Billing code 32663: Thoracoscopic lobectomyMedicare rate & RVUs in Guam
Report this service when a surgeon removes one pulmonary lobe through a thoracoscopic approach, such as for a localized lung tumor.
CMS doesn’t publish an office rate for 32663 in Guam.
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 9 sections
What 32663 covers
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.
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 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $1,277.03 |
How the 32663 rate is calculated
Each of 32663’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 · 32663
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 24.02Practice expense 9.43Malpractice 6.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 32663
32663 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 32663
Thoracoscopic lobectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 32663
Thoracoscopic lobectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
32663 without 51 · national facility
$1,318.67
Thoracoscopic lobectomy
32663-51 · Second procedure: 50%
$659.34
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
32663 compared with similar codes
Compare codes
32663 vs 32669 vs 32670 vs 32666 vs 32671: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 32669Lung resection
- Use 32669 for thoracoscopic anatomic segmentectomy. Use 32663 when the surgeon removes the whole pulmonary lobe.
- 32670Thoracoscopic lung resection
- 32670 describes thoracoscopic bilobectomy, the removal of two lobes. Code 32663 is for a single lobe.
- 32666Lung wedge resection
- 32666 is for thoracoscopic wedge resection, a limited nonanatomic removal. It is not a substitute for a documented lobectomy.
- 32671Pneumonectomy
- 32671 describes thoracoscopic pneumonectomy, removal of an entire lung. Code 32663 removes one lobe.
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 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
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