No office rate
32666 reports the initial therapeutic wedge resection. 32667 is the add-on for each additional therapeutic wedge resection in the same lobe.
On this page
CMS RVU26D · Effective 2026-10-01
32666 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$816.27
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Thoracic surgery
About 32666: Thoracoscopic therapeutic lung wedge resection
Reports an initial video-assisted thoracoscopic wedge resection that removes a limited portion of lung to treat a nodule, mass, or other lesion.
A thoracic or general surgeon uses a thoracoscopic approach to remove a limited, nonanatomic portion of lung containing a lesion. The procedure is typically performed in an operating room for a nodule or mass being treated by excision, rather than removed solely to establish a diagnosis. The specimen is submitted for examination, with the operative record identifying the target and the lung tissue removed.
Report 32666 for the initial therapeutic wedge resection. Documentation should establish the therapeutic purpose, thoracoscopic approach, lesion location, and extent of resection; additional wedge resections in the same lobe may be reported with add-on code 32667 when supported. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 32666
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.14 · 56%
- Practice expense (office) RVU7.42 · 30%
- Malpractice RVU3.56 · 14%
9.5K
Medicare services in 2024 · #1498 by national volume
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.
32666 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Use 32668 when the lung wedge is diagnostic. Use 32666 when the wedge is performed therapeutically to remove a lesion.
No office rate
32608 is for thoracoscopic biopsy of a lung nodule; 32666 describes therapeutic removal of a wedge of lung containing a lesion.
No office rate
32663 describes removal of a lung lobe. 32666 removes a limited wedge rather than an entire lobe.
The same code, a different location
How does El Centro compare?
32666 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 32666
Office
Unavailable
Facility
$815.68
No comparable office rate is available.
Modesto
California · 32666
Office
Unavailable
Facility
$815.68
No comparable office rate is available.
Napa
California · 32666
Office
Unavailable
Facility
$889.09
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 32666
Office
Unavailable
Facility
$852.53
No comparable office rate is available.
Redding
California · 32666
Office
Unavailable
Facility
$815.68
No comparable office rate is available.
Rest Of California
California · 32666
Office
Unavailable
Facility
$815.68
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 32666
Office
Unavailable
Facility
$853.84
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 32666
Office
Unavailable
Facility
$841.26
No comparable office rate is available.
Salinas
California · 32666
Office
Unavailable
Facility
$837.90
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 32666
Office
Unavailable
Facility
$847.32
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 32666
Office
Unavailable
Facility
$921.18
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 32666
Office
Unavailable
Facility
$917.14
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 32666
Office
Unavailable
Facility
$945.35
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 32666
Office
Unavailable
Facility
$928.82
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 32666
Office
Unavailable
Facility
$826.34
No comparable office rate is available.
Santa Cruz-Watsonville
California · 32666
Office
Unavailable
Facility
$847.06
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 32666
Office
Unavailable
Facility
$838.22
No comparable office rate is available.
Santa Rosa-Petaluma
California · 32666
Office
Unavailable
Facility
$854.53
No comparable office rate is available.
Stockton
California · 32666
Office
Unavailable
Facility
$815.68
No comparable office rate is available.
Vallejo
California · 32666
Office
Unavailable
Facility
$883.27
No comparable office rate is available.
Visalia
California · 32666
Office
Unavailable
Facility
$815.68
No comparable office rate is available.
Yuba City
California · 32666
Office
Unavailable
Facility
$815.68
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 32666
Office
Unavailable
Facility
$922.09
No comparable office rate is available.
Miami
Florida · 32666
Office
Unavailable
Facility
$1031.00
No comparable office rate is available.
Chicago
Illinois · 32666
Office
Unavailable
Facility
$997.56
No comparable office rate is available.
Manhattan
New York · 32666
Office
Unavailable
Facility
$979.09
No comparable office rate is available.
Alaska*
Alaska · 32666
Office
Unavailable
Facility
$1037.89
No comparable office rate is available.
Alabama
Alabama · 32666
Office
Unavailable
Facility
$756.45
No comparable office rate is available.
Arkansas
Arkansas · 32666
Office
Unavailable
Facility
$746.42
No comparable office rate is available.
Arizona
Arizona · 32666
Office
Unavailable
Facility
$814.23
No comparable office rate is available.
Colorado
Colorado · 32666
Office
Unavailable
Facility
$834.52
No comparable office rate is available.
Connecticut
Connecticut · 32666
Office
Unavailable
Facility
$892.53
No comparable office rate is available.
Delaware
Delaware · 32666
Office
Unavailable
Facility
$826.41
No comparable office rate is available.
Fort Lauderdale
Florida · 32666
Office
Unavailable
Facility
$938.33
No comparable office rate is available.
Rest Of Florida
Florida · 32666
Office
Unavailable
Facility
$887.94
No comparable office rate is available.
Atlanta
Georgia · 32666
Office
Unavailable
Facility
$868.31
No comparable office rate is available.
Rest Of Georgia
Georgia · 32666
Office
Unavailable
Facility
$835.09
No comparable office rate is available.
Hawaii, Guam
Hawaii · 32666
Office
Unavailable
Facility
$822.92
No comparable office rate is available.
Iowa
Iowa · 32666
Office
Unavailable
Facility
$746.26
No comparable office rate is available.
Idaho
Idaho · 32666
Office
Unavailable
Facility
$756.54
No comparable office rate is available.
East St. Louis
Illinois · 32666
Office
Unavailable
Facility
$939.78
No comparable office rate is available.
Rest Of Illinois
Illinois · 32666
Office
Unavailable
Facility
$884.41
No comparable office rate is available.
Suburban Chicago
Illinois · 32666
Office
Unavailable
Facility
$940.82
No comparable office rate is available.
Indiana
Indiana · 32666
Office
Unavailable
Facility
$759.82
No comparable office rate is available.
Kansas
Kansas · 32666
Office
Unavailable
Facility
$756.26
No comparable office rate is available.
Kentucky
Kentucky · 32666
Office
Unavailable
Facility
$801.41
No comparable office rate is available.
New Orleans
Louisiana · 32666
Office
Unavailable
Facility
$840.58
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 32666
Office
Unavailable
Facility
$805.54
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 32666
Office
Unavailable
Facility
$893.39
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 32666
Office
Unavailable
Facility
$835.58
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 32666
Office
Unavailable
Facility
$892.86
No comparable office rate is available.
Rest Of Maryland
Maryland · 32666
Office
Unavailable
Facility
$836.98
No comparable office rate is available.
Rest Of Maine
Maine · 32666
Office
Unavailable
Facility
$774.26
No comparable office rate is available.
Southern Maine
Maine · 32666
Office
Unavailable
Facility
$792.92
No comparable office rate is available.
Detroit
Michigan · 32666
Office
Unavailable
Facility
$911.93
No comparable office rate is available.
Rest Of Michigan
Michigan · 32666
Office
Unavailable
Facility
$832.81
No comparable office rate is available.
Minnesota
Minnesota · 32666
Office
Unavailable
Facility
$762.51
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 32666
Office
Unavailable
Facility
$821.18
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 32666
Office
Unavailable
Facility
$827.37
No comparable office rate is available.
Rest Of Missouri
Missouri · 32666
Office
Unavailable
Facility
$801.74
No comparable office rate is available.
Mississippi
Mississippi · 32666
Office
Unavailable
Facility
$773.55
No comparable office rate is available.
Montana**
Montana · 32666
Office
Unavailable
Facility
$838.79
No comparable office rate is available.
North Carolina
North Carolina · 32666
Office
Unavailable
Facility
$779.50
No comparable office rate is available.
North Dakota**
North Dakota · 32666
Office
Unavailable
Facility
$768.40
No comparable office rate is available.
Nebraska
Nebraska · 32666
Office
Unavailable
Facility
$745.99
No comparable office rate is available.
New Hampshire
New Hampshire · 32666
Office
Unavailable
Facility
$834.33
No comparable office rate is available.
Northern Nj
New Jersey · 32666
Office
Unavailable
Facility
$916.52
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 32666
Office
Unavailable
Facility
$892.26
No comparable office rate is available.
New Mexico
New Mexico · 32666
Office
Unavailable
Facility
$842.36
No comparable office rate is available.
Nevada**
Nevada · 32666
Office
Unavailable
Facility
$819.42
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 32666
Office
Unavailable
Facility
$1018.00
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 32666
Office
Unavailable
Facility
$908.80
No comparable office rate is available.
Queens
New York · 32666
Office
Unavailable
Facility
$966.92
No comparable office rate is available.
Rest Of New York
New York · 32666
Office
Unavailable
Facility
$791.32
No comparable office rate is available.
Ohio
Ohio · 32666
Office
Unavailable
Facility
$818.42
No comparable office rate is available.
Oklahoma
Oklahoma · 32666
Office
Unavailable
Facility
$786.00
No comparable office rate is available.
Portland
Oregon · 32666
Office
Unavailable
Facility
$843.66
No comparable office rate is available.
Rest Of Oregon
Oregon · 32666
Office
Unavailable
Facility
$802.72
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 32666
Office
Unavailable
Facility
$880.64
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 32666
Office
Unavailable
Facility
$812.17
No comparable office rate is available.
Puerto Rico
Puerto Rico · 32666
Office
Unavailable
Facility
$839.97
No comparable office rate is available.
Rhode Island
Rhode Island · 32666
Office
Unavailable
Facility
$843.34
No comparable office rate is available.
South Carolina
South Carolina · 32666
Office
Unavailable
Facility
$802.36
No comparable office rate is available.
South Dakota**
South Dakota · 32666
Office
Unavailable
Facility
$760.08
No comparable office rate is available.
Tennessee
Tennessee · 32666
Office
Unavailable
Facility
$761.42
No comparable office rate is available.
Austin
Texas · 32666
Office
Unavailable
Facility
$840.79
No comparable office rate is available.
Beaumont
Texas · 32666
Office
Unavailable
Facility
$808.28
No comparable office rate is available.
Brazoria
Texas · 32666
Office
Unavailable
Facility
$814.42
No comparable office rate is available.
Dallas
Texas · 32666
Office
Unavailable
Facility
$825.41
No comparable office rate is available.
Fort Worth
Texas · 32666
Office
Unavailable
Facility
$824.47
No comparable office rate is available.
Galveston
Texas · 32666
Office
Unavailable
Facility
$820.62
No comparable office rate is available.
Houston
Texas · 32666
Office
Unavailable
Facility
$885.78
No comparable office rate is available.
Rest Of Texas
Texas · 32666
Office
Unavailable
Facility
$814.86
No comparable office rate is available.
Utah
Utah · 32666
Office
Unavailable
Facility
$812.03
No comparable office rate is available.
Virginia
Virginia · 32666
Office
Unavailable
Facility
$799.86
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 32666
Office
Unavailable
Facility
$839.97
No comparable office rate is available.
Vermont
Vermont · 32666
Office
Unavailable
Facility
$777.81
No comparable office rate is available.
Rest Of Washington
Washington · 32666
Office
Unavailable
Facility
$829.89
No comparable office rate is available.
Seattle (King Cnty)
Washington · 32666
Office
Unavailable
Facility
$897.14
No comparable office rate is available.
Wisconsin
Wisconsin · 32666
Office
Unavailable
Facility
$746.34
No comparable office rate is available.
West Virginia
West Virginia · 32666
Office
Unavailable
Facility
$857.81
No comparable office rate is available.
Wyoming**
Wyoming · 32666
Office
Unavailable
Facility
$808.11
No comparable office rate is available.
See how rates vary across the country
32666 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 32666 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$897.90
$816.27 × 110% = $897.90
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 32666 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
3,762
- Code
- 32666
- Physician work
- 14.14
- Practice expense
- 7.42
- Malpractice
- 3.56
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.14 | × 1.017 | 14.3804 |
| Practice expense | 7.42 | × 1.096 | 8.1323 |
| Malpractice | 3.56 | × 0.541 | 1.9260 |
| Total RVUs | 24.4387 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$816.27
Open 32666 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.14 | 1.017 |
| Practice expense | 7.42 | 1.096 |
| Malpractice | 3.56 | 0.541 |
(14.14 × 1.017 + 7.42 × 1.096 + 3.56 × 0.541) × $33.4009 = $816.27
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
32666 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $816.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $816.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $816.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $816.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $820.67 | RVU25D |
| 2025-07-01 | Not available in this setting | $820.67 | RVU25C |
| 2025-04-01 | Not available in this setting | $820.67 | RVU25B |
| 2025-01-01 | Not available in this setting | $820.67 | RVU25A |
32666 billing questions
How is a therapeutic wedge resection distinguished from a diagnostic wedge?
Use 32666 when the wedge is performed to treat the lesion by removing it. A wedge performed to obtain tissue for diagnosis is reported with 32668.
Can additional wedge resections be reported with 32666?
Code 32667 is the add-on for each additional therapeutic wedge resection in the same lobe. The operative report should identify the additional resection and its location.
When is 32608 used instead?
32608 describes thoracoscopic biopsy of a lung nodule. Choose 32666 when the surgeon removes a wedge of lung therapeutically rather than performing a nodule biopsy.
What global and multiple-procedure payment rules apply?
32666 has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure payment, the highest-valued procedure is paid in full and others at 50%.
How are bilateral procedures and assisting surgeons handled?
A bilateral procedure reported with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,75932663,,Thoracoscopy w/lobectomy,A,,24.02,9.43,NA,9.43,,6.03,39.48,39.48,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76032664,,Thoracoscopy w/ th nrv exc,A,,13.92,7.02,NA,7.02,,3.50,24.44,24.44,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76132665,,Thoracoscop w/esoph musc exc,A,,20.99,8.69,NA,8.69,,5.27,34.95,34.95,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76232666,,Thoracoscopy w/wedge resect,A,,14.14,7.42,NA,7.42,,3.56,25.12,25.12,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76332667,,Thoracoscopy w/w resect addl,A,,2.93,0.58,NA,0.58,,0.73,4.24,4.24,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76432668,,Thoracoscopy w/w resect diag,A,,2.93,0.59,NA,0.59,,0.73,4.25,4.25,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76532669,,Thoracoscopy remove segment,A,,22.94,9.24,NA,9.24,,5.77,37.95,37.95,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664