No office rate
Use 32669 for thoracoscopic anatomic segmentectomy. Use 32663 when the surgeon removes the whole pulmonary lobe.
On this page
CMS RVU26D · Effective 2026-10-01
32663 Thoracoscopic lobectomy Medicare reimbursement rates in Connecticut
Report this service when a surgeon removes one pulmonary lobe through a thoracoscopic approach, such as for a localized lung tumor. Compare 32663 office and facility rates across CMS payment localities in Connecticut.
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 32663 in Connecticut?
Connecticut 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
$1401.26
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 32663: Thoracoscopic single-lobe lung resection
Report this service when a surgeon removes one pulmonary lobe through a thoracoscopic approach, such as for a localized lung tumor.
A thoracic surgeon performs a thoracoscopic lobectomy to remove one anatomic lobe of lung, such as an upper, middle, or lower lobe. The operation typically involves dividing the lobe’s bronchovascular structures and removing the specimen through the thoracoscopic approach. It is used for conditions such as a localized lung cancer or other disease requiring removal of an entire lobe, rather than a wedge of lung or an anatomic segment. These procedures are commonly performed in a hospital operating room.
Select the code when the operative report supports removal of a single lobe thoracoscopically; document the lobe, approach, and extent of resection. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32663
- 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 RVU24.02 · 61%
- Practice expense (office) RVU9.43 · 24%
- Malpractice RVU6.03 · 15%
12.6K
Medicare services in 2024 · #1356 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.
32663 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
32670 describes thoracoscopic bilobectomy, the removal of two lobes. Code 32663 is for a single lobe.
No office rate
32666 is for thoracoscopic wedge resection, a limited nonanatomic removal. It is not a substitute for a documented lobectomy.
No office rate
32671 describes thoracoscopic pneumonectomy, removal of an entire lung. Code 32663 removes one lobe.
Compare 32663 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$1401.26
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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 32663 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
3,759
- Code
- 32663
- Physician work
- 24.02
- Practice expense
- 9.43
- Malpractice
- 6.03
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.02 | × 1.020 | 24.5004 |
| Practice expense | 9.43 | × 1.077 | 10.1561 |
| Malpractice | 6.03 | × 1.210 | 7.2963 |
| Total RVUs | 41.9528 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$1401.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.02 | 1.02 |
| Practice expense | 9.43 | 1.077 |
| Malpractice | 6.03 | 1.21 |
(24.02 × 1.02 + 9.43 × 1.077 + 6.03 × 1.21) × $33.4009 = $1401.26
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.
32663 billing questions
How does a lobectomy differ from a segmentectomy?
A lobectomy removes an entire anatomic pulmonary lobe. A segmentectomy removes only an anatomic segment within a lobe and is reported with 32669.
Is this the code for a wedge resection?
No. A wedge removes a limited, nonanatomic portion of lung; 32666 describes thoracoscopic wedge resection. Use 32663 when the operative report documents removal of a full lobe.
Should modifier 50 be used for bilateral lobectomies?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How is this code affected when other procedures are 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.
3,7563265F,,Rna tstng hepc vir ord/docd,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
3,75732661,,Thoracoscopy w/pericard exc,A,,13.00,6.84,NA,6.84,,3.26,23.10,23.10,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,75832662,,Thoracoscopy w/mediast exc,A,,14.62,7.49,NA,7.49,,3.66,25.77,25.77,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,75932663,,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
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808