# CPT 32658: Thoracoscopy W/rmvl Clot/fb From Pericardial Sac

Medicare CPT 32658 pays $695.41 in a non-facility setting and $695.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $618.16 in Arkansas to $857.26 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/32658-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $695.41 |
| National facility | $695.41 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $857.26 | $857.26 |
| Florida | $786.88 | $786.88 |
| Illinois | $776.71 | $776.71 |
| New York | $773.17 | $773.17 |
| District of Columbia | $765.66 | $765.66 |
| New Jersey | $750.44 | $750.44 |
| Connecticut | $739.96 | $739.96 |
| Michigan | $721.17 | $721.17 |
| Massachusetts | $718.21 | $718.21 |
| Washington | $717.73 | $717.73 |
| Maryland | $717.07 | $717.07 |
| West Virginia | $708.15 | $708.15 |
| California | $705.18 | $705.18 |
| Georgia | $704.79 | $704.79 |
| Pennsylvania | $700.99 | $700.99 |
| Rhode Island | $699.50 | $699.50 |
| New Mexico | $696.57 | $696.57 |
| Puerto Rico | $696.37 | $696.37 |
| Virgin Islands | $696.37 | $696.37 |
| Montana | $695.22 | $695.22 |
| Colorado | $692.95 | $692.95 |
| New Hampshire | $692.37 | $692.37 |
| Texas | $687.31 | $687.31 |
| Delaware | $685.01 | $685.01 |
| Hawaii | $684.93 | $684.93 |
| Oregon | $683.62 | $683.62 |
| Louisiana | $680.94 | $680.94 |
| Nevada | $679.62 | $679.62 |
| Ohio | $677.20 | $677.20 |
| Missouri | $675.95 | $675.95 |
| Arizona | $674.84 | $674.84 |
| Utah | $672.54 | $672.54 |
| Wyoming | $670.48 | $670.48 |
| South Carolina | $664.45 | $664.45 |
| Virginia | $663.52 | $663.52 |
| Kentucky | $663.05 | $663.05 |
| Oklahoma | $650.69 | $650.69 |
| Maine | $649.90 | $649.90 |
| North Carolina | $646.19 | $646.19 |
| Vermont | $645.87 | $645.87 |
| Mississippi | $640.07 | $640.07 |
| North Dakota | $638.47 | $638.47 |
| Minnesota | $634.25 | $634.25 |
| South Dakota | $631.76 | $631.76 |
| Tennessee | $631.18 | $631.18 |
| Indiana | $630.21 | $630.21 |
| Idaho | $627.44 | $627.44 |
| Kansas | $626.92 | $626.92 |
| Alabama | $626.54 | $626.54 |
| Wisconsin | $619.91 | $619.91 |
| Iowa | $619.06 | $619.06 |
| Nebraska | $618.99 | $618.99 |
| Arkansas | $618.16 | $618.16 |

## 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 32658 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