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CPT code 32562: Pleural fibrinolysis, subsequent day2026 Medicare rate & RVUs in Los Angeles, CA

Reports a subsequent-day instillation of a fibrinolytic agent through a chest tube or catheter to break up fibrin in the pleural space.

CMS RVU26DEffective Oct 1, 2026One payment locality5.3K Medicare services in 2024

In Los Angeles, CA, Medicare pays $100.67 for 32562 in the office and $55.62 when it’s performed in a hospital or facility.

$100.67Office (non-facility)
$55.62Hospital or facility
+9.6%vs the national office rate ($91.85)

Check a contract rate as a % of Medicare · 32562 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 32562 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 32562 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 32562 covers

This code covers a subsequent-day instillation of a fibrinolytic medication through an existing chest tube or pleural catheter to disrupt fibrin or loculations. It is used in situations such as a complex pleural effusion or empyema that is not draining adequately. A pulmonologist, thoracic surgeon, or other qualified clinician may perform the service in a hospital or other setting where pleural drainage is managed. The code includes imaging guidance and supervision and interpretation when performed.

Report this code for a subsequent service day, not for the initial day of fibrinolytic treatment, which is represented by 32561. Documentation should identify the pleural indication, catheter access, and the instillation performed that day. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this service. 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 Los Angeles, CA compares for 32562

Across 109 of 109 payment localities, the office rate for 32562 runs from $83.11 in Arkansas to $115.10 in San Benito County, CA. Los Angeles, CA pays $100.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

32562 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$100.67
  2. Bakersfield, CA · California$95.44−$5.23
  3. Chico, CA · California$95.05−$5.62
  4. El Centro, CA · California$95.07−$5.60
  5. Fresno, CA · California$95.05−$5.62
  6. Hanford, CA · California$95.05−$5.62
  7. Madera, CA · California$95.05−$5.62

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

Every other payment area

32562 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$95.05$53.31
Modesto, CACalifornia$95.05$53.31
Napa, CACalifornia$107.24$57.05
Oxnard, CACalifornia$99.92$54.91
Redding, CACalifornia$95.05$53.31
Rest of CaliforniaCalifornia$95.05$53.31
Riverside, CACalifornia$96.46$54.73
Sacramento, CACalifornia$98.97$54.69

32562 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.

$83.11

$113.17

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

View every state and territory as a table
32562 office rate range by state
State / territoryOffice rate rangeLocalities
AK$113.171
AL$84.081
AR$83.111
AZ$89.771
CA$95.05–$115.1029
CO$94.401
CT$97.201
DC$102.911
DE$91.051
FL$91.96–$100.423
GA$87.60–$93.602
GU$96.481
HI$96.481
IA$85.231
ID$85.801
IL$90.20–$97.994
IN$86.181
KS$85.181
KY$86.261
LA$86.25–$89.662
MA$94.11–$102.172
MD$92.47–$102.913
ME$86.44–$89.832
MI$88.32–$93.182
MN$90.161
MO$85.24–$89.603
MS$84.171
MT$91.841
NC$87.131
ND$89.271
NE$85.531
NH$93.241
NJ$98.22–$102.232
NM$88.821
NV$91.171
NY$88.21–$107.065
OH$87.791
OK$85.841
OR$90.37–$96.622
PA$87.75–$95.352
PR$92.311
RI$93.711
SC$87.621
SD$88.971
TN$85.561
TX$87.31–$94.178
UT$88.581
VA$89.78–$102.912
VI$92.311
VT$89.241
WA$93.84–$103.772
WI$86.871
WV$87.551
WY$90.721

See 32562 in every payment locality

How the 32562 rate is calculated

Each of 32562’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 · 32562

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.21

1.21 RVUs× 1.000 GPCI

Practice expense1.41

1.41 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

2.7500

Conversion factor

$33.4009

Medicare rate

$91.85

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,739

Code
32562
Physician work
1.21
Practice expense
1.41
Malpractice
0.13

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 32562 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work1.21× 1.0411.2596
Practice expense1.41× 1.1831.6680
Malpractice0.13× 0.6640.0863
Total RVUs3.0140
Conversion factor× 33.4009

Office rate, Los Angeles, CA$100.67

Office: (1.21 × 1.041 + 1.41 × 1.183 + 0.13 × 0.664) × $33.4009 = $100.67

Facility: (1.21 × 1.041 + 0.27 × 1.183 + 0.13 × 0.664) × $33.4009 = $55.62

Open 32562 in the RVU calculator

Payment rules and modifiers for 32562

The CMS indicators that decide how 32562 is paid alongside other services.

CMS payment indicators · 32562

Pleural fibrinolysis, subsequent day

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)2Paid.
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

32562 without 51 · national office

$91.85

Pleural fibrinolysis, subsequent day

32562-51 · Second procedure: 50%

$45.93

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 32562

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

Codes related to 32562
CodeHow it relatesOffice range, Los Angeles, CA
Same family
32561Pleural fibrinolysis, initial dayInitial-day code in the same pleural fibrinolytic instillation sequence.$110.67
Used instead
32554Thoracentesis, without imaging guidancePleural-fluid aspiration without imaging for an accessible collection rather than fibrinolytic treatment.$296.17
32555Thoracentesis, with imaging guidanceImage-guided pleural-fluid aspiration, rather than fibrinolytic treatment of pleural loculations.$353.57

How 32562 has changed in Los Angeles, CA

32562 · Office / nonfacility

$100.67

Effective 2026-10-01

The base rate is $10.40 higher than on 2025-10-01, moving from $90.27 to $100.67 (11.5%).

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

    $90.27changed to$100.67

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.24 changed to 1.21
    • Practice expense RVU 1.18 changed to 1.41
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $92.33changed to$90.27

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.16 changed to 1.18
    • Malpractice RVU 0.14 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $90.82changed to$92.33

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $92.32changed to$90.82

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.12 changed to 1.16
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $94.06changed to$92.32

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.13 changed to 1.12
    • Malpractice RVU 0.12 changed to 0.14
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $93.73changed to$94.06

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.09 changed to 1.13
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $93.97changed to$93.73

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.03 changed to 1.09
    • Malpractice RVU 0.13 changed to 0.14
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $92.66changed to$93.97

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.00 changed to 1.03
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $92.81changed to$92.66

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $91.89changed to$92.81

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.97 changed to 1.00
    • Malpractice RVU 0.16 changed to 0.15
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $92.75changed to$91.89

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.98 changed to 0.97
    • Malpractice RVU 0.17 changed to 0.16
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $93.83changed to$92.75

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.99 changed to 0.98
    • Malpractice RVU 0.18 changed to 0.17

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $93.36changed to$93.83

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $93.05changed to$93.36

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.98 changed to 0.99
    • Malpractice RVU 0.22 changed to 0.18
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $91.92changed to$93.05

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.10 changed to 0.98
    • Malpractice RVU 0.23 changed to 0.22
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$91.92

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$100.67$55.62RVU26D
2026-07-01$100.67$55.62RVU26C
2026-04-01$100.67$55.62RVU26B
2026-01-01$100.67$55.62RVU26A
2025-10-01$90.27$60.14RVU25D
2025-07-01$90.27$60.14RVU25C
2025-04-01$90.27$60.14RVU25B
2025-01-01$90.27$60.14RVU25A
2024-10-01$92.33$61.73RVU24D
2024-07-01$92.33$61.73RVU24C
2024-04-01$92.33$61.73RVU24B
2024-03-09$92.33$61.73RVU24AR
2024-01-01$90.82$60.72RVU24A
2023-10-01$92.32$63.01RVU23D
2023-07-01$92.32$63.01RVU23C
2023-04-01$92.32$63.01RVU23B
2023-01-01$92.32$63.01RVU23A
2022-10-01$94.06$63.97RVU22D
2022-07-01$94.06$63.97RVU22C
2022-04-01$94.06$63.97RVU22B
2022-01-01$94.06$63.97RVU22A
2021-10-01$93.73$65.03RVU21D
2021-07-01$93.73$65.03RVU21C
2021-04-01$93.73$65.03RVU21B
2021-01-01$93.73$65.03RVU21A
2020-10-01$93.97$66.38RVU20D
2020-07-01$93.97$66.38RVU20C
2020-04-01$93.97$66.38RVU20B
2020-01-01$93.97$66.38RVU20A
2019-10-01$92.66$66.36RVU19D
2019-07-01$92.66$66.36RVU19C
2019-04-01$92.66$66.36RVU19B
2019-01-01$92.66$66.36RVU19A
2018-10-01$92.81$66.54RVU18D
2018-07-01$92.81$66.54RVU18C
2018-04-01$92.81$66.54RVU18B
2018-01-01$92.81$66.54RVU18AR1
2017-10-01$91.89$67.14RVU17D
2017-07-01$91.89$67.14RVU17C
2017-04-01$91.89$67.14RVU17B
2017-01-01$91.89$67.14RVU17A
2016-10-01$92.75$67.81RVU16D
2016-07-01$92.75$67.81RVU16C
2016-04-01$92.75$67.81RVU16B
2016-01-01$92.75$67.81RVU16A
2015-10-01$93.83$68.38RVU15D
2015-07-01$93.83$68.38RVU15C
2015-04-01$93.36$68.04RVU15B
2015-01-01$93.36$68.04RVU15A
2014-10-01$93.05$68.16RVU14D
2014-07-01$93.05$68.16RVU14C
2014-04-01$93.05$68.16RVU14B
2014-01-01$93.05$68.16RVU14A
2013-10-01$91.92$64.83RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 32562 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

32562 billing questions

How is 32562 different from 32561?

32561 represents the initial day of pleural fibrinolytic instillation. Use 32562 for a subsequent service day.

Does 32562 include imaging guidance?

Yes. The code includes imaging guidance and supervision and interpretation when performed.

Can modifier 50 be reported?

No. Modifier 50 is inappropriate for this service.

What documentation supports reporting 32562?

Document the pleural condition being treated, the existing chest tube or catheter used, and the fibrinolytic instillation performed on the subsequent service day.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures performed in the same session 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 32562PPRRVU2026_Oct_nonQPP.csv, line 3,739 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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