No office rate
Use 32607 for infiltrative lung parenchymal abnormalities; use 32608 when the biopsy target is a discrete lung nodule or mass.
On this page
CMS RVU26D · Effective 2026-10-01
32607 Lung biopsy Medicare reimbursement rates in Ohio
Thoracoscopic biopsy of lung tissue is reported when a surgeon samples an infiltrative parenchymal abnormality, rather than a discrete nodule or another thoracic site. Compare 32607 office and facility rates across CMS payment localities in Ohio.
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 32607 in Ohio?
Ohio 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
$283.88
1 of 1 localities have a supported rate.
Payment area: Ohio
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 32607: Thoracoscopic lung infiltrate biopsy
Thoracoscopic biopsy of lung tissue is reported when a surgeon samples an infiltrative parenchymal abnormality, rather than a discrete nodule or another thoracic site.
A thoracic surgeon uses a thoracoscope to obtain lung tissue from an infiltrative parenchymal abnormality, often during evaluation of suspected interstitial or other diffuse lung disease when tissue is needed for diagnosis. The procedure is typically performed in an operating room, with specimens sent for pathologic examination. This code distinguishes lung infiltrates from discrete nodules or masses and from abnormalities in the pleura or mediastinum.
Report the service when the operative record documents thoracoscopic biopsy of lung infiltrate(s), including the sampled site and the reason tissue was obtained. The biopsy service includes the thoracoscopic inspection and access needed to perform it; a diagnostic thoracoscopy alone is a different service. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 32607
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.36 · 62%
- Practice expense (office) RVU1.97 · 23%
- Malpractice RVU1.33 · 15%
585
Medicare services in 2024 · #3413 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.
32607 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
Code 32606 describes biopsy of a mediastinal target, not lung tissue.
No office rate
Code 32609 is for pleural biopsy; 32607 is for biopsy of lung infiltrate(s).
No office rate
Code 32601 describes diagnostic thoracoscopy without the lung biopsy service reported under 32607.
Compare 32607 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
Ohio →
Office / nonfacility
Unavailable
Facility
$283.88
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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 32607 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
3,743
- Code
- 32607
- Physician work
- 5.36
- Practice expense
- 1.97
- Malpractice
- 1.33
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.36 | × 1.000 | 5.3600 |
| Practice expense | 1.97 | × 0.913 | 1.7986 |
| Malpractice | 1.33 | × 1.008 | 1.3406 |
| Total RVUs | 8.4992 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$283.88
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.36 | 1 |
| Practice expense | 1.97 | 0.913 |
| Malpractice | 1.33 | 1.008 |
(5.36 × 1 + 1.97 × 0.913 + 1.33 × 1.008) × $33.4009 = $283.88
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.
32607 billing questions
How is this different from code 32608?
Report 32607 for biopsy of lung infiltrate(s). Code 32608 is for biopsy of a discrete lung nodule or mass.
Can diagnostic thoracoscopy be reported separately?
When thoracoscopy is performed to obtain the lung biopsy, the inspection and access needed for that procedure are included. Code 32601 describes diagnostic thoracoscopy when no surgical biopsy service is performed.
Does each tissue sample support another unit?
The code describes biopsy of infiltrate(s), so multiple samples from the same operative service do not by themselves establish separate units. Document the sampled sites and specimens.
Should modifier 50 be used for bilateral biopsies?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
When can an assistant-at-surgery be paid?
Payment for an assistant at surgery requires documentation that the assistance was medically necessary. Co-surgeon and team-surgery billing are 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.
3,74032601,,Thoracoscopy diagnostic,A,,5.36,1.96,NA,1.96,,1.31,8.63,8.63,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74132604,,Thoracoscopy wbx sac,A,,8.55,2.65,NA,2.65,,2.15,13.35,13.35,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74232606,,Thoracoscopy w/bx med space,A,,8.18,2.60,NA,2.60,,2.05,12.83,12.83,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74332607,,Thoracoscopy w/bx infiltrate,A,,5.36,1.97,NA,1.97,,1.33,8.66,8.66,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74432608,,Thoracoscopy w/bx nodule,A,,6.67,2.23,NA,2.23,,1.67,10.57,10.57,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74532609,,Thoracoscopy w/bx pleura,A,,4.47,1.73,NA,1.73,,0.95,7.15,7.15,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,7463260F,,Pt cat/pn cat/hist grd docd,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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703