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CPT code 32562: Pleural fibrinolysis, subsequent day2026 Medicare rate & RVUs in Puerto Rico

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 Puerto Rico, Medicare pays $92.31 for 32562 in the office and $53.81 when it’s performed in a hospital or facility.

$92.31Office (non-facility)
$53.81Hospital or facility
+0.5%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $92.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

32562 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$92.31
  2. Los Angeles, CA · California$100.67+$8.36
  3. Washington, DC area · District of Columbia$102.91+$10.60
  4. Miami, FL · Florida$100.42+$8.11
  5. Chicago, IL · Illinois$97.99+$5.68
  6. Manhattan, NY · New York$104.61+$12.30
  7. Alaska · Alaska$113.17+$20.86

Other areas in Puerto Rico 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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 32562 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.21× 1.0001.2100
Practice expense1.41× 1.0111.4255
Malpractice0.13× 0.9850.1280
Total RVUs2.7636
Conversion factor× 33.4009

Office rate, Puerto Rico$92.31

Office: (1.21 × 1 + 1.41 × 1.011 + 0.13 × 0.985) × $33.4009 = $92.31

Facility: (1.21 × 1 + 0.27 × 1.011 + 0.13 × 0.985) × $33.4009 = $53.81

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, Puerto Rico
Same family
32561Pleural fibrinolysis, initial dayInitial-day code in the same pleural fibrinolytic instillation sequence.$101.69
Used instead
32554Thoracentesis, without imaging guidancePleural-fluid aspiration without imaging for an accessible collection rather than fibrinolytic treatment.$262.56
32555Thoracentesis, with imaging guidanceImage-guided pleural-fluid aspiration, rather than fibrinolytic treatment of pleural loculations.$313.38

How 32562 has changed in Puerto Rico

32562 · Office / nonfacility

$92.31

Effective 2026-10-01

The base rate is $9.63 higher than on 2025-10-01, moving from $82.68 to $92.31 (11.6%).

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

    $82.68changed to$92.31

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $84.74changed to$82.68

    • 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

    $83.35changed to$84.74

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $84.95changed to$83.35

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.12 changed to 1.16
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $84.72changed to$84.95

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $86.42changed to$84.72

    • 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 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $86.42changed to$86.42

    • 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.

  8. January 1, 2021

    RVU21A

    $86.86changed to$86.42

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $85.97changed to$86.86

    • 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 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $86.24changed to$85.97

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $77.99changed to$86.24

    • 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
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $70.92changed to$77.99

    • 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 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $71.53changed to$70.92

    • 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.

  14. July 1, 2015

    RVU15C

    $71.18changed to$71.53

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $70.85changed to$71.18

    • 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 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $69.51changed to$70.85

    • 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 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $69.51

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$92.31$53.81RVU26D
2026-07-01$92.31$53.81RVU26C
2026-04-01$92.31$53.81RVU26B
2026-01-01$92.31$53.81RVU26A
2025-10-01$82.68$57.27RVU25D
2025-07-01$82.68$57.27RVU25C
2025-04-01$82.68$57.27RVU25B
2025-01-01$82.68$57.27RVU25A
2024-10-01$84.74$58.93RVU24D
2024-07-01$84.74$58.93RVU24C
2024-04-01$84.74$58.93RVU24B
2024-03-09$84.74$58.93RVU24AR
2024-01-01$83.35$57.96RVU24A
2023-10-01$84.95$60.01RVU23D
2023-07-01$84.72$59.98RVU23C
2023-04-01$84.72$59.98RVU23B
2023-01-01$84.72$59.98RVU23A
2022-10-01$86.42$60.61RVU22D
2022-07-01$86.42$60.61RVU22C
2022-04-01$86.42$60.61RVU22B
2022-01-01$86.42$60.61RVU22A
2021-10-01$86.42$61.80RVU21D
2021-07-01$86.42$61.80RVU21C
2021-04-01$86.42$61.80RVU21B
2021-01-01$86.42$61.80RVU21A
2020-10-01$86.86$63.21RVU20D
2020-07-01$86.86$63.21RVU20C
2020-04-01$86.86$63.21RVU20B
2020-01-01$86.86$63.21RVU20A
2019-10-01$85.97$63.47RVU19D
2019-07-01$85.97$63.47RVU19C
2019-04-01$85.97$63.47RVU19B
2019-01-01$85.97$63.47RVU19A
2018-10-01$86.24$63.76RVU18D
2018-07-01$86.24$63.76RVU18C
2018-04-01$86.24$63.76RVU18B
2018-01-01$86.24$63.76RVU18AR1
2017-10-01$77.99$59.86RVU17D
2017-07-01$77.99$59.86RVU17C
2017-04-01$77.99$59.86RVU17B
2017-01-01$77.99$59.86RVU17A
2016-10-01$70.92$55.77RVU16D
2016-07-01$70.92$55.77RVU16C
2016-04-01$70.92$55.77RVU16B
2016-01-01$70.92$55.77RVU16A
2015-10-01$71.53$56.08RVU15D
2015-07-01$71.53$56.08RVU15C
2015-04-01$71.18$55.80RVU15B
2015-01-01$71.18$55.80RVU15A
2014-10-01$70.85$55.98RVU14D
2014-07-01$70.85$55.98RVU14C
2014-04-01$70.85$55.98RVU14B
2014-01-01$70.85$55.98RVU14A
2013-10-01$69.51$53.59RVU13D
2013-07-01$69.51$53.59RVU13C
2013-04-01$69.51$53.59RVU13B
2013-01-01$69.51$53.59RVU13AR

Price 32562 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

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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