CPT code 32505: Lung wedge resection2026 Medicare rate & RVUs in Oklahoma
Open therapeutic lung wedge resection removes a localized lesion, such as a peripheral nodule, when wedge excision is the intended treatment.
CMS doesn’t publish an office rate for 32505 in Oklahoma.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 32505 covers
An open therapeutic lung wedge resection removes a limited, nonanatomic portion of lung containing a lesion while leaving surrounding lung in place. Thoracic surgeons perform it through a thoracotomy, commonly to remove a peripheral pulmonary nodule or another localized lesion when wedge excision is the intended treatment. This differs from a wedge taken chiefly to establish a diagnosis and from an anatomic segmentectomy or lobectomy.
Report 32505 for the initial therapeutic wedge resection in the operative session; report 32506 for each additional therapeutic wedge resection when supported. The operative report should establish the open approach, therapeutic intent, lesion location, and the extent and number of wedges. 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 are subject to the standard multiple-procedure reduction. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
32505 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $839.20 |
How the 32505 rate is calculated
Each of 32505’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 32505
RVUs × geographic indexes × conversion factor
Work15.36
15.36 RVUs× 1.000 GPCI
Practice expense7.62
7.62 RVUs× 1.000 GPCI
Malpractice3.81
3.81 RVUs× 1.000 GPCI
Adjusted RVUs
26.7900
Conversion factor
$33.4009
Medicare rate
$894.81
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 32505
32505 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 32505
Lung wedge resection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 32505
Lung wedge resection
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
32505 without 51 · national facility
$894.81
Lung wedge resection
32505-51 · Second procedure: 50%
$447.41
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
32505 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 32506Lung wedge resection
- 32505 identifies the initial therapeutic wedge resection; 32506 is the add-on for each additional therapeutic wedge.
- 32507Lung wedge resection
- Use 32507 when the open wedge is performed for diagnosis; 32505 describes therapeutic wedge removal.
- 32666Lung wedge resection
- Both describe an initial therapeutic lung wedge resection, but 32666 is performed thoracoscopically and 32505 through open thoracotomy.
32505 billing questions
How does 32505 differ from a diagnostic lung wedge resection?
32505 is for a therapeutic wedge resection intended to remove a lesion. When the wedge is performed chiefly to obtain tissue for diagnosis, consider 32507.
How is an additional therapeutic wedge reported?
32505 represents the initial therapeutic wedge resection. Report add-on code 32506 for each additional therapeutic wedge resection supported by the operative documentation.
Should modifier 50 be used for wedges on both lungs?
CMS identifies modifier 50 as inappropriate for this descriptor. Do not use it to represent right- and left-sided wedges.
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 an assistant or co-surgeon be paid for this operation?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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