# CPT 32656: Thoracoscopy W/parietal Pleurectomy

Medicare CPT 32656 pays $779.24 in a non-facility setting and $779.24 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $693.04 in Arkansas to $962.13 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/32656-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $779.24 |
| National facility | $779.24 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $962.13 | $962.13 |
| Florida | $882.48 | $882.48 |
| Illinois | $871.27 | $871.27 |
| New York | $866.27 | $866.27 |
| District of Columbia | $857.36 | $857.36 |
| New Jersey | $840.55 | $840.55 |
| Connecticut | $829.02 | $829.02 |
| Michigan | $808.76 | $808.76 |
| Massachusetts | $804.15 | $804.15 |
| Washington | $803.50 | $803.50 |
| Maryland | $803.41 | $803.41 |
| West Virginia | $794.56 | $794.56 |
| Georgia | $790.16 | $790.16 |
| California | $789.02 | $789.02 |
| Pennsylvania | $785.70 | $785.70 |
| Rhode Island | $783.65 | $783.65 |
| New Mexico | $781.15 | $781.15 |
| Puerto Rico | $780.25 | $780.25 |
| Virgin Islands | $780.25 | $780.25 |
| Montana | $779.03 | $779.03 |
| Colorado | $776.03 | $776.03 |
| New Hampshire | $775.52 | $775.52 |
| Texas | $770.22 | $770.22 |
| Delaware | $767.60 | $767.60 |
| Hawaii | $766.45 | $766.45 |
| Oregon | $765.57 | $765.57 |
| Louisiana | $763.53 | $763.53 |
| Nevada | $761.41 | $761.41 |
| Ohio | $759.30 | $759.30 |
| Missouri | $757.86 | $757.86 |
| Arizona | $756.25 | $756.25 |
| Utah | $753.86 | $753.86 |
| Wyoming | $751.11 | $751.11 |
| South Carolina | $744.83 | $744.83 |
| Kentucky | $743.50 | $743.50 |
| Virginia | $743.36 | $743.36 |
| Oklahoma | $729.52 | $729.52 |
| Maine | $728.18 | $728.18 |
| North Carolina | $724.15 | $724.15 |
| Vermont | $723.39 | $723.39 |
| Mississippi | $717.76 | $717.76 |
| North Dakota | $714.96 | $714.96 |
| Minnesota | $709.99 | $709.99 |
| South Dakota | $707.39 | $707.39 |
| Tennessee | $707.37 | $707.37 |
| Indiana | $706.16 | $706.16 |
| Idaho | $703.08 | $703.08 |
| Kansas | $702.61 | $702.61 |
| Alabama | $702.38 | $702.38 |
| Wisconsin | $694.31 | $694.31 |
| Iowa | $693.66 | $693.66 |
| Nebraska | $693.52 | $693.52 |
| Arkansas | $693.04 | $693.04 |

## 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 32656 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