Billing code 32671: PneumonectomyMedicare rate & RVUs in Utah
Reports removal of an entire lung using a thoracoscopic approach, typically for extensive lung disease when lesser anatomic resection is not performed.
CMS doesn’t publish an office rate for 32671 in Utah.
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 32671 covers
A thoracic surgeon removes an entire lung through a thoracoscopic approach, usually in a hospital operating room. A pneumonectomy may be performed for extensive lung cancer or other severe lung disease when removing a lobe or segment would not accomplish the intended resection. The operative report should establish that the complete lung, rather than a lobe, two lobes, or a segment, was removed and document the approach and side.
Choose this code when the completed operation is a thoracoscopic pneumonectomy; a lobectomy, bilobectomy, or segmentectomy is a different extent of resection. The major-surgery global period includes 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this descriptor and anatomy. An assistant at surgery 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.
32671 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $1,611.78 |
How the 32671 rate is calculated
Each of 32671’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 · 32671
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 31.12Practice expense 10.73Malpractice 7.85
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 32671
32671 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 32671
Pneumonectomy
| 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 · 32671
Pneumonectomy
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
32671 without 51 · national facility
$1,660.02
Pneumonectomy
32671-51 · Second procedure: 50%
$830.01
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%).
32671 compared with similar codes
Compare codes
32671 vs 32663 vs 32670 vs 32669 vs 32440: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 32663Thoracoscopic lobectomy
- Use 32663 when the thoracoscopic resection is a lobectomy. This code requires removal of the entire lung.
- 32670Thoracoscopic lung resection
- Use 32670 for thoracoscopic removal of two lobes. This code represents removal of the entire lung.
- 32669Lung resection
- Use 32669 for thoracoscopic removal of a lung segment; this code is for complete lung removal.
- 32440Pneumonectomy
- Both represent complete pneumonectomy, but 32440 is the open approach; this code is for the thoracoscopic approach.
32671 billing questions
How is this different from thoracoscopic lobectomy or bilobectomy?
This code is for removal of the entire lung. Use the lobectomy or bilobectomy code when the operative report documents removal of one lobe or two lobes, respectively.
What documentation supports reporting this code?
The operative report should identify the complete lung resection, the thoracoscopic approach, the side, and the clinical indication. It should distinguish the operation from a lesser anatomic resection.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this descriptor and anatomy.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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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