32664 Thoracoscopy with th nerve excision
Also known as: VATS nerve excision, thoracoscopic sympathectomy
Thoracoscopic excision of a thoracic nerve or sympathetic chain, performed for thoracic pain syndrome, hyperhidrosis, or other indications.
In Plain Language
camera removal of chest nerve
Clinical Context
Used for intractable thoracic pain, primary hyperhidrosis, or other thoracic nerve-related conditions suitable for VATS-guided excision.
RVU Breakdown
| Work RVU | 13.92 |
| Total RVU | 13.92 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 13.92, this code ranks in the 70th percentile among Surgery codes — 1.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 32664?
CPT 32664 (Thoracoscopy with th nerve excision) is a Surgery code. Thoracoscopic excision of a thoracic nerve or sympathetic chain, performed for thoracic pain syndrome, hyperhidrosis, or other indications.
What is the wRVU value for CPT 32664?
The work RVU for CPT 32664 is 13.92. This code is primarily used by Thoracic Surgery, Pain Management. It has a 90-day global period.
When is CPT 32664 used?
Used for intractable thoracic pain, primary hyperhidrosis, or other thoracic nerve-related conditions suitable for VATS-guided excision.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.