No office rate
Use 32663 when the thoracoscopic resection removes one lobe. Use 32670 when it removes two lobes.
On this page
CMS RVU26D · Effective 2026-10-01
32670 Thoracoscopic lung resection Medicare reimbursement rates in Iowa
Reports thoracoscopic removal of two right lung lobes, commonly for a localized lung tumor or other disease requiring resection of both lobes. Compare 32670 office and facility rates across CMS payment localities in Iowa.
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 32670 in Iowa?
Iowa 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
$1331.41
1 of 1 localities have a supported rate.
Payment area: Iowa
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 32670: Thoracoscopic removal of two lung lobes
Reports thoracoscopic removal of two right lung lobes, commonly for a localized lung tumor or other disease requiring resection of both lobes.
A thoracic surgeon uses a camera and instruments inserted through small chest incisions to remove two lobes of the right lung. The operation may involve the upper and middle lobes or the middle and lower lobes. It is performed in an operating room, commonly for a tumor or other localized lung disease that requires removal of both lobes. The operative report should identify the lobes removed and document the thoracoscopic approach and clinical reason for the resection.
Report this code when the procedure removes two lobes, rather than one lobe, a lung segment, or the entire lung. It has a 90-day global period, which includes 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 the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this procedure. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32670
- 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 RVU27.81 · 62%
- Practice expense (office) RVU10.16 · 23%
- Malpractice RVU6.94 · 15%
229
Medicare services in 2024 · #4204 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.
32670 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Code 32669 describes a thoracoscopic segmental resection, which removes less than a full lobe; 32670 represents removal of two lobes.
No office rate
Code 32671 is for thoracoscopic removal of the entire lung. Code 32670 removes two lobes while leaving the remaining lung tissue.
Compare 32670 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
Iowa →
Office / nonfacility
Unavailable
Facility
$1331.41
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 32670 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
3,767
- Code
- 32670
- Physician work
- 27.81
- Practice expense
- 10.16
- Malpractice
- 6.94
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.81 | × 1.000 | 27.8100 |
| Practice expense | 10.16 | × 0.915 | 9.2964 |
| Malpractice | 6.94 | × 0.397 | 2.7552 |
| Total RVUs | 39.8616 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$1331.41
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 27.81 | 1 |
| Practice expense | 10.16 | 0.915 |
| Malpractice | 6.94 | 0.397 |
(27.81 × 1 + 10.16 × 0.915 + 6.94 × 0.397) × $33.4009 = $1331.41
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.
32670 billing questions
How does this differ from thoracoscopic lobectomy code 32663?
Code 32670 represents removal of two lobes. Code 32663 represents removal of a single lobe.
Should modifier 50 be used because two lobes are removed?
No. The two-lobe resection is the service represented by this code, and the CMS bilateral adjustment does not apply.
What documentation supports reporting this code?
The operative report should establish the thoracoscopic approach, identify both lobes removed, and explain the clinical indication for resection.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
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.
3,76432668,,Thoracoscopy w/w resect diag,A,,2.93,0.59,NA,0.59,,0.73,4.25,4.25,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76532669,,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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136