FeeBase
Log inGet started
Menu

CPT code 32562: Pleural fibrinolysis, subsequent day2026 Medicare rate & RVUs in North Carolina

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 North Carolina, Medicare pays $87.13 for 32562 in the office and $51.60 when it’s performed in a hospital or facility.

$87.13Office (non-facility)
$51.60Hospital or facility
−5.1%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 North Carolina
  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 North Carolina 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. North Carolina pays $87.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

32562 in North Carolina vs other payment areas
  1. North Carolina · this page$87.13
  2. Los Angeles, CA · California$100.67+$13.54
  3. Washington, DC area · District of Columbia$102.91+$15.78
  4. Miami, FL · Florida$100.42+$13.29
  5. Chicago, IL · Illinois$97.99+$10.86
  6. Manhattan, NY · New York$104.61+$17.48
  7. Alaska · Alaska$113.17+$26.04

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

Every other payment area

32562 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$84.08$50.76
ArkansasArkansas$83.11$50.40
ArizonaArizona$89.77$52.87
Bakersfield, CACalifornia$95.44$53.71
Chico, CACalifornia$95.05$53.31
El Centro, CACalifornia$95.07$53.34
Fresno, CACalifornia$95.05$53.31
Hanford, CACalifornia$95.05$53.31

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 North Carolina 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

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 32562 in North Carolina
ComponentRVULocality factorAdjusted
Physician work1.21× 1.0001.2100
Practice expense1.41× 0.9331.3155
Malpractice0.13× 0.6390.0831
Total RVUs2.6086
Conversion factor× 33.4009

Office rate, North Carolina$87.13

Office: (1.21 × 1 + 1.41 × 0.933 + 0.13 × 0.639) × $33.4009 = $87.13

Facility: (1.21 × 1 + 0.27 × 0.933 + 0.13 × 0.639) × $33.4009 = $51.60

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, North Carolina
Same family
32561Pleural fibrinolysis, initial dayInitial-day code in the same pleural fibrinolytic instillation sequence.$95.99
Used instead
32554Thoracentesis, without imaging guidancePleural-fluid aspiration without imaging for an accessible collection rather than fibrinolytic treatment.$244.97
32555Thoracentesis, with imaging guidanceImage-guided pleural-fluid aspiration, rather than fibrinolytic treatment of pleural loculations.$292.91

How 32562 has changed in North Carolina

32562 · Office / nonfacility

$87.13

Effective 2026-10-01

The base rate is $8.88 higher than on 2025-10-01, moving from $78.25 to $87.13 (11.3%).

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

    $78.25changed to$87.13

    • 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
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $80.13changed to$78.25

    • 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

    $78.82changed to$80.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $80.72changed to$78.82

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.12 changed to 1.16
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $82.60changed to$80.72

    • 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
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $82.56changed to$82.60

    • 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

    $82.87changed to$82.56

    • 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
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $81.75changed to$82.87

    • 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
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $81.91changed to$81.75

    • 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

    $81.12changed to$81.91

    • 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
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $81.70changed to$81.12

    • 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 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $82.61changed to$81.70

    • 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

    $82.20changed to$82.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $82.80changed to$82.20

    • 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
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $82.32changed to$82.80

    • 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
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $82.32

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$87.13$51.60RVU26D
2026-07-01$87.13$51.60RVU26C
2026-04-01$87.13$51.60RVU26B
2026-01-01$87.13$51.60RVU26A
2025-10-01$78.25$54.89RVU25D
2025-07-01$78.25$54.89RVU25C
2025-04-01$78.25$54.89RVU25B
2025-01-01$78.25$54.89RVU25A
2024-10-01$80.13$56.40RVU24D
2024-07-01$80.13$56.40RVU24C
2024-04-01$80.13$56.40RVU24B
2024-03-09$80.13$56.40RVU24AR
2024-01-01$78.82$55.48RVU24A
2023-10-01$80.72$57.79RVU23D
2023-07-01$80.72$57.79RVU23C
2023-04-01$80.72$57.79RVU23B
2023-01-01$80.72$57.79RVU23A
2022-10-01$82.60$58.84RVU22D
2022-07-01$82.60$58.84RVU22C
2022-04-01$82.60$58.84RVU22B
2022-01-01$82.60$58.84RVU22A
2021-10-01$82.56$59.90RVU21D
2021-07-01$82.56$59.90RVU21C
2021-04-01$82.56$59.90RVU21B
2021-01-01$82.56$59.90RVU21A
2020-10-01$82.87$61.06RVU20D
2020-07-01$82.87$61.06RVU20C
2020-04-01$82.87$61.06RVU20B
2020-01-01$82.87$61.06RVU20A
2019-10-01$81.75$60.95RVU19D
2019-07-01$81.75$60.95RVU19C
2019-04-01$81.75$60.95RVU19B
2019-01-01$81.75$60.95RVU19A
2018-10-01$81.91$61.13RVU18D
2018-07-01$81.91$61.13RVU18C
2018-04-01$81.91$61.13RVU18B
2018-01-01$81.91$61.13RVU18AR1
2017-10-01$81.12$61.40RVU17D
2017-07-01$81.12$61.40RVU17C
2017-04-01$81.12$61.40RVU17B
2017-01-01$81.12$61.40RVU17A
2016-10-01$81.70$61.73RVU16D
2016-07-01$81.70$61.73RVU16C
2016-04-01$81.70$61.73RVU16B
2016-01-01$81.70$61.73RVU16A
2015-10-01$82.61$62.22RVU15D
2015-07-01$82.61$62.22RVU15C
2015-04-01$82.20$61.91RVU15B
2015-01-01$82.20$61.91RVU15A
2014-10-01$82.80$62.84RVU14D
2014-07-01$82.80$62.84RVU14C
2014-04-01$82.80$62.84RVU14B
2014-01-01$82.80$62.84RVU14A
2013-10-01$82.32$60.56RVU13D
2013-07-01$82.32$60.56RVU13C
2013-04-01$82.32$60.56RVU13B
2013-01-01$82.32$60.56RVU13AR

Price 32562 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

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 North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 32562 pays in North Carolina?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 32562 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist