CPT code 32551: Chest tube, open thoracostomy2026 Medicare rate & RVUs in New Mexico

Report open tube thoracostomy when a chest tube is placed into the pleural space for ongoing drainage of air or fluid.

CMS RVU26DEffective Oct 1, 2026One payment locality25.6K Medicare services in 2024

In New Mexico, Medicare pays $144.51 for 32551 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$144.51Hospital or facility

Check a contract rate as a % of Medicare · 32551 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 32551 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 32551 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 32551 covers

This service places a chest tube into the pleural space through an open approach and connects it to a drainage system. It is commonly performed for pneumothorax, hemothorax, or a pleural collection requiring continued drainage. Emergency physicians, trauma or thoracic surgeons, pulmonologists, and critical care clinicians may perform it, most often in a hospital or emergency setting.

Report 32551 for the open tube placement, not for a percutaneous pleural catheter or a one-time fluid aspiration. Documentation should identify the indication, side, approach, tube placement, and connection to drainage. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral procedures, modifier 50 is paid at 150%. In a session with multiple procedures, the highest-valued procedure is paid in full and the others at 50%. CMS does not pay an assistant at surgery for this service and does not permit co-surgeon or team-surgery reporting.

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 New Mexico compares for 32551

Across 109 of 109 payment localities, the facility rate for 32551 runs from $129.16 in Wisconsin to $185.81 in Alaska. New Mexico pays $144.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

32551 in New Mexico vs other payment areas
  1. New Mexico · this page$144.51
  2. Los Angeles, CA · California$145.54+$1.03
  3. Washington, DC area · District of Columbia$154.95+$10.44
  4. Miami, FL · Florida$172.10+$27.59
  5. Chicago, IL · Illinois$167.57+$23.06
  6. Manhattan, NY · New York$164.21+$19.70
  7. Alaska · Alaska$185.81+$41.30

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

Every other payment area

32551 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$131.77
ArkansasArkansas—$130.42
ArizonaArizona—$139.51
Bakersfield, CACalifornia—$140.12
Chico, CACalifornia—$138.58
El Centro, CACalifornia—$138.67
Fresno, CACalifornia—$138.58
Hanford, CACalifornia—$138.58

32551 rates by state

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

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.

View every state and territory as a table
32551 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 32551 in every payment locality

How the 32551 rate is calculated

Each of 32551’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 · 32551

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.96

2.96 RVUs× 1.000 GPCI

Practice expense0.77

0.77 RVUs× 1.000 GPCI

Malpractice0.55

0.55 RVUs× 1.000 GPCI

Adjusted RVUs

4.2800

Conversion factor

$33.4009

Medicare rate

$142.96

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,730

Code
32551
Physician work
2.96
Practice expense
0.77
Malpractice
0.55

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 32551 in New Mexico
ComponentRVULocality factorAdjusted
Physician work2.96× 1.0002.9600
Practice expense0.77× 0.9170.7061
Malpractice0.55× 1.2010.6606
Total RVUs4.3266
Conversion factor× 33.4009

Facility rate, New Mexico$144.51

Facility: (2.96 × 1 + 0.77 × 0.917 + 0.55 × 1.201) × $33.4009 = $144.51

Open 32551 in the RVU calculator

Payment rules and modifiers for 32551

The CMS indicators that decide how 32551 is paid alongside other services.

CMS payment indicators · 32551

Chest tube, open thoracostomy

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

32551 without 50 · national facility

$142.96

Chest tube, open thoracostomy

32551-50 · Bilateral: 150%

$214.44

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 32551 has changed in New Mexico

32551 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$144.51RVU26D
2026-07-01Not available in this setting$144.51RVU26C
2026-04-01Not available in this setting$144.51RVU26B
2026-01-01Not available in this setting$144.51RVU26A
2025-10-01Not available in this setting$148.97RVU25D
2025-07-01Not available in this setting$148.97RVU25C
2025-04-01Not available in this setting$148.97RVU25B
2025-01-01Not available in this setting$148.97RVU25A
2024-10-01Not available in this setting$152.70RVU24D
2024-07-01Not available in this setting$152.70RVU24C
2024-04-01Not available in this setting$152.70RVU24B
2024-03-09Not available in this setting$152.70RVU24AR
2024-01-01Not available in this setting$150.21RVU24A
2023-10-01Not available in this setting$154.88RVU23D
2023-07-01Not available in this setting$154.88RVU23C
2023-04-01Not available in this setting$154.88RVU23B
2023-01-01Not available in this setting$154.88RVU23A
2022-10-01Not available in this setting$159.02RVU22D
2022-07-01Not available in this setting$159.02RVU22C
2022-04-01Not available in this setting$159.02RVU22B
2022-01-01Not available in this setting$159.02RVU22A
2021-10-01Not available in this setting$158.81RVU21D
2021-07-01Not available in this setting$158.81RVU21C
2021-04-01Not available in this setting$158.81RVU21B
2021-01-01Not available in this setting$158.81RVU21A
2020-10-01Not available in this setting$165.24RVU20D
2020-07-01Not available in this setting$165.24RVU20C
2020-04-01Not available in this setting$165.24RVU20B
2020-01-01Not available in this setting$165.24RVU20A
2019-10-01Not available in this setting$164.89RVU19D
2019-07-01Not available in this setting$164.89RVU19C
2019-04-01Not available in this setting$164.89RVU19B
2019-01-01Not available in this setting$164.89RVU19A
2018-10-01Not available in this setting$165.04RVU18D
2018-07-01Not available in this setting$165.04RVU18C
2018-04-01Not available in this setting$165.04RVU18B
2018-01-01Not available in this setting$165.04RVU18AR1
2017-10-01Not available in this setting$164.49RVU17D
2017-07-01Not available in this setting$164.49RVU17C
2017-04-01Not available in this setting$164.49RVU17B
2017-01-01Not available in this setting$164.49RVU17A
2016-10-01Not available in this setting$176.02RVU16D
2016-07-01Not available in this setting$176.02RVU16C
2016-04-01Not available in this setting$176.02RVU16B
2016-01-01Not available in this setting$176.02RVU16A
2015-10-01Not available in this setting$177.16RVU15D
2015-07-01Not available in this setting$177.16RVU15C
2015-04-01Not available in this setting$176.28RVU15B
2015-01-01Not available in this setting$176.28RVU15A
2014-10-01Not available in this setting$182.40RVU14D
2014-07-01Not available in this setting$182.40RVU14C
2014-04-01Not available in this setting$182.40RVU14B
2014-01-01Not available in this setting$182.40RVU14A
2013-10-01Not available in this setting$174.41RVU13D
2013-07-01Not available in this setting$174.41RVU13C
2013-04-01Not available in this setting$174.41RVU13B
2013-01-01Not available in this setting$174.41RVU13AR

Price 32551 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

32551 billing questions

When is 32551 appropriate?

Use it for open tube thoracostomy to provide ongoing pleural drainage, such as for a pneumothorax, hemothorax, or pleural collection. The record should support the clinical need for tube drainage.

How does 32551 differ from 32556 or 32557?

32551 describes open tube thoracostomy. Codes 32556 and 32557 describe percutaneous pleural catheter placement, without and with imaging guidance, respectively.

Should modifier 50 be used when tubes are placed on both sides?

For a bilateral procedure, report modifier 50. CMS pays the bilateral service at 150%.

Is same-day care separately payable with 32551?

No. The code has a 0-day global period, which includes same-day preoperative and postoperative care.

How does the multiple-procedure reduction affect 32551?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the other procedures at 50%.

Can an assistant or co-surgeon be reported for 32551?

CMS does not pay an assistant at surgery for this service. Co-surgeon and team-surgery reporting are not permitted.

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 32551PPRRVU2026_Oct_nonQPP.csv, line 3,730 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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