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.
In New Mexico, Medicare pays $144.51 for 32551 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- New Mexico · this page$144.51
- Los Angeles, CA · California$145.54+$1.03
- Washington, DC area · District of Columbia$154.95+$10.44
- Miami, FL · Florida$172.10+$27.59
- Chicago, IL · Illinois$167.57+$23.06
- Manhattan, NY · New York$164.21+$19.70
- Alaska · Alaska$185.81+$41.30
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $138.58 |
| Merced, CACalifornia | — | $138.58 |
| Modesto, CACalifornia | — | $138.58 |
| Napa, CACalifornia | — | $148.32 |
| Oxnard, CACalifornia | — | $143.48 |
| Redding, CACalifornia | — | $138.58 |
| Rest of CaliforniaCalifornia | — | $138.58 |
| Riverside, CACalifornia | — | $144.50 |
| Sacramento, CACalifornia | — | $142.18 |
| Salinas, CACalifornia | — | $141.59 |
| San Diego, CACalifornia | — | $142.55 |
| Marin County, CACalifornia | — | $152.95 |
| San Francisco, CACalifornia | — | $152.33 |
| San Benito County, CACalifornia | — | $156.67 |
| Santa Clara County, CACalifornia | — | $154.12 |
| San Luis Obispo, CACalifornia | — | $139.69 |
| Santa Cruz, CACalifornia | — | $142.04 |
| Santa Maria, CACalifornia | — | $141.47 |
| Santa Rosa, CACalifornia | — | $143.26 |
| Stockton, CACalifornia | — | $138.58 |
| Vallejo, CACalifornia | — | $147.42 |
| Visalia, CACalifornia | — | $138.58 |
| Yuba City, CACalifornia | — | $138.58 |
| ColoradoColorado | — | $141.77 |
| ConnecticutConnecticut | — | $150.77 |
| DelawareDelaware | — | $141.29 |
| Fort Lauderdale, FLFlorida | — | $158.13 |
| Rest of FloridaFlorida | — | $151.06 |
| Atlanta, GAGeorgia | — | $147.36 |
| Rest of GeorgiaGeorgia | — | $143.71 |
| Hawaii, Guam, HIHawaii | — | $138.75 |
| IowaIowa | — | $129.69 |
| IdahoIdaho | — | $131.22 |
| East St. Louis, ILIllinois | — | $159.53 |
| Rest of IllinoisIllinois | — | $151.06 |
| Suburban Chicago, ILIllinois | — | $158.52 |
| IndianaIndiana | — | $131.64 |
| KansasKansas | — | $131.38 |
| KentuckyKentucky | — | $138.54 |
| New Orleans, LALouisiana | — | $143.94 |
| Rest of LouisianaLouisiana | — | $139.23 |
| Metropolitan Boston, MAMassachusetts | — | $149.98 |
| Rest of MassachusettsMassachusetts | — | $142.17 |
| Baltimore area, MDMaryland | — | $150.77 |
| Rest of MarylandMaryland | — | $142.75 |
| Rest of MaineMaine | — | $133.95 |
| Southern Maine, MEMaine | — | $135.95 |
| Detroit, MIMichigan | — | $154.66 |
| Rest of MichiganMichigan | — | $143.09 |
| MinnesotaMinnesota | — | $130.77 |
| Metropolitan Kansas City, MOMissouri | — | $140.96 |
| Metropolitan St. Louis, MOMissouri | — | $141.76 |
| Rest of MissouriMissouri | — | $138.93 |
| MississippiMississippi | — | $134.59 |
| MontanaMontana | — | $142.92 |
| North CarolinaNorth Carolina | — | $134.60 |
| North DakotaNorth Dakota | — | $132.04 |
| NebraskaNebraska | — | $129.55 |
| New HampshireNew Hampshire | — | $141.71 |
| Northern New JerseyNew Jersey | — | $154.55 |
| Rest of New JerseyNew Jersey | — | $151.06 |
| NevadaNevada | — | $139.91 |
| NYC suburbs and Long Island, NYNew York | — | $169.89 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $153.71 |
| Queens, NYNew York | — | $162.08 |
| Rest of New YorkNew York | — | $136.21 |
| OhioOhio | — | $140.87 |
| OklahomaOklahoma | — | $136.11 |
| Portland, OROregon | — | $142.69 |
| Rest of OregonOregon | — | $137.40 |
| Metropolitan Philadelphia, PAPennsylvania | — | $149.34 |
| Rest of PennsylvaniaPennsylvania | — | $139.84 |
| Puerto RicoPuerto Rico | — | $142.96 |
| Rhode IslandRhode Island | — | $143.70 |
| South CarolinaSouth Carolina | — | $138.25 |
| South DakotaSouth Dakota | — | $130.76 |
| TennesseeTennessee | — | $132.11 |
| Austin, TXTexas | — | $142.55 |
| Beaumont, TXTexas | — | $139.34 |
| Brazoria, TXTexas | — | $139.47 |
| Dallas, TXTexas | — | $141.13 |
| Fort Worth, TXTexas | — | $141.12 |
| Galveston, TXTexas | — | $140.41 |
| Houston, TXTexas | — | $150.47 |
| Rest of TexasTexas | — | $139.86 |
| UtahUtah | — | $139.54 |
| VirginiaVirginia | — | $137.12 |
| Virgin Islands, VIUnited States Virgin Islands | — | $142.96 |
| VermontVermont | — | $133.62 |
| Rest of WashingtonWashington | — | $141.21 |
| King County, WAWashington | — | $150.38 |
| WisconsinWisconsin | — | $129.16 |
| West VirginiaWest Virginia | — | $147.50 |
| WyomingWyoming | — | $138.18 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.96 | × 1.000 | 2.9600 |
| Practice expense | 0.77 | × 0.917 | 0.7061 |
| Malpractice | 0.55 | × 1.201 | 0.6606 |
| Total RVUs | 4.3266 | ||
| 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $144.51 | RVU26D |
| 2026-07-01 | Not available in this setting | $144.51 | RVU26C |
| 2026-04-01 | Not available in this setting | $144.51 | RVU26B |
| 2026-01-01 | Not available in this setting | $144.51 | RVU26A |
| 2025-10-01 | Not available in this setting | $148.97 | RVU25D |
| 2025-07-01 | Not available in this setting | $148.97 | RVU25C |
| 2025-04-01 | Not available in this setting | $148.97 | RVU25B |
| 2025-01-01 | Not available in this setting | $148.97 | RVU25A |
| 2024-10-01 | Not available in this setting | $152.70 | RVU24D |
| 2024-07-01 | Not available in this setting | $152.70 | RVU24C |
| 2024-04-01 | Not available in this setting | $152.70 | RVU24B |
| 2024-03-09 | Not available in this setting | $152.70 | RVU24AR |
| 2024-01-01 | Not available in this setting | $150.21 | RVU24A |
| 2023-10-01 | Not available in this setting | $154.88 | RVU23D |
| 2023-07-01 | Not available in this setting | $154.88 | RVU23C |
| 2023-04-01 | Not available in this setting | $154.88 | RVU23B |
| 2023-01-01 | Not available in this setting | $154.88 | RVU23A |
| 2022-10-01 | Not available in this setting | $159.02 | RVU22D |
| 2022-07-01 | Not available in this setting | $159.02 | RVU22C |
| 2022-04-01 | Not available in this setting | $159.02 | RVU22B |
| 2022-01-01 | Not available in this setting | $159.02 | RVU22A |
| 2021-10-01 | Not available in this setting | $158.81 | RVU21D |
| 2021-07-01 | Not available in this setting | $158.81 | RVU21C |
| 2021-04-01 | Not available in this setting | $158.81 | RVU21B |
| 2021-01-01 | Not available in this setting | $158.81 | RVU21A |
| 2020-10-01 | Not available in this setting | $165.24 | RVU20D |
| 2020-07-01 | Not available in this setting | $165.24 | RVU20C |
| 2020-04-01 | Not available in this setting | $165.24 | RVU20B |
| 2020-01-01 | Not available in this setting | $165.24 | RVU20A |
| 2019-10-01 | Not available in this setting | $164.89 | RVU19D |
| 2019-07-01 | Not available in this setting | $164.89 | RVU19C |
| 2019-04-01 | Not available in this setting | $164.89 | RVU19B |
| 2019-01-01 | Not available in this setting | $164.89 | RVU19A |
| 2018-10-01 | Not available in this setting | $165.04 | RVU18D |
| 2018-07-01 | Not available in this setting | $165.04 | RVU18C |
| 2018-04-01 | Not available in this setting | $165.04 | RVU18B |
| 2018-01-01 | Not available in this setting | $165.04 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $164.49 | RVU17D |
| 2017-07-01 | Not available in this setting | $164.49 | RVU17C |
| 2017-04-01 | Not available in this setting | $164.49 | RVU17B |
| 2017-01-01 | Not available in this setting | $164.49 | RVU17A |
| 2016-10-01 | Not available in this setting | $176.02 | RVU16D |
| 2016-07-01 | Not available in this setting | $176.02 | RVU16C |
| 2016-04-01 | Not available in this setting | $176.02 | RVU16B |
| 2016-01-01 | Not available in this setting | $176.02 | RVU16A |
| 2015-10-01 | Not available in this setting | $177.16 | RVU15D |
| 2015-07-01 | Not available in this setting | $177.16 | RVU15C |
| 2015-04-01 | Not available in this setting | $176.28 | RVU15B |
| 2015-01-01 | Not available in this setting | $176.28 | RVU15A |
| 2014-10-01 | Not available in this setting | $182.40 | RVU14D |
| 2014-07-01 | Not available in this setting | $182.40 | RVU14C |
| 2014-04-01 | Not available in this setting | $182.40 | RVU14B |
| 2014-01-01 | Not available in this setting | $182.40 | RVU14A |
| 2013-10-01 | Not available in this setting | $174.41 | RVU13D |
| 2013-07-01 | Not available in this setting | $174.41 | RVU13C |
| 2013-04-01 | Not available in this setting | $174.41 | RVU13B |
| 2013-01-01 | Not available in this setting | $174.41 | RVU13AR |
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
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
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