32665 Thoracoscop with esophageal muscle excision
Also known as: VATS esophageal excision, thoracoscopic esophagomyotomy
Thoracoscopic excision of an esophageal muscular lesion or diverticulum, performed for esophageal pathology accessible via thoracoscopic approach.
In Plain Language
camera removal of esophagus growth
Clinical Context
Used for esophageal diverticula, esophageal motility disorders, or muscular lesions of the esophagus requiring surgical intervention.
RVU Breakdown
| Work RVU | 20.99 |
| Total RVU | 20.99 |
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 20.99, this code ranks in the 83rd percentile among Surgery codes — 2.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 32665?
CPT 32665 (Thoracoscop with esophageal muscle excision) is a Surgery code. Thoracoscopic excision of an esophageal muscular lesion or diverticulum, performed for esophageal pathology accessible via thoracoscopic approach.
What is the wRVU value for CPT 32665?
The work RVU for CPT 32665 is 20.99. This code is primarily used by Thoracic Surgery, Esophageal Surgery. It has a 90-day global period.
When is CPT 32665 used?
Used for esophageal diverticula, esophageal motility disorders, or muscular lesions of the esophagus requiring surgical intervention.
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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.