No office rate
32666 reports the initial therapeutic wedge resection. 32667 is the add-on for each additional therapeutic wedge resection in the same lobe.
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CMS RVU26D · Effective 2026-10-01
32666 Lung wedge resection Medicare reimbursement rates in Texas
Reports an initial video-assisted thoracoscopic wedge resection that removes a limited portion of lung to treat a nodule, mass, or other lesion. Compare 32666 office and facility rates across CMS payment localities in Texas.
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 32666 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 32666 pays more and less in Texas
Thoracic surgery
About 32666: Thoracoscopic therapeutic lung wedge resection
Reports an initial video-assisted thoracoscopic wedge resection that removes a limited portion of lung to treat a nodule, mass, or other lesion.
A thoracic or general surgeon uses a thoracoscopic approach to remove a limited, nonanatomic portion of lung containing a lesion. The procedure is typically performed in an operating room for a nodule or mass being treated by excision, rather than removed solely to establish a diagnosis. The specimen is submitted for examination, with the operative record identifying the target and the lung tissue removed.
Report 32666 for the initial therapeutic wedge resection. Documentation should establish the therapeutic purpose, thoracoscopic approach, lesion location, and extent of resection; additional wedge resections in the same lobe may be reported with add-on code 32667 when supported. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 32666
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU14.14 · 56%
- Practice expense (office) RVU7.42 · 30%
- Malpractice RVU3.56 · 14%
9.5K
Medicare services in 2024 · #1498 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.
32666 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
Use 32668 when the lung wedge is diagnostic. Use 32666 when the wedge is performed therapeutically to remove a lesion.
No office rate
32608 is for thoracoscopic biopsy of a lung nodule; 32666 describes therapeutic removal of a wedge of lung containing a lesion.
No office rate
32663 describes removal of a lung lobe. 32666 removes a limited wedge rather than an entire lobe.
Compare 32666 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $840.79 |
| Beaumont | Office Unavailable | Facility $808.28 |
| Brazoria | Office Unavailable | Facility $814.42 |
| Dallas | Office Unavailable | Facility $825.41 |
| Fort Worth | Office Unavailable | Facility $824.47 |
| Galveston | Office Unavailable | Facility $820.62 |
| Houston | Office Unavailable | Facility $885.78 |
| Rest Of Texas | Office Unavailable | Facility $814.86 |
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32666 billing questions
How is a therapeutic wedge resection distinguished from a diagnostic wedge?
Use 32666 when the wedge is performed to treat the lesion by removing it. A wedge performed to obtain tissue for diagnosis is reported with 32668.
Can additional wedge resections be reported with 32666?
Code 32667 is the add-on for each additional therapeutic wedge resection in the same lobe. The operative report should identify the additional resection and its location.
When is 32608 used instead?
32608 describes thoracoscopic biopsy of a lung nodule. Choose 32666 when the surgeon removes a wedge of lung therapeutically rather than performing a nodule biopsy.
What global and multiple-procedure payment rules apply?
32666 has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure payment, the highest-valued procedure is paid in full and others at 50%.
How are bilateral procedures and assisting surgeons handled?
A bilateral procedure reported with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and 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.
3,75932663,,Thoracoscopy w/lobectomy,A,,24.02,9.43,NA,9.43,,6.03,39.48,39.48,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76032664,,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