No office rate
Choose 32097 for a diagnostic wedge resection of a lung nodule; choose 32096 for biopsy of lung infiltrates.
On this page
CMS RVU26D · Effective 2026-10-01
32097 Lung nodule biopsy Medicare reimbursement rates in Mississippi
Report this code for an open thoracic approach that removes a wedge of lung containing a nodule for diagnostic evaluation. Compare 32097 office and facility rates across CMS payment localities in Mississippi.
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 32097 in Mississippi?
Mississippi 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
$711.61
1 of 1 localities have a supported rate.
Payment area: Mississippi
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 32097: Open diagnostic wedge resection of lung nodule
Report this code for an open thoracic approach that removes a wedge of lung containing a nodule for diagnostic evaluation.
A thoracic surgeon uses an open chest approach to remove a wedge of lung containing a nodule for diagnosis. The specimen is sent for pathologic evaluation; the operative record should establish that the target was a lung nodule and that the wedge was performed through an open approach. This service is typically performed in a hospital operating room.
Select this code for a diagnostic wedge resection of a nodule, rather than biopsy of a lung infiltrate or pleura. Document the target, surgical approach, and diagnostic purpose. The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32097
- 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 RVU13.41 · 58%
- Practice expense (office) RVU6.32 · 27%
- Malpractice RVU3.32 · 14%
222
Medicare services in 2024 · #4227 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.
32097 compared with similar codes
Office rates for Mississippi, from the same CMS release.
No office rate
32098 describes open diagnostic biopsy involving lung or pleura, while 32097 identifies a wedge resection directed at a lung nodule.
No office rate
Both address diagnostic sampling of a lung nodule or mass, but 32607 is performed thoracoscopically and 32097 uses an open approach.
No office rate
Use 32097 when the wedge resection is diagnostic; 32505 describes a therapeutic wedge resection.
Compare 32097 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
Mississippi →
Office / nonfacility
Unavailable
Facility
$711.61
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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 32097 in Mississippi.
PPRRVU2026_Oct_nonQPP.csv
3,687
- Code
- 32097
- Physician work
- 13.41
- Practice expense
- 6.32
- Malpractice
- 3.32
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.41 | × 1.000 | 13.4100 |
| Practice expense | 6.32 | × 0.861 | 5.4415 |
| Malpractice | 3.32 | × 0.739 | 2.4535 |
| Total RVUs | 21.3050 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$711.61
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.41 | 1 |
| Practice expense | 6.32 | 0.861 |
| Malpractice | 3.32 | 0.739 |
(13.41 × 1 + 6.32 × 0.861 + 3.32 × 0.739) × $33.4009 = $711.61
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.
32097 billing questions
How does this differ from 32096?
Use 32097 for a diagnostic wedge resection directed at a lung nodule. Code 32096 is for diagnostic biopsy of lung infiltrates.
Is this the open code when the surgeon uses thoracoscopy?
No. This code describes an open approach. For a thoracoscopic diagnostic biopsy of a lung nodule or mass, compare 32607.
Does the 90-day global include postoperative care?
Yes. It includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for nodules in both lungs?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session 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.
3,68432035,,Thoracostomy w/rib resection,A,,11.01,8.01,NA,8.01,,2.76,21.78,21.78,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,68532036,,Thoracostomy w/flap drainage,A,,11.99,8.18,NA,8.18,,3.02,23.19,23.19,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,68632096,,Open wedge/bx lung infiltr,A,,13.41,6.14,NA,6.14,,3.33,22.88,22.88,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,68732097,,Open wedge/bx lung nodule,A,,13.41,6.32,NA,6.32,,3.32,23.05,23.05,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,68832098,,Open biopsy of lung pleura,A,,12.59,5.95,NA,5.95,,3.06,21.60,21.60,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,68932100,,Exploration of chest,A,,13.41,6.55,NA,6.55,,3.31,23.27,23.27,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,6903210F,,Grp a strep test performed,M,,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
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974