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Billing code 32667: Lung wedge resectionMedicare rate & RVUs

Reports each additional thoracoscopic therapeutic wedge excision of lung tissue after the initial wedge resection during the same operative session.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.1K Medicare services in 2024

Medicare pays $141.62 for 32667 nationally in a facility.

Medicare rate · 32667

Lung wedge resection

Work RVUs
2.93
Total RVUs
4.24
Global days
ZZZ

National rate · 2026

$141.62

Facility setting, before claim adjustments.

See every locality for 32667 →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 32667 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 32667 covers

This code represents an additional therapeutic wedge excision of lung tissue performed through thoracoscopy, beyond the initial wedge resection. A thoracic surgeon may remove additional peripheral lung nodules or masses during an operative session, whether the additional resection is in the same lobe or another lobe. The service is typically performed in a hospital operating room or other surgical facility.

Report 32667 with the primary thoracoscopic therapeutic wedge resection, 32666, when the operative report supports one or more additional therapeutic wedge resections. Documentation should distinguish the initial resection from each additional excision and identify the targets and lung locations. This is an add-on code: CMS requires it to be billed 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.

Where 32667 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

32667 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$128.62
Alaska*Unavailable$180.86
ArizonaUnavailable$137.51
ArkansasUnavailable$127.06
AtlantaUnavailable$147.12
AustinUnavailable$140.16
BakersfieldUnavailable$135.81
Baltimore/Surr. CntysUnavailable$150.38
BeaumontUnavailable$138.15
BrazoriaUnavailable$136.86

32667 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
32667 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 32667 rate is calculated

Each of 32667’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 · 32667

RVUs × geographic indexes × conversion factor

Work2.93

2.93 RVUs× 1.000 GPCI

Practice expense0.58

0.58 RVUs× 1.000 GPCI

Malpractice0.73

0.73 RVUs× 1.000 GPCI

Adjusted RVUs

4.2400

Conversion factor

$33.4009

Medicare rate

$141.62

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 32667

The CMS indicators that decide how 32667 is paid alongside other services.

CMS payment indicators · 32667

Lung wedge resection

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

32667 without 80 · national facility

$141.62

Lung wedge resection

32667-80 · Assistant: 16%

$22.66

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

32667 compared with similar codes

Compare codes · National

5 codes, side by side

  • 32667

    Lung wedge resection2.93 wRVU

    Not priced

  • 32666

    Lung wedge resection14.14 wRVU

    Not priced

  • 32668

    Thoracoscopic wedge2.93 wRVU

    Not priced

  • 32669

    Lung resection22.94 wRVU

    Not priced

  • 32663

    Thoracoscopic lobectomy24.02 wRVU

    Not priced

How to choose

32666Lung wedge resection
32666 reports the initial therapeutic wedge resection; 32667 reports each additional therapeutic wedge resection beyond it.
32668Thoracoscopic wedge
32668 describes a diagnostic wedge resection followed by an anatomic lung resection. 32667 is for additional therapeutic wedge excisions.
32669Lung resection
32669 represents thoracoscopic segmentectomy, an anatomic resection; 32667 represents an additional wedge resection.
32663Thoracoscopic lobectomy
32663 represents thoracoscopic lobectomy. Choose 32667 when the documented additional lung removal is a therapeutic wedge rather than a lobectomy.

Codes related to 32667

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

Codes related to 32667
CodeHow it relatesNational office range
Add-on codes
32666Lung wedge resectionPrimary code for the initial thoracoscopic therapeutic wedge resection.No office rate
Used instead
32668Thoracoscopic wedgeFor diagnostic wedge resection followed by anatomic lung resection.No office rate
32669Lung resectionFor thoracoscopic segmentectomy rather than an additional wedge excision.No office rate
32663Thoracoscopic lobectomyFor thoracoscopic lobectomy rather than wedge resection.No office rate

32667 billing questions

Can 32667 be billed by itself?

No. It is an add-on code reported with the primary thoracoscopic therapeutic wedge resection, generally 32666, and is paid within that procedure’s global period.

How many units should be reported?

Report each additional therapeutic wedge resection beyond the initial one. The operative note should identify the additional excisions and their lung locations.

How is 32667 different from 32666?

32666 represents the initial therapeutic wedge resection; 32667 represents each additional therapeutic wedge resection in the operative session.

When is 32668 more appropriate?

Use 32668 for a diagnostic wedge resection followed by an anatomic lung resection. Use 32667 for additional therapeutic wedge resections, not that diagnostic-to-anatomic sequence.

Does 32667 describe a lobectomy or segmentectomy?

No. It describes additional wedge excision. Codes 32663 and 32669 represent thoracoscopic lobectomy and segmentectomy, respectively.

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 32667PPRRVU2026_Oct_nonQPP.csv, line 3,763 (RVU26D)

Open CMS sourceHow we calculate rates

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