No office rate
Choose 32673 when the surgeon resects the thymus. Choose 32662 for excision of a mediastinal cyst, tumor, or mass that is not coded as thymus resection.
On this page
CMS RVU26D · Effective 2026-10-01
32662 Mediastinal excision Medicare reimbursement rates in Massachusetts
Thoracoscopic removal of a mediastinal cyst, tumor, or mass is reported when a surgeon excises the lesion through a minimally invasive chest approach. Compare 32662 office and facility rates across CMS payment localities in Massachusetts.
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 32662 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$857.00–$915.85
2 of 2 localities have a supported rate.
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 32662: Thoracoscopic mediastinal lesion excision
Thoracoscopic removal of a mediastinal cyst, tumor, or mass is reported when a surgeon excises the lesion through a minimally invasive chest approach.
A thoracic surgeon uses a thoracoscope and instruments introduced through small chest incisions to remove a cyst, tumor, or other mass in the mediastinum, the area between the lungs. This is a surgical excision, not simply a tissue sample. The service is typically performed in an operating room for a patient with a mediastinal lesion requiring removal.
Report the code when the operative record supports thoracoscopic excision of the mediastinal target; document its location and the work performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral adjustment 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 32662
- 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 RVU14.62 · 57%
- Practice expense (office) RVU7.49 · 29%
- Malpractice RVU3.66 · 14%
928
Medicare services in 2024 · #3026 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.
32662 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
32674 identifies thoracoscopic lymph node excision. 32662 applies to excision of a mediastinal cyst, tumor, or mass.
No office rate
32661 concerns thoracoscopic pericardial excision; 32662 concerns excision of a mediastinal cyst, tumor, or mass.
Compare 32662 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$915.85
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$857.00
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.
32662 billing questions
How is 32662 different from a thoracoscopic biopsy code?
32662 describes excision of a mediastinal cyst, tumor, or mass. A procedure limited to obtaining tissue for diagnosis is not the same service; use the code that matches the work documented.
Should 32662 be used for removal of the thymus?
When the operation is a thoracoscopic thymus resection, compare 32673. Choose based on the structure removed and the operative report.
Can modifier 50 be used for a bilateral procedure?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
When may an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided.
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.
3,75532659,,Thoracoscopy w/sac drainage,A,,11.64,6.90,NA,6.90,,2.91,21.45,21.45,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,7563265F,,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