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CPT code 32550: Pleural catheter, tunneled catheter with cuff2026 Medicare rate & RVUs in Iowa

Report tunneled pleural catheter placement when a cuffed, indwelling catheter is inserted to manage recurrent fluid in the pleural space.

CMS RVU26DEffective Oct 1, 2026One payment locality13.2K Medicare services in 2024

In Iowa, Medicare pays $719.00 for 32550 in the office and $167.97 when it’s performed in a hospital or facility.

$719.00Office (non-facility)
$167.97Hospital or facility
−8.2%vs the national office rate ($783.59)

Check a contract rate as a % of Medicare · 32550 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 32550 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 32550 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 32550 covers

This service places a cuffed catheter through a subcutaneous tunnel into the pleural space, leaving it in place for repeated drainage. Pulmonologists, thoracic surgeons, and interventional radiologists commonly perform the procedure for recurrent pleural effusions, including malignant effusions, in hospital outpatient or office settings. The tunneled route and cuff distinguish this device from a temporary pleural drain.

Select the code when the documentation supports placement of an indwelling tunneled catheter with a cuff, rather than a non-tunneled catheter or a one-time pleural aspiration. Record the indication, catheter type and placement, and the pleural space treated. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Iowa compares for 32550

Across 109 of 109 payment localities, the office rate for 32550 runs from $685.23 in Arkansas to $1,072.14 in San Benito County, CA. Iowa pays $719.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

32550 in Iowa vs other payment areas
  1. Iowa · this page$719.00
  2. Los Angeles, CA · California$900.02+$181.02
  3. Washington, DC area · District of Columbia$906.13+$187.13
  4. Miami, FL · Florida$835.83+$116.83
  5. Chicago, IL · Illinois$809.73+$90.73
  6. Manhattan, NY · New York$905.24+$186.24
  7. Alaska · Alaska$881.26+$162.26

Other areas in Iowa first, then benchmark localities. Bars start at $0.

Every other payment area

32550 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$696.32$169.38
ArkansasArkansas$685.23$167.92
ArizonaArizona$761.32$177.77
Bakersfield, CACalifornia$840.69$180.66
Chico, CACalifornia$839.19$179.16
El Centro, CACalifornia$839.28$179.24
Fresno, CACalifornia$839.19$179.16
Hanford, CACalifornia$839.19$179.16

32550 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$685.23

$955.67

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
32550 office rate range by state
State / territoryOffice rate rangeLocalities
AK$881.261
AL$696.321
AR$685.231
AZ$761.321
CA$839.19–$1,072.1429
CO$822.281
CT$838.911
DC$906.131
DE$774.841
FL$764.04–$835.833
GA$717.85–$797.622
GU$863.951
HI$863.951
IA$719.001
ID$723.491
IL$737.59–$814.884
IN$728.191
KS$713.801
KY$711.211
LA$709.39–$748.202
MA$816.03–$910.902
MD$791.13–$906.133
ME$726.03–$771.552
MI$730.19–$772.912
MN$790.121
MO$694.97–$752.953
MS$690.321
MT$783.551
NC$734.631
ND$773.471
NE$723.791
NH$807.651
NJ$849.13–$895.022
NM$733.981
NV$781.381
NY$746.58–$927.115
OH$728.131
OK$711.421
OR$775.97–$852.192
PA$730.25–$815.372
PR$790.361
RI$805.261
SC$732.471
SD$772.271
TN$717.551
TX$724.87–$818.968
UT$743.511
VA$767.71–$906.132
VI$790.361
VT$768.781
WA$815.04–$931.892
WI$744.961
WV$707.221
WY$779.161

See 32550 in every payment locality

How the 32550 rate is calculated

Each of 32550’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 32550

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.82

3.82 RVUs× 1.000 GPCI

Practice expense19.13

19.13 RVUs× 1.000 GPCI

Malpractice0.51

0.51 RVUs× 1.000 GPCI

Adjusted RVUs

23.4600

Conversion factor

$33.4009

Medicare rate

$783.59

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,729

Code
32550
Physician work
3.82
Practice expense
19.13
Malpractice
0.51

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 32550 in Iowa
ComponentRVULocality factorAdjusted
Physician work3.82× 1.0003.8200
Practice expense19.13× 0.91517.5039
Malpractice0.51× 0.3970.2025
Total RVUs21.5264
Conversion factor× 33.4009

Office rate, Iowa$719.00

Office: (3.82 × 1 + 19.13 × 0.915 + 0.51 × 0.397) × $33.4009 = $719.00

Facility: (3.82 × 1 + 1.1 × 0.915 + 0.51 × 0.397) × $33.4009 = $167.97

Open 32550 in the RVU calculator

Payment rules and modifiers for 32550

The CMS indicators that decide how 32550 is paid alongside other services.

CMS payment indicators · 32550

Pleural catheter, tunneled catheter with cuff

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 32550

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 32550
CodeHow it relatesOffice range, Iowa
Used instead
32556Pleural catheter, without imaging guidanceNon-tunneled pleural catheter insertion without imaging guidance.$770.07
32557Pleural catheter, with imaging guidanceNon-tunneled pleural catheter insertion with imaging guidance.$595.82
32551Chest tube, open thoracostomyChest tube insertion for pleural drainage rather than tunneled indwelling catheter placement.No office rate
32554Thoracentesis, without imaging guidancePleural fluid aspiration without imaging, rather than leaving a catheter in place.$239.77
32555Thoracentesis, with imaging guidancePleural fluid aspiration with imaging, rather than leaving a catheter in place.$287.00

How 32550 has changed in Iowa

32550 · Office / nonfacility

$719.00

Effective 2026-10-01

The base rate is $59.43 higher than on 2025-10-01, moving from $659.57 to $719.00 (9.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $659.57changed to$719.00

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.92 changed to 3.82
    • Practice expense RVU 17.78 changed to 19.13
    • Malpractice RVU 0.52 changed to 0.51
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $703.38changed to$659.57

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 18.58 changed to 17.78
    • Malpractice RVU 0.54 changed to 0.52

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $691.90changed to$703.38

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $736.07changed to$691.90

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 19.30 changed to 18.58
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $777.00changed to$736.07

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 20.18 changed to 19.30
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $783.30changed to$777.00

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.53 changed to 0.54

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $738.78changed to$783.30

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 18.00 changed to 20.18
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $699.64changed to$738.78

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 16.83 changed to 18.00
    • Malpractice RVU 0.54 changed to 0.53
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $663.26changed to$699.64

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 15.73 changed to 16.83
    • Malpractice RVU 0.56 changed to 0.54

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $659.10changed to$663.26

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 15.72 changed to 15.73
    • Malpractice RVU 0.58 changed to 0.56
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $720.55changed to$659.10

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 4.17 changed to 3.92
    • Practice expense RVU 17.46 changed to 15.72
    • Malpractice RVU 0.63 changed to 0.58
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $724.01changed to$720.55

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 17.47 changed to 17.46
    • Malpractice RVU 0.66 changed to 0.63

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $720.40changed to$724.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $715.33changed to$720.40

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 17.36 changed to 17.47
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $740.15changed to$715.33

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 19.47 changed to 17.36
    • Malpractice RVU 0.69 changed to 0.66
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $740.15

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$719.00$167.97RVU26D
2026-07-01$719.00$167.97RVU26C
2026-04-01$719.00$167.97RVU26B
2026-01-01$719.00$167.97RVU26A
2025-10-01$659.57$181.15RVU25D
2025-07-01$659.57$181.15RVU25C
2025-04-01$659.57$181.15RVU25B
2025-01-01$659.57$181.15RVU25A
2024-10-01$703.38$185.50RVU24D
2024-07-01$703.38$185.50RVU24C
2024-04-01$703.38$185.50RVU24B
2024-03-09$703.38$185.50RVU24AR
2024-01-01$691.90$182.48RVU24A
2023-10-01$736.07$188.40RVU23D
2023-07-01$736.07$188.40RVU23C
2023-04-01$736.07$188.40RVU23B
2023-01-01$736.07$188.40RVU23A
2022-10-01$777.00$191.62RVU22D
2022-07-01$777.00$191.62RVU22C
2022-04-01$777.00$191.62RVU22B
2022-01-01$777.00$191.62RVU22A
2021-10-01$783.30$193.38RVU21D
2021-07-01$783.30$193.38RVU21C
2021-04-01$783.30$193.38RVU21B
2021-01-01$783.30$193.38RVU21A
2020-10-01$738.78$199.34RVU20D
2020-07-01$738.78$199.34RVU20C
2020-04-01$738.78$199.34RVU20B
2020-01-01$738.78$199.34RVU20A
2019-10-01$699.64$199.19RVU19D
2019-07-01$699.64$199.19RVU19C
2019-04-01$699.64$199.19RVU19B
2019-01-01$699.64$199.19RVU19A
2018-10-01$663.26$199.60RVU18D
2018-07-01$663.26$199.60RVU18C
2018-04-01$663.26$199.60RVU18B
2018-01-01$663.26$199.60RVU18AR1
2017-10-01$659.10$200.39RVU17D
2017-07-01$659.10$200.39RVU17C
2017-04-01$659.10$200.39RVU17B
2017-01-01$659.10$200.39RVU17A
2016-10-01$720.55$212.72RVU16D
2016-07-01$720.55$212.72RVU16C
2016-04-01$720.55$212.72RVU16B
2016-01-01$720.55$212.72RVU16A
2015-10-01$724.01$214.34RVU15D
2015-07-01$724.01$214.34RVU15C
2015-04-01$720.40$213.27RVU15B
2015-01-01$720.40$213.27RVU15A
2014-10-01$715.33$213.34RVU14D
2014-07-01$715.33$213.34RVU14C
2014-04-01$715.33$213.34RVU14B
2014-01-01$715.33$213.34RVU14A
2013-10-01$740.15$206.00RVU13D
2013-07-01$740.15$206.00RVU13C
2013-04-01$740.15$206.00RVU13B
2013-01-01$740.15$206.00RVU13AR

Price 32550 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

32550 billing questions

How does this differ from codes 32556 and 32557?

Code 32550 describes placement of an indwelling tunneled catheter with a cuff. Codes 32556 and 32557 describe pleural catheter insertion without that tunneled-cuff distinction, with imaging status distinguishing those two codes.

When would a pleural aspiration code be more appropriate?

Use 32554 or 32555 for aspiration of pleural fluid rather than placement of a catheter intended to remain for repeated drainage. The aspiration codes differ according to imaging guidance.

Is same-day preoperative or postoperative care separately included?

CMS assigns 32550 a 0-day global period. Same-day preoperative and postoperative care is included in the procedure.

Can an assistant, co-surgeon, or surgical team be paid?

CMS does not pay for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What documentation supports reporting 32550?

Document the recurrent pleural-fluid indication and that a cuffed catheter was placed through a tunnel and left indwelling in the pleural space. A temporary drain or one-time aspiration supports a different service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 32550PPRRVU2026_Oct_nonQPP.csv, line 3,729 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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