No office rate
Use 32663 when the thoracoscopic resection is a lobectomy. This code requires removal of the entire lung.
On this page
CMS RVU26D · Effective 2026-10-01
32671 Pneumonectomy Medicare reimbursement rates in Vermont
Reports removal of an entire lung using a thoracoscopic approach, typically for extensive lung disease when lesser anatomic resection is not performed. Compare 32671 office and facility rates across CMS payment localities in Vermont.
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 32671 in Vermont?
Vermont 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
$1526.92
1 of 1 localities have a supported rate.
Payment area: Vermont
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 32671: Thoracoscopic complete lung removal
Reports removal of an entire lung using a thoracoscopic approach, typically for extensive lung disease when lesser anatomic resection is not performed.
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.
CMS billing rules for 32671
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU31.12 · 63%
- Practice expense (office) RVU10.73 · 22%
- Malpractice RVU7.85 · 16%
31
Medicare services in 2024 · #5641 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.
32671 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Use 32670 for thoracoscopic removal of two lobes. This code represents removal of the entire lung.
No office rate
Use 32669 for thoracoscopic removal of a lung segment; this code is for complete lung removal.
No office rate
Both represent complete pneumonectomy, but 32440 is the open approach; this code is for the thoracoscopic approach.
Compare 32671 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
Vermont →
Office / nonfacility
Unavailable
Facility
$1526.92
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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 32671 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
3,768
- Code
- 32671
- Physician work
- 31.12
- Practice expense
- 10.73
- Malpractice
- 7.85
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 31.12 | × 1.000 | 31.1200 |
| Practice expense | 10.73 | × 0.990 | 10.6227 |
| Malpractice | 7.85 | × 0.506 | 3.9721 |
| Total RVUs | 45.7148 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1526.92
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 31.12 | 1 |
| Practice expense | 10.73 | 0.99 |
| Malpractice | 7.85 | 0.506 |
(31.12 × 1 + 10.73 × 0.99 + 7.85 × 0.506) × $33.4009 = $1526.92
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.
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 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.
3,76532669,,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
3,76732670,,Thoracoscopy bilobectomy,A,,27.81,10.16,NA,10.16,,6.94,44.91,44.91,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,76832671,,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
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817