No office rate
Use 32663 when the thoracoscopic resection is a lobectomy. This code requires removal of the entire lung.
On this page
CMS RVU26D · Effective 2026-10-01
32671 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1590.44
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 32671: Thoracoscopic complete lung removal
Reports removal of an entire lung using a thoracoscopic approach, typically for extensive lung disease when lesser anatomic resection is not performed.
A thoracic surgeon removes an entire lung through a thoracoscopic approach, usually in a hospital operating room. A pneumonectomy may be performed for extensive lung cancer or other severe lung disease when removing a lobe or segment would not accomplish the intended resection. The operative report should establish that the complete lung, rather than a lobe, two lobes, or a segment, was removed and document the approach and side.
Choose this code when the completed operation is a thoracoscopic pneumonectomy; a lobectomy, bilobectomy, or segmentectomy is a different extent of resection. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this descriptor and anatomy. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32671
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU31.12 · 63%
- Practice expense (office) RVU10.73 · 22%
- Malpractice RVU7.85 · 16%
31
Medicare services in 2024 · #5641 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.
32671 compared with similar codes
Office rates for Madera, from the same CMS release.
No office rate
Use 32670 for thoracoscopic removal of two lobes. This code represents removal of the entire lung.
No office rate
Use 32669 for thoracoscopic removal of a lung segment; this code is for complete lung removal.
No office rate
Both represent complete pneumonectomy, but 32440 is the open approach; this code is for the thoracoscopic approach.
The same code, a different location
How does Madera compare?
32671 across payment areas
Same release and payment basis · bars start at $0
Madera · 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.
Unavailable
No comparable rate is available in this setting.
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 · 32671
Office
Unavailable
Facility
$1590.44
No comparable office rate is available.
Modesto
California · 32671
Office
Unavailable
Facility
$1590.44
No comparable office rate is available.
Napa
California · 32671
Office
Unavailable
Facility
$1710.48
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 32671
Office
Unavailable
Facility
$1655.51
No comparable office rate is available.
Redding
California · 32671
Office
Unavailable
Facility
$1590.44
No comparable office rate is available.
Rest Of California
California · 32671
Office
Unavailable
Facility
$1590.44
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 32671
Office
Unavailable
Facility
$1674.60
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 32671
Office
Unavailable
Facility
$1634.20
No comparable office rate is available.
Salinas
California · 32671
Office
Unavailable
Facility
$1627.57
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 32671
Office
Unavailable
Facility
$1641.37
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 32671
Office
Unavailable
Facility
$1763.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 32671
Office
Unavailable
Facility
$1754.95
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 32671
Office
Unavailable
Facility
$1811.11
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 32671
Office
Unavailable
Facility
$1774.67
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 32671
Office
Unavailable
Facility
$1605.85
No comparable office rate is available.
Santa Cruz-Watsonville
California · 32671
Office
Unavailable
Facility
$1637.25
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 32671
Office
Unavailable
Facility
$1626.96
No comparable office rate is available.
Santa Rosa-Petaluma
California · 32671
Office
Unavailable
Facility
$1651.26
No comparable office rate is available.
Stockton
California · 32671
Office
Unavailable
Facility
$1590.44
No comparable office rate is available.
Vallejo
California · 32671
Office
Unavailable
Facility
$1697.63
No comparable office rate is available.
Visalia
California · 32671
Office
Unavailable
Facility
$1590.44
No comparable office rate is available.
Yuba City
California · 32671
Office
Unavailable
Facility
$1590.44
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 32671
Office
Unavailable
Facility
$1809.58
No comparable office rate is available.
Miami
Florida · 32671
Office
Unavailable
Facility
$2075.62
No comparable office rate is available.
Chicago
Illinois · 32671
Office
Unavailable
Facility
$2008.64
No comparable office rate is available.
Manhattan
New York · 32671
Office
Unavailable
Facility
$1938.26
No comparable office rate is available.
Alaska*
Alaska · 32671
Office
Unavailable
Facility
$2085.31
No comparable office rate is available.
Alabama
Alabama · 32671
Office
Unavailable
Facility
$1501.43
No comparable office rate is available.
Arkansas
Arkansas · 32671
Office
Unavailable
Facility
$1482.33
No comparable office rate is available.
Arizona
Arizona · 32671
Office
Unavailable
Facility
$1611.16
No comparable office rate is available.
Colorado
Colorado · 32671
Office
Unavailable
Facility
$1638.01
No comparable office rate is available.
Connecticut
Connecticut · 32671
Office
Unavailable
Facility
$1763.47
No comparable office rate is available.
Delaware
Delaware · 32671
Office
Unavailable
Facility
$1634.44
No comparable office rate is available.
Fort Lauderdale
Florida · 32671
Office
Unavailable
Facility
$1876.54
No comparable office rate is available.
Rest Of Florida
Florida · 32671
Office
Unavailable
Facility
$1776.14
No comparable office rate is available.
Atlanta
Georgia · 32671
Office
Unavailable
Facility
$1721.58
No comparable office rate is available.
Rest Of Georgia
Georgia · 32671
Office
Unavailable
Facility
$1671.66
No comparable office rate is available.
Hawaii, Guam
Hawaii · 32671
Office
Unavailable
Facility
$1598.74
No comparable office rate is available.
Iowa
Iowa · 32671
Office
Unavailable
Facility
$1471.46
No comparable office rate is available.
Idaho
Idaho · 32671
Office
Unavailable
Facility
$1493.18
No comparable office rate is available.
East St. Louis
Illinois · 32671
Office
Unavailable
Facility
$1897.22
No comparable office rate is available.
Rest Of Illinois
Illinois · 32671
Office
Unavailable
Facility
$1776.46
No comparable office rate is available.
Suburban Chicago
Illinois · 32671
Office
Unavailable
Facility
$1879.39
No comparable office rate is available.
Indiana
Indiana · 32671
Office
Unavailable
Facility
$1499.09
No comparable office rate is available.
Kansas
Kansas · 32671
Office
Unavailable
Facility
$1495.57
No comparable office rate is available.
Kentucky
Kentucky · 32671
Office
Unavailable
Facility
$1597.96
No comparable office rate is available.
New Orleans
Louisiana · 32671
Office
Unavailable
Facility
$1674.54
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 32671
Office
Unavailable
Facility
$1607.80
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 32671
Office
Unavailable
Facility
$1743.33
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 32671
Office
Unavailable
Facility
$1642.42
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 32671
Office
Unavailable
Facility
$1764.96
No comparable office rate is available.
Rest Of Maryland
Maryland · 32671
Office
Unavailable
Facility
$1653.22
No comparable office rate is available.
Rest Of Maine
Maine · 32671
Office
Unavailable
Facility
$1532.24
No comparable office rate is available.
Southern Maine
Maine · 32671
Office
Unavailable
Facility
$1560.05
No comparable office rate is available.
Detroit
Michigan · 32671
Office
Unavailable
Facility
$1827.35
No comparable office rate is available.
Rest Of Michigan
Michigan · 32671
Office
Unavailable
Facility
$1662.67
No comparable office rate is available.
Minnesota
Minnesota · 32671
Office
Unavailable
Facility
$1485.83
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 32671
Office
Unavailable
Facility
$1632.13
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 32671
Office
Unavailable
Facility
$1643.35
No comparable office rate is available.
Rest Of Missouri
Missouri · 32671
Office
Unavailable
Facility
$1603.75
No comparable office rate is available.
Mississippi
Mississippi · 32671
Office
Unavailable
Facility
$1541.77
No comparable office rate is available.
Montana**
Montana · 32671
Office
Unavailable
Facility
$1659.50
No comparable office rate is available.
North Carolina
North Carolina · 32671
Office
Unavailable
Facility
$1541.36
No comparable office rate is available.
North Dakota**
North Dakota · 32671
Office
Unavailable
Facility
$1504.28
No comparable office rate is available.
Nebraska
Nebraska · 32671
Office
Unavailable
Facility
$1469.34
No comparable office rate is available.
New Hampshire
New Hampshire · 32671
Office
Unavailable
Facility
$1641.94
No comparable office rate is available.
Northern Nj
New Jersey · 32671
Office
Unavailable
Facility
$1800.68
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 32671
Office
Unavailable
Facility
$1760.01
No comparable office rate is available.
New Mexico
New Mexico · 32671
Office
Unavailable
Facility
$1682.98
No comparable office rate is available.
Nevada**
Nevada · 32671
Office
Unavailable
Facility
$1616.60
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 32671
Office
Unavailable
Facility
$2018.99
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 32671
Office
Unavailable
Facility
$1795.91
No comparable office rate is available.
Queens
New York · 32671
Office
Unavailable
Facility
$1907.67
No comparable office rate is available.
Rest Of New York
New York · 32671
Office
Unavailable
Facility
$1564.23
No comparable office rate is available.
Ohio
Ohio · 32671
Office
Unavailable
Facility
$1630.94
No comparable office rate is available.
Oklahoma
Oklahoma · 32671
Office
Unavailable
Facility
$1563.21
No comparable office rate is available.
Portland
Oregon · 32671
Office
Unavailable
Facility
$1649.31
No comparable office rate is available.
Rest Of Oregon
Oregon · 32671
Office
Unavailable
Facility
$1580.72
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 32671
Office
Unavailable
Facility
$1744.03
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 32671
Office
Unavailable
Facility
$1616.22
No comparable office rate is available.
Puerto Rico
Puerto Rico · 32671
Office
Unavailable
Facility
$1660.03
No comparable office rate is available.
Rhode Island
Rhode Island · 32671
Office
Unavailable
Facility
$1663.28
No comparable office rate is available.
South Carolina
South Carolina · 32671
Office
Unavailable
Facility
$1593.46
No comparable office rate is available.
South Dakota**
South Dakota · 32671
Office
Unavailable
Facility
$1485.93
No comparable office rate is available.
Tennessee
Tennessee · 32671
Office
Unavailable
Facility
$1506.01
No comparable office rate is available.
Austin
Texas · 32671
Office
Unavailable
Facility
$1653.00
No comparable office rate is available.
Beaumont
Texas · 32671
Office
Unavailable
Facility
$1609.15
No comparable office rate is available.
Brazoria
Texas · 32671
Office
Unavailable
Facility
$1607.43
No comparable office rate is available.
Dallas
Texas · 32671
Office
Unavailable
Facility
$1630.71
No comparable office rate is available.
Fort Worth
Texas · 32671
Office
Unavailable
Facility
$1630.54
No comparable office rate is available.
Galveston
Texas · 32671
Office
Unavailable
Facility
$1620.73
No comparable office rate is available.
Houston
Texas · 32671
Office
Unavailable
Facility
$1764.42
No comparable office rate is available.
Rest Of Texas
Texas · 32671
Office
Unavailable
Facility
$1616.31
No comparable office rate is available.
Utah
Utah · 32671
Office
Unavailable
Facility
$1611.78
No comparable office rate is available.
Virginia
Virginia · 32671
Office
Unavailable
Facility
$1576.85
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 32671
Office
Unavailable
Facility
$1660.03
No comparable office rate is available.
Vermont
Vermont · 32671
Office
Unavailable
Facility
$1526.92
No comparable office rate is available.
Rest Of Washington
Washington · 32671
Office
Unavailable
Facility
$1629.87
No comparable office rate is available.
Seattle (King Cnty)
Washington · 32671
Office
Unavailable
Facility
$1745.37
No comparable office rate is available.
Wisconsin
Wisconsin · 32671
Office
Unavailable
Facility
$1463.53
No comparable office rate is available.
West Virginia
West Virginia · 32671
Office
Unavailable
Facility
$1726.08
No comparable office rate is available.
Wyoming**
Wyoming · 32671
Office
Unavailable
Facility
$1591.85
No comparable office rate is available.
See how rates vary across the country
32671 · 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?
Madera is a Medicare payment area. Our Census mapping connects it to 17 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 32671 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1749.48
$1590.44 × 110% = $1749.48
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 32671 in Madera.
PPRRVU2026_Oct_nonQPP.csv
3,768
- Code
- 32671
- Physician work
- 31.12
- Practice expense
- 10.73
- Malpractice
- 7.85
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 31.12 | × 1.017 | 31.6490 |
| Practice expense | 10.73 | × 1.096 | 11.7601 |
| Malpractice | 7.85 | × 0.536 | 4.2076 |
| Total RVUs | 47.6167 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$1590.44
Open 32671 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 31.12 | 1.017 |
| Practice expense | 10.73 | 1.096 |
| Malpractice | 7.85 | 0.536 |
(31.12 × 1.017 + 10.73 × 1.096 + 7.85 × 0.536) × $33.4009 = $1590.44
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
32671 · 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 | $1590.44 | RVU26D |
| 2026-07-01 | Not available in this setting | $1590.44 | RVU26C |
| 2026-04-01 | Not available in this setting | $1590.44 | RVU26B |
| 2026-01-01 | Not available in this setting | $1590.44 | RVU26A |
| 2025-10-01 | Not available in this setting | $1636.90 | RVU25D |
| 2025-07-01 | Not available in this setting | $1636.90 | RVU25C |
| 2025-04-01 | Not available in this setting | $1636.90 | RVU25B |
| 2025-01-01 | Not available in this setting | $1636.90 | RVU25A |
32671 billing questions
How is this different from thoracoscopic lobectomy or bilobectomy?
This code is for removal of the entire lung. Use the lobectomy or bilobectomy code when the operative report documents removal of one lobe or two lobes, respectively.
What documentation supports reporting this code?
The operative report should identify the complete lung resection, the thoracoscopic approach, the side, and the clinical indication. It should distinguish the operation from a lesser anatomic resection.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this descriptor and anatomy.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
3,76532669,,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
3,7663266F,,Hepc gn tstng docd b/4txmnt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76732670,,Thoracoscopy bilobectomy,A,,27.81,10.16,NA,10.16,,6.94,44.91,44.91,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76832671,,Thoracoscopy pneumonectomy,A,,31.12,10.73,NA,10.73,,7.85,49.70,49.70,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76932672,,Thoracoscopy for lvrs,A,,26.33,9.78,NA,9.78,,6.62,42.73,42.73,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,77032673,,Thoracoscopy w/thymus resect,A,,20.60,8.70,NA,8.70,,5.16,34.46,34.46,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,77132674,,Thoracoscopy lymph node exc,A,,4.02,0.81,NA,0.81,,1.02,5.85,5.85,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508