CPT code 32670: Thoracoscopic lung resection, two lobes removed2026 Medicare rate & RVUs in Missouri
Reports thoracoscopic removal of two right lung lobes, commonly for a localized lung tumor or other disease requiring resection of both lobes.
CMS doesn’t publish an office rate for 32670 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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On this page 9 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.
Where 32670 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 | $1,474.00 |
| Metropolitan St. Louis, MO | Unavailable | $1,484.21 |
| Rest of Missouri | Unavailable | $1,447.18 |
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.
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%).
32670 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 32663Thoracoscopic lobectomySingle pulmonary lobe
- Use 32663 when the thoracoscopic resection removes one lobe. Use 32670 when it removes two lobes.
- 32669Lung resectionAnatomic segmentectomy
- Code 32669 describes a thoracoscopic segmental resection, which removes less than a full lobe; 32670 represents removal of two lobes.
- 32671PneumonectomyThoracoscopic approach
- Code 32671 is for thoracoscopic removal of the entire lung. Code 32670 removes two lobes while leaving the remaining lung tissue.
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
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