CPT code 32669: Lung resection, anatomic segmentectomy2026 Medicare rate & RVUs in Missouri
Reports thoracoscopic removal of an anatomic lung segment, typically for a localized lesion when segmentectomy is chosen instead of wedge resection or lobectomy.
CMS doesn’t publish an office rate for 32669 in Missouri.
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 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.
Where 32669 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $1,244.31 |
| Metropolitan St. Louis, MO | Unavailable | $1,253.14 |
| Rest of Missouri | Unavailable | $1,219.96 |
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.
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%).
32669 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 32666Lung wedge resectionTherapeutic, initial resection
- 32666 describes a nonanatomic wedge resection. Use 32669 when the operative report documents removal of an anatomically defined lung segment.
- 32668Thoracoscopic wedgeEach additional diagnostic resection
- 32668 describes a diagnostic wedge resection followed by an anatomic lung resection. It may be relevant when that diagnostic sequence precedes the segmentectomy.
- 32663Thoracoscopic lobectomySingle pulmonary lobe
- 32663 is for thoracoscopic removal of an entire lobe; 32669 is for removal of a lung segment while preserving the remaining lobe.
- 32670Thoracoscopic lung resectionTwo lobes removed
- 32670 is for thoracoscopic removal of two lobes. It represents a more extensive resection than the single-segment removal reported with 32669.
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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