CPT code 32670: Thoracoscopic lung resection, two lobes removed2026 Medicare rate & RVUs in Washington, DC area
Reports thoracoscopic removal of two right lung lobes, commonly for a localized lung tumor or other disease requiring resection of both lobes.
In Washington, DC area, Medicare pays $1,636.79 for 32670 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 32670 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 32670 covers
A thoracic surgeon uses a camera and instruments inserted through small chest incisions to remove two lobes of the right lung. The operation may involve the upper and middle lobes or the middle and lower lobes. It is performed in an operating room, commonly for a tumor or other localized lung disease that requires removal of both lobes. The operative report should identify the lobes removed and document the thoracoscopic approach and clinical reason for the resection.
Report this code when the procedure removes two lobes, rather than one lobe, a lung segment, or the entire lung. It has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this procedure. An assistant at surgery may be paid; 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 Washington, DC area compares for 32670
Across 109 of 109 payment localities, the facility rate for 32670 runs from $1,325.37 in Wisconsin to $1,882.45 in Alaska. Washington, DC area pays $1,636.79. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$1,636.79
- Los Angeles, CA · California$1,522.33−$114.46
- Miami, FL · Florida$1,868.37+$231.58
- Chicago, IL · Illinois$1,808.42+$171.63
- Manhattan, NY · New York$1,750.29+$113.50
- Alaska · Alaska$1,882.45+$245.66
- Alabama · Alabama$1,357.01−$279.78
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $1,339.76 |
| ArizonaArizona | — | $1,456.13 |
| Bakersfield, CACalifornia | — | $1,459.63 |
| Chico, CACalifornia | — | $1,440.85 |
| El Centro, CACalifornia | — | $1,442.01 |
| Fresno, CACalifornia | — | $1,440.85 |
| Hanford, CACalifornia | — | $1,440.85 |
| Madera, CACalifornia | — | $1,440.85 |
| Merced, CACalifornia | — | $1,440.85 |
| Modesto, CACalifornia | — | $1,440.85 |
| Napa, CACalifornia | — | $1,552.42 |
| Oxnard, CACalifornia | — | $1,500.42 |
| Redding, CACalifornia | — | $1,440.85 |
| Rest of CaliforniaCalifornia | — | $1,440.85 |
| Riverside, CACalifornia | — | $1,515.26 |
| Sacramento, CACalifornia | — | $1,481.23 |
| Salinas, CACalifornia | — | $1,475.23 |
| San Diego, CACalifornia | — | $1,488.25 |
| Marin County, CACalifornia | — | $1,602.01 |
| San Francisco, CACalifornia | — | $1,594.13 |
| San Benito County, CACalifornia | — | $1,644.65 |
| Santa Clara County, CACalifornia | — | $1,612.43 |
| San Luis Obispo, CACalifornia | — | $1,455.44 |
| Santa Cruz, CACalifornia | — | $1,484.95 |
| Santa Maria, CACalifornia | — | $1,474.82 |
| Santa Rosa, CACalifornia | — | $1,497.72 |
| Stockton, CACalifornia | — | $1,440.85 |
| Vallejo, CACalifornia | — | $1,541.06 |
| Visalia, CACalifornia | — | $1,440.85 |
| Yuba City, CACalifornia | — | $1,440.85 |
| ColoradoColorado | — | $1,482.13 |
| ConnecticutConnecticut | — | $1,593.42 |
| DelawareDelaware | — | $1,477.19 |
| Fort Lauderdale, FLFlorida | — | $1,691.74 |
| Rest of FloridaFlorida | — | $1,601.70 |
| Atlanta, GAGeorgia | — | $1,554.84 |
| Rest of GeorgiaGeorgia | — | $1,507.89 |
| Hawaii, Guam, HIHawaii | — | $1,448.94 |
| IowaIowa | — | $1,331.41 |
| IdahoIdaho | — | $1,350.73 |
| East St. Louis, ILIllinois | — | $1,707.93 |
| Rest of IllinoisIllinois | — | $1,601.02 |
| Suburban Chicago, ILIllinois | — | $1,694.65 |
| IndianaIndiana | — | $1,356.12 |
| KansasKansas | — | $1,352.48 |
| KentuckyKentucky | — | $1,442.66 |
| New Orleans, LALouisiana | — | $1,511.54 |
| Rest of LouisianaLouisiana | — | $1,451.27 |
| Metropolitan Boston, MAMassachusetts | — | $1,578.45 |
| Rest of MassachusettsMassachusetts | — | $1,485.83 |
| Baltimore area, MDMaryland | — | $1,594.61 |
| Rest of MarylandMaryland | — | $1,494.39 |
| Rest of MaineMaine | — | $1,385.26 |
| Southern Maine, MEMaine | — | $1,411.45 |
| Detroit, MIMichigan | — | $1,647.17 |
| Rest of MichiganMichigan | — | $1,500.41 |
| MinnesotaMinnesota | — | $1,346.69 |
| Metropolitan Kansas City, MOMissouri | — | $1,474.00 |
| Metropolitan St. Louis, MOMissouri | — | $1,484.21 |
| Rest of MissouriMissouri | — | $1,447.18 |
| MississippiMississippi | — | $1,392.36 |
| MontanaMontana | — | $1,499.57 |
| North CarolinaNorth Carolina | — | $1,393.62 |
| North DakotaNorth Dakota | — | $1,362.34 |
| NebraskaNebraska | — | $1,329.72 |
| New HampshireNew Hampshire | — | $1,484.97 |
| Northern New JerseyNew Jersey | — | $1,628.61 |
| Rest of New JerseyNew Jersey | — | $1,590.89 |
| New MexicoNew Mexico | — | $1,518.46 |
| NevadaNevada | — | $1,461.66 |
| NYC suburbs and Long Island, NYNew York | — | $1,822.27 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,622.75 |
| Queens, NYNew York | — | $1,723.70 |
| Rest of New YorkNew York | — | $1,414.22 |
| OhioOhio | — | $1,472.37 |
| OklahomaOklahoma | — | $1,412.03 |
| Portland, OROregon | — | $1,493.22 |
| Rest of OregonOregon | — | $1,429.83 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,575.41 |
| Rest of PennsylvaniaPennsylvania | — | $1,459.46 |
| Puerto RicoPuerto Rico | — | $1,500.29 |
| Rhode IslandRhode Island | — | $1,503.85 |
| South CarolinaSouth Carolina | — | $1,439.47 |
| South DakotaSouth Dakota | — | $1,346.12 |
| TennesseeTennessee | — | $1,361.83 |
| Austin, TXTexas | — | $1,495.15 |
| Beaumont, TXTexas | — | $1,453.03 |
| Brazoria, TXTexas | — | $1,453.41 |
| Dallas, TXTexas | — | $1,474.12 |
| Fort Worth, TXTexas | — | $1,473.74 |
| Galveston, TXTexas | — | $1,465.22 |
| Houston, TXTexas | — | $1,592.25 |
| Rest of TexasTexas | — | $1,460.24 |
| UtahUtah | — | $1,456.03 |
| VirginiaVirginia | — | $1,426.12 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,500.29 |
| VermontVermont | — | $1,382.13 |
| Rest of WashingtonWashington | — | $1,474.69 |
| King County, WAWashington | — | $1,581.09 |
| WisconsinWisconsin | — | $1,325.37 |
| West VirginiaWest Virginia | — | $1,555.49 |
| WyomingWyoming | — | $1,439.77 |
32670 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 32670 rate is calculated
Each of 32670’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 · 32670
RVUs × geographic indexes × conversion factor
Work27.81
27.81 RVUs× 1.000 GPCI
Practice expense10.16
10.16 RVUs× 1.000 GPCI
Malpractice6.94
6.94 RVUs× 1.000 GPCI
Adjusted RVUs
44.9100
Conversion factor
$33.4009
Medicare rate
$1,500.03
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,767
- Code
- 32670
- Physician work
- 27.81
- Practice expense
- 10.16
- Malpractice
- 6.94
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.81 | × 1.054 | 29.3117 |
| Practice expense | 10.16 | × 1.178 | 11.9685 |
| Malpractice | 6.94 | × 1.113 | 7.7242 |
| Total RVUs | 49.0044 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$1636.79
Facility: (27.81 × 1.054 + 10.16 × 1.178 + 6.94 × 1.113) × $33.4009 = $1636.79
Payment rules and modifiers for 32670
32670 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 32670
Thoracoscopic lung resection, two lobes removed
| 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) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 32670
Thoracoscopic lung resection, two lobes removed
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
32670 without 51 · national facility
$1,500.03
Thoracoscopic lung resection, two lobes removed
32670-51 · Second procedure: 50%
$750.02
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 32670 has changed in Washington, DC area
32670 · 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 | $1,636.79 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,636.79 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,636.79 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,636.79 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,696.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,696.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,696.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,696.96 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,739.54 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,739.54 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,739.54 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,739.54 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,711.15 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,791.33 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,791.33 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,791.33 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,791.33 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,849.01 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,849.01 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,849.01 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,849.01 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,853.48 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,853.48 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,853.48 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,853.48 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,879.29 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,879.29 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,879.29 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,879.29 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,858.43 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,858.43 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,858.43 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,858.43 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,859.35 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,859.35 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,859.35 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,859.35 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,862.10 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,862.10 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,862.10 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,862.10 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,868.78 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,868.78 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,868.78 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,868.78 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,880.23 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,880.23 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,870.87 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,870.87 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,837.72 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,837.72 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,837.72 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,837.72 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,793.39 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,793.39 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,793.39 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,793.39 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
32670 billing questions
How does this differ from thoracoscopic lobectomy code 32663?
Code 32670 represents removal of two lobes. Code 32663 represents removal of a single lobe.
Should modifier 50 be used because two lobes are removed?
No. The two-lobe resection is the service represented by this code, and the CMS bilateral adjustment does not apply.
What documentation supports reporting this code?
The operative report should establish the thoracoscopic approach, identify both lobes removed, and explain the clinical indication for resection.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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
Fee sheets
Put 32670 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet