No office rate
32662 reports thoracoscopic excision of a mediastinal lesion. Use 32674 for lymph node dissection performed with a qualifying primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
32674 Node dissection Medicare reimbursement rates in Utah
Reports thoracoscopic mediastinal and regional lymph node dissection performed with a qualifying lung resection, commonly for oncologic staging. Compare 32674 office and facility rates across CMS payment localities in Utah.
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 32674 in Utah?
Utah 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
$190.30
1 of 1 localities have a supported rate.
Payment area: Utah
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 32674: Thoracoscopic regional lymph node dissection
Reports thoracoscopic mediastinal and regional lymph node dissection performed with a qualifying lung resection, commonly for oncologic staging.
This add-on represents thoracoscopic removal of mediastinal and regional lymph nodes, often performed by a thoracic surgeon during resection of a lung malignancy for nodal staging. The surgeon identifies and removes lymphatic tissue from the relevant mediastinal and regional areas through the thoracoscopic approach. The service is typically performed in the operating room as part of a lung resection, rather than as a stand-alone procedure.
Report 32674 with an eligible primary thoracoscopic resection, such as lobectomy, segmentectomy, bilobectomy, or pneumonectomy, when the lymph node dissection is performed. The operative report should support that nodal dissection occurred and describe the relevant nodal areas addressed; a lung resection alone does not establish that this additional service was performed. CMS treats 32674 as an add-on code: it is billed only with a primary procedure, and its payment is included within that procedure’s global period.
CMS billing rules for 32674
- 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 RVU4.02 · 69%
- Practice expense (office) RVU0.81 · 14%
- Malpractice RVU1.02 · 17%
21.9K
Medicare services in 2024 · #1110 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.
32674 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
32663 reports the thoracoscopic lobectomy. Add 32674 only when mediastinal and regional lymph node dissection is also performed.
No office rate
32669 reports thoracoscopic segmentectomy. It is the primary resection code; 32674 represents accompanying lymph node dissection.
No office rate
32668 reports a thoracoscopic diagnostic wedge resection. 32674 instead captures lymph node dissection with a qualifying primary procedure.
Compare 32674 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
Utah →
Office / nonfacility
Unavailable
Facility
$190.30
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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 32674 in Utah.
PPRRVU2026_Oct_nonQPP.csv
3,771
- Code
- 32674
- Physician work
- 4.02
- Practice expense
- 0.81
- Malpractice
- 1.02
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.02 | × 1.000 | 4.0200 |
| Practice expense | 0.81 | × 0.940 | 0.7614 |
| Malpractice | 1.02 | × 0.898 | 0.9160 |
| Total RVUs | 5.6974 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$190.30
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.02 | 1 |
| Practice expense | 0.81 | 0.94 |
| Malpractice | 1.02 | 0.898 |
(4.02 × 1 + 0.81 × 0.94 + 1.02 × 0.898) × $33.4009 = $190.30
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.
32674 billing questions
Can 32674 be reported by itself?
No. It is an add-on code and must be billed with a qualifying primary procedure, such as a thoracoscopic lobectomy or segmentectomy.
Which primary procedures are commonly paired with 32674?
It is commonly reported with thoracoscopic lobectomy, segmentectomy, bilobectomy, or pneumonectomy when mediastinal and regional lymph node dissection is also performed.
Does the lung resection alone support reporting 32674?
No. The operative documentation should support that lymph node dissection was performed, with the relevant nodal areas addressed.
How does 32674 differ from 32662?
32674 reports lymph node dissection performed with a primary thoracoscopic procedure. 32662 describes thoracoscopic excision of a mediastinal lesion, not lymphadenectomy.
Does 32674 have a separate global period?
CMS payment for this add-on is within the global period of the primary procedure with which it is billed.
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.
3,76832671,,Thoracoscopy pneumonectomy,A,,31.12,10.73,NA,10.73,,7.85,49.70,49.70,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76932672,,Thoracoscopy for lvrs,A,,26.33,9.78,NA,9.78,,6.62,42.73,42.73,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,77032673,,Thoracoscopy w/thymus resect,A,,20.60,8.70,NA,8.70,,5.16,34.46,34.46,0,090,0.09,0.82,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,77132674,,Thoracoscopy lymph node exc,A,,4.02,0.81,NA,0.81,,1.02,5.85,5.85,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,7723267F,,Path rprt w/ pt pn cat et al,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
3,7733268F,,Psa/t/glsc docd b/4 txmnt,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
3,7743269F,,Bone scn b/4 txmnt/aftr dx,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985