No office rate
Choose 32673 for thoracoscopic removal of the thymus. Choose 32662 when excising a mediastinal cyst, tumor, or mass without performing a thymectomy.
On this page
CMS RVU26D · Effective 2026-10-01
32673 Thoracoscopic thymectomy Medicare reimbursement rates in Alaska
Reports thoracoscopic removal of the thymus, including mediastinal fat when performed, commonly for thymoma or treatment of myasthenia gravis. Compare 32673 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 32673 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1436.53
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Thoracic surgery
About 32673: Thoracoscopic thymus resection
Reports thoracoscopic removal of the thymus, including mediastinal fat when performed, commonly for thymoma or treatment of myasthenia gravis.
A thoracic surgeon performs this video-assisted operation through small chest incisions to remove the thymus. It is commonly used when a patient with myasthenia gravis is undergoing thymectomy or when a thymic tumor requires surgical removal. The procedure takes place in an operating room, typically under general anesthesia. Resection of mediastinal fat is included when performed as part of the thymectomy.
Report the code when the operative record supports thoracoscopic thymus removal; document the indication, approach, extent of resection, and any mediastinal fat removed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 32673
- 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 RVU20.60 · 60%
- Practice expense (office) RVU8.70 · 25%
- Malpractice RVU5.16 · 15%
672
Medicare services in 2024 · #3296 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.
32673 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
This code represents thymectomy. Code 32674 is for thoracoscopic mediastinal and regional lymphadenectomy, not thymus removal.
No office rate
Both involve thymectomy, but 60520 describes a transcervical or transthoracic approach; 32673 is the thoracoscopic approach.
Compare 32673 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
Unavailable
Facility
$1436.53
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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 32673 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
3,770
- Code
- 32673
- Physician work
- 20.60
- Practice expense
- 8.70
- Malpractice
- 5.16
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.60 | × 1.500 | 30.9000 |
| Practice expense | 8.70 | × 1.065 | 9.2655 |
| Malpractice | 5.16 | × 0.551 | 2.8432 |
| Total RVUs | 43.0087 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$1436.53
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.6 | 1.5 |
| Practice expense | 8.7 | 1.065 |
| Malpractice | 5.16 | 0.551 |
(20.6 × 1.5 + 8.7 × 1.065 + 5.16 × 0.551) × $33.4009 = $1436.53
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.
32673 billing questions
How is this different from thoracoscopic mediastinal mass excision?
Use this code when the operation is a thymectomy. A mediastinal lesion excision code is for removal of a mediastinal mass when the procedure is not a thymectomy.
Does the code include removal of mediastinal fat?
Mediastinal fat removal is included when performed as part of the thymectomy. The operative report should make clear what tissue was removed.
Should modifier 50 be appended for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant surgeon be reported?
CMS indicates that an assistant at surgery may be paid for this procedure. Co-surgeon payment requires supporting documentation.
What documentation supports reporting this code?
Document the thoracoscopic approach, thymus removal, indication, and extent of resection. Note mediastinal fat removal when performed.
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.
3,76732670,,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
3,7723267F,,Path rprt w/ pt pn cat et al,M,,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
3,7733268F,,Psa/t/glsc docd b/4 txmnt,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
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609