No office rate
32505 identifies the initial therapeutic wedge resection; 32506 is the add-on for each additional therapeutic wedge.
On this page
CMS RVU26D · Effective 2026-10-01
32505 Lung wedge resection Medicare reimbursement rates in Wyoming
Open therapeutic lung wedge resection removes a localized lesion, such as a peripheral nodule, when wedge excision is the intended treatment. Compare 32505 office and facility rates across CMS payment localities in Wyoming.
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 32505 in Wyoming?
Wyoming 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
$861.72
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 32505: Open therapeutic lung wedge resection
Open therapeutic lung wedge resection removes a localized lesion, such as a peripheral nodule, when wedge excision is the intended treatment.
An open therapeutic lung wedge resection removes a limited, nonanatomic portion of lung containing a lesion while leaving surrounding lung in place. Thoracic surgeons perform it through a thoracotomy, commonly to remove a peripheral pulmonary nodule or another localized lesion when wedge excision is the intended treatment. This differs from a wedge taken chiefly to establish a diagnosis and from an anatomic segmentectomy or lobectomy.
Report 32505 for the initial therapeutic wedge resection in the operative session; report 32506 for each additional therapeutic wedge resection when supported. The operative report should establish the open approach, therapeutic intent, lesion location, and the extent and number of wedges. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32505
- 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 RVU15.36 · 57%
- Practice expense (office) RVU7.62 · 28%
- Malpractice RVU3.81 · 14%
943
Medicare services in 2024 · #3014 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.
32505 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Use 32507 when the open wedge is performed for diagnosis; 32505 describes therapeutic wedge removal.
No office rate
Both describe an initial therapeutic lung wedge resection, but 32666 is performed thoracoscopically and 32505 through open thoracotomy.
Compare 32505 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$861.72
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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 32505 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,724
- Code
- 32505
- Physician work
- 15.36
- Practice expense
- 7.62
- Malpractice
- 3.81
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.36 | × 1.000 | 15.3600 |
| Practice expense | 7.62 | × 1.000 | 7.6200 |
| Malpractice | 3.81 | × 0.740 | 2.8194 |
| Total RVUs | 25.7994 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$861.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.36 | 1 |
| Practice expense | 7.62 | 1 |
| Malpractice | 3.81 | 0.74 |
(15.36 × 1 + 7.62 × 1 + 3.81 × 0.74) × $33.4009 = $861.72
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.
32505 billing questions
How does 32505 differ from a diagnostic lung wedge resection?
32505 is for a therapeutic wedge resection intended to remove a lesion. When the wedge is performed chiefly to obtain tissue for diagnosis, consider 32507.
How is an additional therapeutic wedge reported?
32505 represents the initial therapeutic wedge resection. Report add-on code 32506 for each additional therapeutic wedge resection supported by the operative documentation.
Should modifier 50 be used for wedges on both lungs?
CMS identifies modifier 50 as inappropriate for this descriptor. Do not use it to represent right- and left-sided wedges.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid for this operation?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; 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.
3,72132501,,Repair bronchus add-on,A,,4.56,0.90,NA,0.90,,1.15,6.61,6.61,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72232503,,Resect apical lung tumor,A,,30.95,11.93,NA,11.93,,7.81,50.69,50.69,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72332504,,Resect apical lung tum/chest,A,,35.63,12.85,NA,12.85,,8.99,57.47,57.47,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72432505,,Wedge resect of lung initial,A,,15.36,7.62,NA,7.62,,3.81,26.79,26.79,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72532506,,Wedge resect of lung add-on,A,,2.93,0.58,NA,0.58,,0.72,4.23,4.23,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72632507,,Wedge resect of lung diag,A,,2.93,0.58,NA,0.58,,0.72,4.23,4.23,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,7273250F,,Nonprim loc anat bx site tum,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,