No office rate
32666 reports the initial therapeutic wedge resection; 32667 reports each additional therapeutic wedge resection beyond it.
On this page
CMS RVU26D · Effective 2026-10-01
32667 Lung wedge resection Medicare reimbursement rates in Rhode Island
Reports each additional thoracoscopic therapeutic wedge excision of lung tissue after the initial wedge resection during the same operative session. Compare 32667 office and facility rates across CMS payment localities in Rhode Island.
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 32667 in Rhode Island?
Rhode Island 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
$141.49
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 32667: Additional thoracoscopic therapeutic lung wedge resection
Reports each additional thoracoscopic therapeutic wedge excision of lung tissue after the initial wedge resection during the same operative session.
This code represents an additional therapeutic wedge excision of lung tissue performed through thoracoscopy, beyond the initial wedge resection. A thoracic surgeon may remove additional peripheral lung nodules or masses during an operative session, whether the additional resection is in the same lobe or another lobe. The service is typically performed in a hospital operating room or other surgical facility.
Report 32667 with the primary thoracoscopic therapeutic wedge resection, 32666, when the operative report supports one or more additional therapeutic wedge resections. Documentation should distinguish the initial resection from each additional excision and identify the targets and lung locations. This is an add-on code: CMS requires it to be billed with a primary procedure, and its payment is included within that procedure’s global period.
CMS billing rules for 32667
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.93 · 69%
- Practice expense (office) RVU0.58 · 14%
- Malpractice RVU0.73 · 17%
2.1K
Medicare services in 2024 · #2437 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.
32667 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
32668 describes a diagnostic wedge resection followed by an anatomic lung resection. 32667 is for additional therapeutic wedge excisions.
No office rate
32669 represents thoracoscopic segmentectomy, an anatomic resection; 32667 represents an additional wedge resection.
No office rate
32663 represents thoracoscopic lobectomy. Choose 32667 when the documented additional lung removal is a therapeutic wedge rather than a lobectomy.
Compare 32667 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$141.49
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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 32667 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
3,763
- Code
- 32667
- Physician work
- 2.93
- Practice expense
- 0.58
- Malpractice
- 0.73
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.019 | 2.9857 |
| Practice expense | 0.58 | × 1.033 | 0.5991 |
| Malpractice | 0.73 | × 0.892 | 0.6512 |
| Total RVUs | 4.2360 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$141.49
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1.019 |
| Practice expense | 0.58 | 1.033 |
| Malpractice | 0.73 | 0.892 |
(2.93 × 1.019 + 0.58 × 1.033 + 0.73 × 0.892) × $33.4009 = $141.49
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.
32667 billing questions
Can 32667 be billed by itself?
No. It is an add-on code reported with the primary thoracoscopic therapeutic wedge resection, generally 32666, and is paid within that procedure’s global period.
How many units should be reported?
Report each additional therapeutic wedge resection beyond the initial one. The operative note should identify the additional excisions and their lung locations.
How is 32667 different from 32666?
32666 represents the initial therapeutic wedge resection; 32667 represents each additional therapeutic wedge resection in the operative session.
When is 32668 more appropriate?
Use 32668 for a diagnostic wedge resection followed by an anatomic lung resection. Use 32667 for additional therapeutic wedge resections, not that diagnostic-to-anatomic sequence.
Does 32667 describe a lobectomy or segmentectomy?
No. It describes additional wedge excision. Codes 32663 and 32669 represent thoracoscopic lobectomy and segmentectomy, respectively.
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.
3,76032664,,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
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537