No office rate
32141 describes open excision of a focal lung lesion; 32140 is directed to excision or plication of bullae and includes any pleural procedure.
On this page
CMS RVU26D · Effective 2026-10-01
32141 Lung lesion excision Medicare reimbursement rates in Indiana
Report this service for open thoracotomy with surgical excision of a focal lung lesion, such as a pulmonary nodule requiring wedge resection. Compare 32141 office and facility rates across CMS payment localities in Indiana.
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 32141 in Indiana?
Indiana 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
$1296.61
1 of 1 localities have a supported rate.
Payment area: Indiana
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 32141: Open thoracotomy lung lesion excision
Report this service for open thoracotomy with surgical excision of a focal lung lesion, such as a pulmonary nodule requiring wedge resection.
The surgeon opens the chest through a thoracotomy and removes a focal lesion from the lung. A wedge resection may be performed for a suspicious nodule or another localized abnormality when open access is used. This is generally an inpatient or hospital-based thoracic surgery service performed by a thoracic or other qualified surgeon; the 2024 Medicare file records facility services for this code.
Choose the code when the operative report supports open excision of a lung lesion, rather than treatment directed specifically at bullae, a lung abscess, or a foreign body. Document the lesion, operative approach, and extent of excision. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 multiple procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32141
- 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 RVU26.50 · 62%
- Practice expense (office) RVU9.84 · 23%
- Malpractice RVU6.58 · 15%
78
Medicare services in 2024 · #5074 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.
32141 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
Use 32150 when the open operation removes a lung abscess. Code 32141 applies to excision of a lung lesion rather than abscess removal.
No office rate
Both can involve lung wedge resection, but 32141 is for an open thoracotomy and 32666 is for a thoracoscopic approach.
Compare 32141 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
Indiana →
Office / nonfacility
Unavailable
Facility
$1296.61
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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 32141 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
3,695
- Code
- 32141
- Physician work
- 26.50
- Practice expense
- 9.84
- Malpractice
- 6.58
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.50 | × 1.000 | 26.5000 |
| Practice expense | 9.84 | × 0.927 | 9.1217 |
| Malpractice | 6.58 | × 0.486 | 3.1979 |
| Total RVUs | 38.8196 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1296.61
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 26.5 | 1 |
| Practice expense | 9.84 | 0.927 |
| Malpractice | 6.58 | 0.486 |
(26.5 × 1 + 9.84 × 0.927 + 6.58 × 0.486) × $33.4009 = $1296.61
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.
32141 billing questions
How is this code distinguished from 32140?
Use 32141 for open excision of a focal lung lesion. Code 32140 is directed to excision or plication of bullae, including any pleural procedure.
Is this code appropriate for a thoracoscopic wedge resection?
No. This code describes an open thoracotomy approach; a thoracoscopic wedge resection is represented by a different code.
What documentation supports reporting 32141?
The operative report should identify the lung lesion, document the thoracotomy approach, and describe its surgical excision.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does the multiple procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 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.
3,69232120,,Re-exploration of chest,A,,14.03,7.90,NA,7.90,,3.49,25.42,25.42,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,69332124,,Explore chest free adhesions,A,,15.06,8.12,NA,8.12,,3.74,26.92,26.92,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,69432140,,Removal of lung lesion(s),A,,16.24,8.28,NA,8.28,,4.08,28.60,28.60,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,69532141,,Remove/treat lung lesions,A,,26.50,9.84,NA,9.84,,6.58,42.92,42.92,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,69632150,,Removal of lung lesion(s),A,,16.40,8.73,NA,8.73,,4.08,29.21,29.21,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,69732151,,Remove lung foreign body,A,,16.52,8.33,NA,8.33,,4.15,29.00,29.00,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,6983215F,,Pt immunity to hep a 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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915