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,472.25 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,472.25 | RVU13AR |
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
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
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