# CPT 32655: Thoracoscopy W/resection Bullae W/wo Pleural Px

Medicare CPT 32655 pays $915.85 in a non-facility setting and $915.85 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $813.75 in Wisconsin to $1,136.70 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/32655-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $915.85 |
| National facility | $915.85 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,136.70 | $1,136.70 |
| Florida | $1,041.61 | $1,041.61 |
| Illinois | $1,029.21 | $1,029.21 |
| New York | $1,017.99 | $1,017.99 |
| District of Columbia | $1,004.98 | $1,004.98 |
| New Jersey | $986.27 | $986.27 |
| Connecticut | $973.90 | $973.90 |
| Michigan | $953.93 | $953.93 |
| Maryland | $943.86 | $943.86 |
| Massachusetts | $941.98 | $941.98 |
| Washington | $940.62 | $940.62 |
| West Virginia | $939.02 | $939.02 |
| Georgia | $930.74 | $930.74 |
| Pennsylvania | $924.43 | $924.43 |
| California | $921.48 | $921.48 |
| New Mexico | $921.02 | $921.02 |
| Rhode Island | $920.10 | $920.10 |
| Puerto Rico | $916.70 | $916.70 |
| Virgin Islands | $916.70 | $916.70 |
| Montana | $915.59 | $915.59 |
| New Hampshire | $909.91 | $909.91 |
| Colorado | $909.74 | $909.74 |
| Texas | $905.38 | $905.38 |
| Delaware | $902.07 | $902.07 |
| Louisiana | $899.68 | $899.68 |
| Oregon | $897.35 | $897.35 |
| Hawaii | $895.54 | $895.54 |
| Ohio | $894.53 | $894.53 |
| Nevada | $894.08 | $894.08 |
| Missouri | $892.61 | $892.61 |
| Arizona | $888.88 | $888.88 |
| Utah | $886.96 | $886.96 |
| Wyoming | $881.55 | $881.55 |
| South Carolina | $876.52 | $876.52 |
| Kentucky | $876.09 | $876.09 |
| Virginia | $872.69 | $872.69 |
| Oklahoma | $858.91 | $858.91 |
| Maine | $855.13 | $855.13 |
| North Carolina | $850.99 | $850.99 |
| Vermont | $848.11 | $848.11 |
| Mississippi | $845.67 | $845.67 |
| North Dakota | $837.48 | $837.48 |
| Tennessee | $831.36 | $831.36 |
| Minnesota | $830.43 | $830.43 |
| Indiana | $829.26 | $829.26 |
| South Dakota | $828.25 | $828.25 |
| Alabama | $826.45 | $826.45 |
| Idaho | $825.75 | $825.75 |
| Kansas | $825.72 | $825.72 |
| Arkansas | $815.60 | $815.60 |
| Iowa | $814.44 | $814.44 |
| Nebraska | $813.99 | $813.99 |
| Wisconsin | $813.75 | $813.75 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 32655 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules