CPT 32506
Global ZZZ ActiveWedge resect of lung add-on
CPT 32506 Billing & Documentation Guide
CPT code 32506 (Wedge resect of lung add-on) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.93, a non-facility practice expense RVU of 0.58, and a malpractice RVU of 0.72, a total non-facility RVU of 4.23 and facility RVU of 4.23. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $140.67, though rates vary from $123.83 to $180.68 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 32506, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 32506 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 32506 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 32506
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.93 | 2.93 |
| Practice Expense RVU | 0.58 | 0.58 |
| Malpractice RVU | 0.72 | 0.72 |
| Total RVU | 4.23 | 4.23 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 32506
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $137.34 | $137.34 | $133.65 - $149.45 | 29 |
| Florida | $164.12 | $164.12 | $152.53 - $178.85 | 3 |
| Georgia | $145.27 | $145.27 | $143.81 - $146.72 | 2 |
| Illinois | $162.88 | $162.88 | $153.14 - $173.21 | 4 |
| Michigan | $149.91 | $149.91 | $142.7 - $157.11 | 2 |
| North Carolina | $131.31 | $131.31 | $131.31 - $131.31 | 1 |
| New York | $156.81 | $156.81 | $133.17 - $171.82 | 5 |
| Ohio | $139.79 | $139.79 | $139.79 - $139.79 | 1 |
| Pennsylvania | $143.43 | $143.43 | $138.37 - $148.48 | 2 |
| Texas | $139.81 | $139.81 | $136.6 - $150.98 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 32506
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 32506 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0600T | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 0601T | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 32506
What does CPT code 32506 mean? +
CPT code 32506 represents: Wedge resect of lung add-on. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 32506? +
The 2026 Medicare national average non-facility payment for CPT 32506 is $140.67. Rates range from $123.83 to $180.68 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 32506? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 32506? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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