No office rate
32666 describes a nonanatomic wedge resection. Use 32669 when the operative report documents removal of an anatomically defined lung segment.
On this page
CMS RVU26D · Effective 2026-10-01
32669 Lung resection Medicare reimbursement rates in New Jersey
Reports thoracoscopic removal of an anatomic lung segment, typically for a localized lesion when segmentectomy is chosen instead of wedge resection or lobectomy. Compare 32669 office and facility rates across CMS payment localities in New Jersey.
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 32669 in New Jersey?
New Jersey 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
$1345.30–$1378.32
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 32669: Thoracoscopic lung segmentectomy
Reports thoracoscopic removal of an anatomic lung segment, typically for a localized lesion when segmentectomy is chosen instead of wedge resection or lobectomy.
This video-assisted thoracoscopic operation removes one anatomically defined bronchopulmonary segment while preserving the rest of the lobe. A thoracic surgeon may perform it for a localized lung lesion when anatomic segment removal is selected rather than a nonanatomic wedge or removal of an entire lobe. The procedure is performed in an operating room, generally under general anesthesia with thoracoscopic instruments and lung isolation.
Report 32669 when the operative report supports thoracoscopic anatomic segmentectomy. Document the side, segment removed, indication, and extent of resection. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32669
- 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 RVU22.94 · 60%
- Practice expense (office) RVU9.24 · 24%
- Malpractice RVU5.77 · 15%
4.3K
Medicare services in 2024 · #1972 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.
32669 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
32668 describes a diagnostic wedge resection followed by an anatomic lung resection. It may be relevant when that diagnostic sequence precedes the segmentectomy.
No office rate
32663 is for thoracoscopic removal of an entire lobe; 32669 is for removal of a lung segment while preserving the remaining lobe.
No office rate
32670 is for thoracoscopic removal of two lobes. It represents a more extensive resection than the single-segment removal reported with 32669.
Compare 32669 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
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1378.32
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$1345.30
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32669 billing questions
How is a segmentectomy different from a wedge resection?
A segmentectomy removes an anatomically defined lung segment; a wedge removes a limited, nonanatomic portion of lung. Use the operative description of the resection, not just the lesion size, to distinguish them.
When is this code used instead of a lobectomy code?
Use 32669 for thoracoscopic removal of a lung segment. Use 32663 when the surgeon removes an entire lobe.
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.
Can modifier 50 be appended for a bilateral procedure?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50% under the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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.
3,76232666,,Thoracoscopy w/wedge resect,A,,14.14,7.42,NA,7.42,,3.56,25.12,25.12,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76332667,,Thoracoscopy w/w resect addl,A,,2.93,0.58,NA,0.58,,0.73,4.24,4.24,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76432668,,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