CPT code 32560: Chemical pleurodesis, via chest tube or catheter2026 Medicare rate & RVUs in South Dakota

Reports instillation of a pleurodesis agent through a chest tube or catheter to treat conditions such as recurrent pneumothorax or pleural effusion.

CMS RVU26DEffective Oct 1, 2026One payment locality1.2K Medicare services in 2024

In South Dakota, Medicare pays $271.12 for 32560 in the office and $63.37 when it’s performed in a hospital or facility.

$271.12Office (non-facility)
$63.37Hospital or facility
−1.8%vs the national office rate ($276.23)

Check a contract rate as a % of Medicare · 32560 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 32560 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 32560 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 32560 covers

A clinician instills an agent through an existing chest tube or pleural catheter to promote adhesion of the pleural layers and reduce recurrent fluid or air accumulation. Common situations include recurrent pneumothorax and recurrent pleural effusion, including effusion associated with malignancy. Thoracic surgeons and pulmonologists commonly perform the service in a hospital or other facility setting.

Select this code for the pleurodesis instillation, not simply for placing the drain. Documentation should identify the indication, agent, route through the chest tube or catheter, and treated side. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery services are not paid, and 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 South Dakota compares for 32560

Across 109 of 109 payment localities, the office rate for 32560 runs from $241.70 in Arkansas to $374.72 in San Benito County, CA. South Dakota pays $271.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

32560 in South Dakota vs other payment areas
  1. South Dakota · this page$271.12
  2. Los Angeles, CA · California$315.67+$44.55
  3. Washington, DC area · District of Columbia$318.68+$47.56
  4. Miami, FL · Florida$296.93+$25.81
  5. Chicago, IL · Illinois$287.62+$16.50
  6. Manhattan, NY · New York$319.32+$48.20
  7. Alaska · Alaska$312.03+$40.91

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

Every other payment area

32560 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$245.59$63.80
ArkansasArkansas$241.70$63.24
ArizonaArizona$268.35$67.03
Bakersfield, CACalifornia$295.14$67.45
Chico, CACalifornia$294.48$66.79
El Centro, CACalifornia$294.52$66.82
Fresno, CACalifornia$294.48$66.79
Hanford, CACalifornia$294.48$66.79

32560 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.

$241.70

$334.60

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

View every state and territory as a table
32560 office rate range by state
State / territoryOffice rate rangeLocalities
AK$312.031
AL$245.591
AR$241.701
AZ$268.351
CA$294.48–$374.7229
CO$289.121
CT$295.661
DC$318.681
DE$273.081
FL$270.48–$296.933
GA$254.11–$281.412
GU$302.921
HI$302.921
IA$253.031
ID$254.701
IL$261.55–$288.404
IN$256.331
KS$251.441
KY$251.331
LA$250.78–$264.382
MA$287.04–$319.812
MD$278.72–$318.683
ME$255.85–$271.422
MI$258.21–$273.852
MN$277.151
MO$245.88–$265.763
MS$243.861
MT$276.211
NC$258.821
ND$271.661
NE$254.631
NH$284.221
NJ$299.07–$314.852
NM$259.641
NV$275.161
NY$263.02–$327.305
OH$257.281
OK$251.141
OR$273.07–$299.312
PA$257.89–$287.572
PR$278.511
RI$283.561
SC$258.471
SD$271.121
TN$252.791
TX$256.02–$288.128
UT$262.341
VA$270.25–$318.682
VI$278.511
VT$270.251
WA$286.62–$326.912
WI$261.731
WV$250.921
WY$274.231

See 32560 in every payment locality

How the 32560 rate is calculated

Each of 32560’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 · 32560

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.50

1.50 RVUs× 1.000 GPCI

Practice expense6.54

6.54 RVUs× 1.000 GPCI

Malpractice0.23

0.23 RVUs× 1.000 GPCI

Adjusted RVUs

8.2700

Conversion factor

$33.4009

Medicare rate

$276.23

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,737

Code
32560
Physician work
1.50
Practice expense
6.54
Malpractice
0.23

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 32560 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.50× 1.0001.5000
Practice expense6.54× 1.0006.5400
Malpractice0.23× 0.3360.0773
Total RVUs8.1173
Conversion factor× 33.4009

Office rate, South Dakota$271.12

Office: (1.5 × 1 + 6.54 × 1 + 0.23 × 0.336) × $33.4009 = $271.12

Facility: (1.5 × 1 + 0.32 × 1 + 0.23 × 0.336) × $33.4009 = $63.37

Open 32560 in the RVU calculator

Payment rules and modifiers for 32560

The CMS indicators that decide how 32560 is paid alongside other services.

CMS payment indicators · 32560

Chemical pleurodesis, via chest tube or catheter

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)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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

32560 without 51 · national office

$276.23

Chemical pleurodesis, via chest tube or catheter

32560-51 · Second procedure: 50%

$138.12

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 32560 has changed in South Dakota

32560 · Office / nonfacility

$271.12

Effective 2026-10-01

The base rate is $38.29 higher than on 2025-10-01, moving from $232.83 to $271.12 (16.4%).

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

    $232.83changed to$271.12

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.54 changed to 1.50
    • Practice expense RVU 5.57 changed to 6.54
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $246.72changed to$232.83

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.78 changed to 5.57
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $242.69changed to$246.72

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $254.28changed to$242.69

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.88 changed to 5.78
    • Malpractice RVU 0.23 changed to 0.24
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $268.66changed to$254.28

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.14 changed to 5.88
    • Malpractice RVU 0.24 changed to 0.23
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $271.46changed to$268.66

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.16 changed to 6.14
    • Malpractice RVU 0.23 changed to 0.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $260.87changed to$271.46

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.60 changed to 6.16
    • Malpractice RVU 0.24 changed to 0.23
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $253.12changed to$260.87

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.39 changed to 5.60
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $246.36changed to$253.12

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.21 changed to 5.39

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $243.28changed to$246.36

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.14 changed to 5.21
    • Malpractice RVU 0.25 changed to 0.24
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $243.83changed to$243.28

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.17 changed to 5.14
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $243.77changed to$243.83

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.14 changed to 5.17
    • Malpractice RVU 0.26 changed to 0.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $242.56changed to$243.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $242.81changed to$242.56

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.13 changed to 5.14
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $253.02changed to$242.81

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.78 changed to 5.13
    • Malpractice RVU 0.27 changed to 0.26
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $253.02

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$271.12$63.37RVU26D
2026-07-01$271.12$63.37RVU26C
2026-04-01$271.12$63.37RVU26B
2026-01-01$271.12$63.37RVU26A
2025-10-01$232.83$67.86RVU25D
2025-07-01$232.83$67.86RVU25C
2025-04-01$232.83$67.86RVU25B
2025-01-01$232.83$67.86RVU25A
2024-10-01$246.72$69.63RVU24D
2024-07-01$246.72$69.63RVU24C
2024-04-01$246.72$69.63RVU24B
2024-03-09$246.72$69.63RVU24AR
2024-01-01$242.69$68.49RVU24A
2023-10-01$254.28$70.61RVU23D
2023-07-01$254.28$70.61RVU23C
2023-04-01$254.28$70.61RVU23B
2023-01-01$254.28$70.61RVU23A
2022-10-01$268.66$72.79RVU22D
2022-07-01$268.66$72.79RVU22C
2022-04-01$268.66$72.79RVU22B
2022-01-01$268.66$72.79RVU22A
2021-10-01$271.46$73.27RVU21D
2021-07-01$271.46$73.27RVU21C
2021-04-01$271.46$73.27RVU21B
2021-01-01$271.46$73.27RVU21A
2020-10-01$260.87$75.73RVU20D
2020-07-01$260.87$75.73RVU20C
2020-04-01$260.87$75.73RVU20B
2020-01-01$260.87$75.73RVU20A
2019-10-01$253.12$75.80RVU19D
2019-07-01$253.12$75.80RVU19C
2019-04-01$253.12$75.80RVU19B
2019-01-01$253.12$75.80RVU19A
2018-10-01$246.36$75.72RVU18D
2018-07-01$246.36$75.72RVU18C
2018-04-01$246.36$75.72RVU18B
2018-01-01$246.36$75.72RVU18AR1
2017-10-01$243.28$75.68RVU17D
2017-07-01$243.28$75.68RVU17C
2017-04-01$243.28$75.68RVU17B
2017-01-01$243.28$75.68RVU17A
2016-10-01$243.83$75.55RVU16D
2016-07-01$243.83$75.55RVU16C
2016-04-01$243.83$75.55RVU16B
2016-01-01$243.83$75.55RVU16A
2015-10-01$243.77$75.96RVU15D
2015-07-01$243.77$75.96RVU15C
2015-04-01$242.56$75.59RVU15B
2015-01-01$242.56$75.59RVU15A
2014-10-01$242.81$76.24RVU14D
2014-07-01$242.81$76.24RVU14C
2014-04-01$242.81$76.24RVU14B
2014-01-01$242.81$76.24RVU14A
2013-10-01$253.02$74.06RVU13D
2013-07-01$253.02$74.06RVU13C
2013-04-01$253.02$74.06RVU13B
2013-01-01$253.02$74.06RVU13AR

Price 32560 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

32560 billing questions

When should 32560 be selected instead of thoracoscopic pleurodesis?

Use 32560 when the pleurodesis agent is instilled through a chest tube or catheter. Thoracoscopic pleurodesis uses an operative thoracoscopic approach and is reported with 32650.

Does 32560 include placement of the chest tube?

The service is the agent instillation through a chest tube or catheter. If a drain is placed during the encounter, document that procedure separately and assess its reporting under the applicable coding rules.

Can modifier 50 be reported for bilateral treatment?

No. Modifier 50 is inappropriate for this service.

What documentation supports 32560?

Record the clinical indication, the agent instilled, use of a chest tube or catheter as the route, and the side treated.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.

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 32560PPRRVU2026_Oct_nonQPP.csv, line 3,737 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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