CPT code 32561: Pleural fibrinolysis, initial day2026 Medicare rate & RVUs in Puerto Rico

Reports initial-day instillation of a fibrinolytic through a chest tube or catheter to help clear a loculated pleural fluid collection.

CMS RVU26DEffective Oct 1, 2026One payment locality4.5K Medicare services in 2024

In Puerto Rico, Medicare pays $101.69 for 32561 in the office and $60.15 when it’s performed in a hospital or facility.

$101.69Office (non-facility)

$60.15Hospital or facility

+0.5%vs the national office rate ($101.20)

Check a contract rate as a % of Medicare · 32561 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

Rate in Puerto Rico
What 32561 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 32561 covers

A physician or other qualified practitioner instills a fibrinolytic agent, such as alteplase, through a chest tube or pleural catheter to help break down fibrin in a loculated pleural collection. This treatment may be used for a complex effusion or empyema when fluid is divided by fibrinous septations. It is performed in settings where the patient can receive care through the pleural drain; the code describes the instillation, not placement of the tube or catheter.

Report 32561 for the initial treatment day. For a later treatment day, use the subsequent-day code 32562 rather than reporting another initial-day service. Documentation should identify the pleural indication, the fibrinolytic administered, the catheter route, and the treatment date. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be 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 Puerto Rico compares for 32561

Across 109 of 109 payment localities, the office rate for 32561 runs from $91.62 in Arkansas to $126.32 in San Benito County, CA. Puerto Rico pays $101.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

32561 in Puerto Rico vs other payment areas

Puerto Rico · this page$101.69
Los Angeles, CA · California$110.67+$8.98
Washington, DC area · District of Columbia$113.26+$11.57
Miami, FL · Florida$110.95+$9.26
Chicago, IL · Illinois$108.26+$6.57
Manhattan, NY · New York$115.27+$13.58
Alaska · Alaska$124.97+$23.28

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

Every other payment area

32561 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	$92.68	$56.74
ArkansasArkansas	$91.62	$56.33
ArizonaArizona	$98.91	$59.10
Bakersfield, CACalifornia	$104.98	$59.96
Chico, CACalifornia	$104.53	$59.50
El Centro, CACalifornia	$104.55	$59.52
Fresno, CACalifornia	$104.53	$59.50
Hanford, CACalifornia	$104.53	$59.50
Madera, CACalifornia	$104.53	$59.50
Merced, CACalifornia	$104.53	$59.50
Modesto, CACalifornia	$104.53	$59.50
Napa, CACalifornia	$117.75	$63.60
Oxnard, CACalifornia	$109.83	$61.27
Redding, CACalifornia	$104.53	$59.50
Rest of CaliforniaCalifornia	$104.53	$59.50
Riverside, CACalifornia	$106.16	$61.13
Sacramento, CACalifornia	$108.79	$61.01
Salinas, CACalifornia	$108.36	$60.75
San Diego, CACalifornia	$110.22	$61.09
Marin County, CACalifornia	$123.63	$65.70
San Francisco, CACalifornia	$123.45	$65.53
San Benito County, CACalifornia	$126.32	$67.08
Santa Clara County, CACalifornia	$125.62	$66.38
San Luis Obispo, CACalifornia	$106.71	$59.92
Santa Cruz, CACalifornia	$110.75	$60.83
Santa Maria, CACalifornia	$108.58	$60.68
Santa Rosa, CACalifornia	$111.82	$61.37
Stockton, CACalifornia	$104.53	$59.50
Vallejo, CACalifornia	$117.50	$63.35
Visalia, CACalifornia	$104.53	$59.50
Yuba City, CACalifornia	$104.53	$59.50
ColoradoColorado	$103.90	$60.19
ConnecticutConnecticut	$107.07	$62.83
DelawareDelaware	$100.32	$59.73
Fort Lauderdale, FLFlorida	$105.91	$64.30
Rest of FloridaFlorida	$101.49	$62.22
Atlanta, GAGeorgia	$103.16	$61.42
Rest of GeorgiaGeorgia	$96.68	$60.04
Hawaii, Guam, HIHawaii	$106.05	$59.34
IowaIowa	$93.87	$56.28
IdahoIdaho	$94.50	$56.71
East St. Louis, ILIllinois	$102.22	$64.43
Rest of IllinoisIllinois	$99.61	$62.10
Suburban Chicago, ILIllinois	$106.76	$64.57
IndianaIndiana	$94.92	$56.84
KansasKansas	$93.85	$56.71
KentuckyKentucky	$95.14	$58.62
New Orleans, LALouisiana	$98.89	$60.23
Rest of LouisianaLouisiana	$95.16	$58.80
Metropolitan Boston, MAMassachusetts	$112.37	$63.31
Rest of MassachusettsMassachusetts	$103.61	$60.34
Baltimore area, MDMaryland	$106.83	$62.74
Rest of MarylandMaryland	$101.86	$60.28
Rest of MaineMaine	$95.25	$57.45
Southern Maine, MEMaine	$98.90	$58.19
Detroit, MIMichigan	$102.86	$63.22
Rest of MichiganMichigan	$97.43	$59.93
MinnesotaMinnesota	$99.15	$56.88
Metropolitan Kansas City, MOMissouri	$97.99	$59.42
Metropolitan St. Louis, MOMissouri	$98.78	$59.67
Rest of MissouriMissouri	$94.07	$58.65
MississippiMississippi	$92.84	$57.47
MontanaMontana	$101.19	$60.11
North CarolinaNorth Carolina	$95.99	$57.66
North DakotaNorth Dakota	$98.23	$57.15
NebraskaNebraska	$94.18	$56.26
New HampshireNew Hampshire	$102.66	$59.89
Northern New JerseyNew Jersey	$112.53	$64.87
Rest of New JerseyNew Jersey	$108.18	$63.32
New MexicoNew Mexico	$98.00	$60.32
NevadaNevada	$100.42	$59.29
NYC suburbs and Long Island, NYNew York	$118.00	$69.15
Poughkeepsie and northern NYC suburbs, NYNew York	$109.12	$64.14
Queens, NYNew York	$115.57	$67.01
Rest of New YorkNew York	$97.18	$58.15
OhioOhio	$96.83	$59.32
OklahomaOklahoma	$94.66	$57.97
Portland, OROregon	$106.28	$60.64
Rest of OregonOregon	$99.51	$58.59
Metropolitan Philadelphia, PAPennsylvania	$105.07	$62.30
Rest of PennsylvaniaPennsylvania	$96.77	$59.05
Rhode IslandRhode Island	$103.20	$60.76
South CarolinaSouth Carolina	$96.59	$58.63
South DakotaSouth Dakota	$97.88	$56.79
TennesseeTennessee	$94.27	$56.92
Austin, TXTexas	$103.67	$60.20
Beaumont, TXTexas	$96.28	$58.89
Brazoria, TXTexas	$100.01	$59.30
Dallas, TXTexas	$100.70	$59.78
Fort Worth, TXTexas	$100.26	$59.75
Galveston, TXTexas	$100.35	$59.56
Houston, TXTexas	$103.10	$62.30
Rest of TexasTexas	$98.13	$59.14
UtahUtah	$97.65	$59.03
VirginiaVirginia	$98.87	$58.48
Virgin Islands, VIUnited States Virgin Islands	$101.69	$60.15
VermontVermont	$98.22	$57.55
Rest of WashingtonWashington	$103.29	$60.03
King County, WAWashington	$114.08	$63.67
WisconsinWisconsin	$95.61	$56.25
West VirginiaWest Virginia	$96.71	$61.01
WyomingWyoming	$99.90	$58.82

32561 rates by state

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

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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Local rates. Clear comparisons.

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

$91.62

$124.97

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

View every state and territory as a table

32561 office rate range by state
State / territory	Office rate range	Localities
AK	$124.97	1
AL	$92.68	1
AR	$91.62	1
AZ	$98.91	1
CA	$104.53–$126.32	29
CO	$103.90	1
CT	$107.07	1
DC	$113.26	1
DE	$100.32	1
FL	$101.49–$110.95	3
GA	$96.68–$103.16	2
GU	$106.05	1
HI	$106.05	1
IA	$93.87	1
ID	$94.50	1
IL	$99.61–$108.26	4
IN	$94.92	1
KS	$93.85	1
KY	$95.14	1
LA	$95.16–$98.89	2
MA	$103.61–$112.37	2
MD	$101.86–$113.26	3
ME	$95.25–$98.90	2
MI	$97.43–$102.86	2
MN	$99.15	1
MO	$94.07–$98.78	3
MS	$92.84	1
MT	$101.19	1
NC	$95.99	1
ND	$98.23	1
NE	$94.18	1
NH	$102.66	1
NJ	$108.18–$112.53	2
NM	$98.00	1
NV	$100.42	1
NY	$97.18–$118.00	5
OH	$96.83	1
OK	$94.66	1
OR	$99.51–$106.28	2
PA	$96.77–$105.07	2
PR	$101.69	1
RI	$103.20	1
SC	$96.59	1
SD	$97.88	1
TN	$94.27	1
TX	$96.28–$103.67	8
UT	$97.65	1
VA	$98.87–$113.26	2
VI	$101.69	1
VT	$98.22	1
WA	$103.29–$114.08	2
WI	$95.61	1
WV	$96.71	1
WY	$99.90	1

See 32561 in every payment locality

How the 32561 rate is calculated

Each of 32561’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 · 32561

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work1.36

1.36 RVUs× 1.000 GPCI

Practice expense1.52

1.52 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

3.0300

Conversion factor

$33.4009

Medicare rate

$101.20

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,738

Code: 32561
Physician work: 1.36
Practice expense: 1.52
Malpractice: 0.15

GPCI2026.csv

Locality: Puerto Rico
Physician work: 1.000
Practice expense: 1.011
Malpractice: 0.985

Office calculation for 32561 in Puerto Rico
Component	RVU	Locality factor	Adjusted
Physician work	1.36	× 1.000	1.3600
Practice expense	1.52	× 1.011	1.5367
Malpractice	0.15	× 0.985	0.1477
Total RVUs			3.0445
Conversion factor			× 33.4009

Office rate, Puerto Rico$101.69

Office: (1.36 × 1 + 1.52 × 1.011 + 0.15 × 0.985) × $33.4009 = $101.69

Facility: (1.36 × 1 + 0.29 × 1.011 + 0.15 × 0.985) × $33.4009 = $60.15

Open 32561 in the RVU calculator

Payment rules and modifiers for 32561

The CMS indicators that decide how 32561 is paid alongside other services.

CMS payment indicators · 32561

Pleural fibrinolysis, initial day

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)	0	The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)	2	Paid.
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 51 · payment effect

With and without the modifier

32561 without 51 · national office

$101.20

Pleural fibrinolysis, initial day

32561-51 · Second procedure: 50%

$50.60

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

Codes related to 32561

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

Codes related to 32561
Code	How it relates	Office range, Puerto Rico
Same family
32562	Pleural fibrinolysis, subsequent daySubsequent-day pleural fibrinolytic treatment; distinguish by treatment day.	$92.31
Used instead
32560	Chemical pleurodesis, via chest tube or catheterPleural-agent instillation for pleurodesis, with a different treatment goal.	$278.51
32554	Thoracentesis, without imaging guidancePleural fluid aspiration without imaging, rather than fibrinolysis through a drain.	$262.56
32555	Thoracentesis, with imaging guidanceImage-guided pleural fluid aspiration, rather than fibrinolysis through a drain.	$313.38

How 32561 has changed in Puerto Rico

32561 · Office / nonfacility

$101.69

Effective 2026-10-01

Compare with release effective

The base rate is $9.30 higher than on 2025-10-01, moving from $92.39 to $101.69 (10.1%).

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

January 1, 2026
RVU26A
$92.39changed to$101.69
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.39 changed to 1.36
- Practice expense RVU 1.30 changed to 1.52
- Malpractice RVU 0.16 changed to 0.15
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$94.74changed to$92.39
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.29 changed to 1.30
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$93.19changed to$94.74
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$95.13changed to$93.19
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.24 changed to 1.29
- Malpractice RVU 0.17 changed to 0.16
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$94.88changed to$95.13
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$97.51changed to$94.88
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.25 changed to 1.24
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$96.57changed to$97.51
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.22 changed to 1.25
- Malpractice RVU 0.15 changed to 0.17
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$96.27changed to$96.57
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.14 changed to 1.22
- Malpractice RVU 0.13 changed to 0.15
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$96.09changed to$96.27
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.12 changed to 1.14
- Malpractice RVU 0.15 changed to 0.13
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$95.99changed to$96.09
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$87.06changed to$95.99
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.09 changed to 1.12
- Malpractice RVU 0.16 changed to 0.15
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$79.21changed to$87.06
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.10 changed to 1.09
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$79.60changed to$79.21
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.17 changed to 0.16
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$79.21changed to$79.60
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$79.05changed to$79.21
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.09 changed to 1.10
- Malpractice RVU 0.23 changed to 0.17
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$77.24changed to$79.05
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.21 changed to 1.09
- Malpractice RVU 0.24 changed to 0.23
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $77.24
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$101.69	$60.15	RVU26D
2026-07-01	$101.69	$60.15	RVU26C
2026-04-01	$101.69	$60.15	RVU26B
2026-01-01	$101.69	$60.15	RVU26A
2025-10-01	$92.39	$64.38	RVU25D
2025-07-01	$92.39	$64.38	RVU25C
2025-04-01	$92.39	$64.38	RVU25B
2025-01-01	$92.39	$64.38	RVU25A
2024-10-01	$94.74	$65.91	RVU24D
2024-07-01	$94.74	$65.91	RVU24C
2024-04-01	$94.74	$65.91	RVU24B
2024-03-09	$94.74	$65.91	RVU24AR
2024-01-01	$93.19	$64.84	RVU24A
2023-10-01	$95.13	$67.46	RVU23D
2023-07-01	$94.88	$67.44	RVU23C
2023-04-01	$94.88	$67.44	RVU23B
2023-01-01	$94.88	$67.44	RVU23A
2022-10-01	$97.51	$69.25	RVU22D
2022-07-01	$97.51	$69.25	RVU22C
2022-04-01	$97.51	$69.25	RVU22B
2022-01-01	$97.51	$69.25	RVU22A
2021-10-01	$96.57	$69.14	RVU21D
2021-07-01	$96.57	$69.14	RVU21C
2021-04-01	$96.57	$69.14	RVU21B
2021-01-01	$96.57	$69.14	RVU21A
2020-10-01	$96.27	$70.44	RVU20D
2020-07-01	$96.27	$70.44	RVU20C
2020-04-01	$96.27	$70.44	RVU20B
2020-01-01	$96.27	$70.44	RVU20A
2019-10-01	$96.09	$71.05	RVU19D
2019-07-01	$96.09	$71.05	RVU19C
2019-04-01	$96.09	$71.05	RVU19B
2019-01-01	$96.09	$71.05	RVU19A
2018-10-01	$95.99	$70.97	RVU18D
2018-07-01	$95.99	$70.97	RVU18C
2018-04-01	$95.99	$70.97	RVU18B
2018-01-01	$95.99	$70.97	RVU18AR1
2017-10-01	$87.06	$66.78	RVU17D
2017-07-01	$87.06	$66.78	RVU17C
2017-04-01	$87.06	$66.78	RVU17B
2017-01-01	$87.06	$66.78	RVU17A
2016-10-01	$79.21	$62.30	RVU16D
2016-07-01	$79.21	$62.30	RVU16C
2016-04-01	$79.21	$62.30	RVU16B
2016-01-01	$79.21	$62.30	RVU16A
2015-10-01	$79.60	$62.63	RVU15D
2015-07-01	$79.60	$62.63	RVU15C
2015-04-01	$79.21	$62.32	RVU15B
2015-01-01	$79.21	$62.32	RVU15A
2014-10-01	$79.05	$62.93	RVU14D
2014-07-01	$79.05	$62.93	RVU14C
2014-04-01	$79.05	$62.93	RVU14B
2014-01-01	$79.05	$62.93	RVU14A
2013-10-01	$77.24	$60.17	RVU13D
2013-07-01	$77.24	$60.17	RVU13C
2013-04-01	$77.24	$60.17	RVU13B
2013-01-01	$77.24	$60.17	RVU13AR

Price 32561 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

Aceitunas
Adjuntas
Aguada
Aguadilla
Aguas Buenas
Aguas Claras
Aguilita
Aibonito

Browse all communities in Puerto Rico

32561 billing questions

When should 32561 be used instead of 32562?

Use 32561 for the initial day of pleural fibrinolytic treatment. Use 32562 for treatment on a subsequent day.

Does 32561 include placing the chest tube?

No. It reports fibrinolytic instillation through a chest tube or catheter, not insertion of that access device.

What should the record support?

Document the pleural condition being treated, the fibrinolytic agent, its administration through the drain, and whether this is the initial or a subsequent treatment day.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does the 0-day global period affect billing?

Same-day preoperative and postoperative care is included in the procedure. Care on a later date is outside that 0-day global period.

Can an assistant or another surgeon be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.

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 32561PPRRVU2026_Oct_nonQPP.csv, line 3,738 (RVU26D)

3,73532556,,[CPT descriptor omitted],A,,2.44,22.37,,0.54,,0.37,25.18,3.35,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,73632557,,[CPT descriptor omitted],A,,3.04,16.03,,0.50,,0.33,19.40,3.87,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,73732560,,[CPT descriptor omitted],A,,1.50,6.54,,0.32,,0.23,8.27,2.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,73832561,,[CPT descriptor omitted],A,,1.36,1.52,,0.29,,0.15,3.03,1.80,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,73932562,,[CPT descriptor omitted],A,,1.21,1.41,,0.27,,0.13,2.75,1.61,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,74032601,,[CPT descriptor omitted],A,,5.36,1.96,NA,1.96,,1.31,8.63,8.63,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,74132604,,[CPT descriptor omitted],A,,8.55,2.65,NA,2.65,,2.15,13.35,13.35,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

8802302,OR,99,REST OF OREGON,1.000,0.996,0.703

8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193

9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945

9109202,PR,20,PUERTO RICO,1.000,1.011,0.985

9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892

9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850

9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336

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What 32561 covers

How Puerto Rico compares for 32561

Every other payment area

32561 rates by state

How the 32561 rate is calculated

Payment rules and modifiers for 32561

What modifiers do to the payment

Codes related to 32561

How 32561 has changed in Puerto Rico

Where the Puerto Rico rate applies

32561 billing questions

When should 32561 be used instead of 32562?

Does 32561 include placing the chest tube?

What should the record support?

Can modifier 50 be reported?

How does the 0-day global period affect billing?

Can an assistant or another surgeon be reported?

Where these rates come from

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