CPT code 32674: Node dissection, mediastinal and regional nodes2026 Medicare rate & RVUs in Oklahoma

In Oklahoma, Medicare pays $184.90 for 32674 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 32674 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 32674 covers

This add-on represents thoracoscopic removal of mediastinal and regional lymph nodes, often performed by a thoracic surgeon during resection of a lung malignancy for nodal staging. The surgeon identifies and removes lymphatic tissue from the relevant mediastinal and regional areas through the thoracoscopic approach. The service is typically performed in the operating room as part of a lung resection, rather than as a stand-alone procedure.

Report 32674 with an eligible primary thoracoscopic resection, such as lobectomy, segmentectomy, bilobectomy, or pneumonectomy, when the lymph node dissection is performed. The operative report should support that nodal dissection occurred and describe the relevant nodal areas addressed; a lung resection alone does not establish that this additional service was performed. CMS treats 32674 as an add-on code: it is billed only with a primary procedure, and its payment is included within that procedure’s global period.

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 Oklahoma compares for 32674

Across 109 of 109 payment localities, the facility rate for 32674 runs from $170.68 in Wisconsin to $248.99 in Alaska. Oklahoma pays $184.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

32674 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 32674 in every payment locality

How the 32674 rate is calculated

Each of 32674’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.

Payment rules and modifiers for 32674

The CMS indicators that decide how 32674 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 32674

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 32674 has changed in Oklahoma

Price 32674 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

• Lahoma
• Achille
• Ada
• Adair
• Adams
• Adamson
• Addington
• Afton

Browse all communities in Oklahoma

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

Open CMS sourceHow we calculate rates