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Billing code 32662: Mediastinal excisionMedicare rate & RVUs

Thoracoscopic removal of a mediastinal cyst, tumor, or mass is reported when a surgeon excises the lesion through a minimally invasive chest approach.

CMS RVU26DEffective Oct 1, 2026109 payment localities928 Medicare services in 2024

Medicare pays $860.74 for 32662 nationally in a facility.

Medicare rate · 32662

Mediastinal excision

Swap in your local Medicare rate.

Work RVUs
14.62
Total RVUs
25.77
Global days
090

National rate · 2026

$860.74

Facility setting, before claim adjustments.

See every locality for 32662 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 32662 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 32662 covers

A thoracic surgeon uses a thoracoscope and instruments introduced through small chest incisions to remove a cyst, tumor, or other mass in the mediastinum, the area between the lungs. This is a surgical excision, not simply a tissue sample. The service is typically performed in an operating room for a patient with a mediastinal lesion requiring removal.

Report the code when the operative record supports thoracoscopic excision of the mediastinal target; document its location and the work performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral adjustment is inappropriate for this code. An assistant at surgery may be paid; co-surgeons require 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 32662 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

32662 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$776.41
Alaska*Unavailable$1,066.27
ArizonaUnavailable$835.38
ArkansasUnavailable$766.18
AtlantaUnavailable$890.78
AustinUnavailable$862.29
BakersfieldUnavailable$846.24
Baltimore/Surr. CntysUnavailable$915.79
BeaumontUnavailable$829.55
BrazoriaUnavailable$835.50

32662 rates by state

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

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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
32662 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 32662 rate is calculated

Each of 32662’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 · 32662

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 14.62Practice expense 7.49Malpractice 3.66

25.7700 adjusted RVUs×$33.4009 conversion factor=$860.74

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 32662

32662 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32662

Mediastinal excision

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 32662

Mediastinal excision

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

32662 without 51 · national facility

$860.74

Mediastinal excision

32662-51 · Second procedure: 50%

$430.37

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%).

When to use modifier 51

32662 compared with similar codes

Compare codes

32662 vs 32673 vs 32674 vs 32661: national Medicare rates

Swap in your local Medicare rate.

  • 32662
    Mediastinal excision · 14.62 wRVU
    —
  • 32673
    Thoracoscopic thymectomy · 20.6 wRVU
    —
  • 32674
    Node dissection · 4.02 wRVU
    —
  • 32661
    Pericardial excision · 13 wRVU
    —

How to choose

32673Thoracoscopic thymectomy
Choose 32673 when the surgeon resects the thymus. Choose 32662 for excision of a mediastinal cyst, tumor, or mass that is not coded as thymus resection.
32674Node dissection
32674 identifies thoracoscopic lymph node excision. 32662 applies to excision of a mediastinal cyst, tumor, or mass.
32661Pericardial excision
32661 concerns thoracoscopic pericardial excision; 32662 concerns excision of a mediastinal cyst, tumor, or mass.

Codes related to 32662

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

Codes related to 32662
CodeHow it relatesNational office range
Used instead
32673Thoracoscopic thymectomyUse when the thoracoscopic operation is resection of the thymus rather than a mediastinal mass.No office rate
32674Node dissectionFor thoracoscopic excision of mediastinal lymph nodes as the operative target.No office rate
32661Pericardial excisionFor thoracoscopic excision involving the pericardium rather than a mediastinal lesion.No office rate

32662 billing questions

How is 32662 different from a thoracoscopic biopsy code?

32662 describes excision of a mediastinal cyst, tumor, or mass. A procedure limited to obtaining tissue for diagnosis is not the same service; use the code that matches the work documented.

Should 32662 be used for removal of the thymus?

When the operation is a thoracoscopic thymus resection, compare 32673. Choose based on the structure removed and the operative report.

Can modifier 50 be used for a bilateral procedure?

No. CMS identifies bilateral adjustment as inappropriate for this code.

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.

When may an assistant or co-surgeon be paid?

An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided.

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
RVUs for 32662PPRRVU2026_Oct_nonQPP.csv, line 3,758 (RVU26D)

Open CMS sourceHow we calculate rates

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