CPT code 32658: Thoracoscopy, pericardial foreign body removal2026 Medicare rate & RVUs in New Mexico

Reports thoracoscopic surgery to remove a foreign body from the pericardial sac, typically performed by a thoracic or cardiothoracic surgeon in an operating room.

CMS RVU26DEffective Oct 1, 2026One payment locality45 Medicare services in 2024

In New Mexico, Medicare pays $696.57 for 32658 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$696.57Hospital or facility

Check a contract rate as a % of Medicare · 32658 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 32658 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 32658 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 32658 covers

A thoracic or cardiothoracic surgeon uses a thoracoscopic approach to locate and remove a foreign body from the pericardial sac. The service is performed in an operating room, generally in a hospital facility, when the operative target is material within that sac rather than the pleural space or the pericardium itself. The operative report should identify the foreign body, its location, and the thoracoscopic removal performed.

Report this code for removal from the pericardial sac, not for drainage of the sac or excision of pericardial tissue. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this single pericardial structure. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is 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 New Mexico compares for 32658

Across 109 of 109 payment localities, the facility rate for 32658 runs from $618.16 in Arkansas to $857.26 in Alaska. New Mexico pays $696.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

32658 in New Mexico vs other payment areas
  1. New Mexico · this page$696.57
  2. Los Angeles, CA · California$718.75+$22.18
  3. Washington, DC area · District of Columbia$765.66+$69.09
  4. Miami, FL · Florida$850.92+$154.35
  5. Chicago, IL · Illinois$823.31+$126.74
  6. Manhattan, NY · New York$811.33+$114.76
  7. Alaska · Alaska$857.26+$160.69

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

Every other payment area

32658 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$626.54
ArkansasArkansas—$618.16
ArizonaArizona—$674.84
Bakersfield, CACalifornia—$686.11
Chico, CACalifornia—$678.35
El Centro, CACalifornia—$678.83
Fresno, CACalifornia—$678.35
Hanford, CACalifornia—$678.35

32658 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.

View every state and territory as a table
32658 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 32658 in every payment locality

How the 32658 rate is calculated

Each of 32658’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 · 32658

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.42

11.42 RVUs× 1.000 GPCI

Practice expense6.53

6.53 RVUs× 1.000 GPCI

Malpractice2.87

2.87 RVUs× 1.000 GPCI

Adjusted RVUs

20.8200

Conversion factor

$33.4009

Medicare rate

$695.41

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,754

Code
32658
Physician work
11.42
Practice expense
6.53
Malpractice
2.87

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 32658 in New Mexico
ComponentRVULocality factorAdjusted
Physician work11.42× 1.00011.4200
Practice expense6.53× 0.9175.9880
Malpractice2.87× 1.2013.4469
Total RVUs20.8549
Conversion factor× 33.4009

Facility rate, New Mexico$696.57

Facility: (11.42 × 1 + 6.53 × 0.917 + 2.87 × 1.201) × $33.4009 = $696.57

Open 32658 in the RVU calculator

Payment rules and modifiers for 32658

32658 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32658

Thoracoscopy, pericardial foreign body removal

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 32658

Thoracoscopy, pericardial foreign body removal

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

32658 without 51 · national facility

$695.41

Thoracoscopy, pericardial foreign body removal

32658-51 · Second procedure: 50%

$347.71

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 32658 has changed in New Mexico

32658 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$696.57RVU26D
2026-07-01Not available in this setting$696.57RVU26C
2026-04-01Not available in this setting$696.57RVU26B
2026-01-01Not available in this setting$696.57RVU26A
2025-10-01Not available in this setting$686.63RVU25D
2025-07-01Not available in this setting$686.63RVU25C
2025-04-01Not available in this setting$686.63RVU25B
2025-01-01Not available in this setting$686.63RVU25A
2024-10-01Not available in this setting$703.45RVU24D
2024-07-01Not available in this setting$703.45RVU24C
2024-04-01Not available in this setting$703.45RVU24B
2024-03-09Not available in this setting$703.45RVU24AR
2024-01-01Not available in this setting$691.97RVU24A
2023-10-01Not available in this setting$710.05RVU23D
2023-07-01Not available in this setting$710.05RVU23C
2023-04-01Not available in this setting$710.05RVU23B
2023-01-01Not available in this setting$710.05RVU23A
2022-10-01Not available in this setting$720.51RVU22D
2022-07-01Not available in this setting$720.51RVU22C
2022-04-01Not available in this setting$720.51RVU22B
2022-01-01Not available in this setting$720.51RVU22A
2021-10-01Not available in this setting$721.26RVU21D
2021-07-01Not available in this setting$721.26RVU21C
2021-04-01Not available in this setting$721.26RVU21B
2021-01-01Not available in this setting$721.26RVU21A
2020-10-01Not available in this setting$742.96RVU20D
2020-07-01Not available in this setting$742.96RVU20C
2020-04-01Not available in this setting$742.96RVU20B
2020-01-01Not available in this setting$742.96RVU20A
2019-10-01Not available in this setting$750.87RVU19D
2019-07-01Not available in this setting$750.87RVU19C
2019-04-01Not available in this setting$746.82RVU19B
2019-01-01Not available in this setting$746.82RVU19A
2018-10-01Not available in this setting$748.91RVU18D
2018-07-01Not available in this setting$748.91RVU18C
2018-04-01Not available in this setting$748.91RVU18B
2018-01-01Not available in this setting$748.91RVU18AR1
2017-10-01Not available in this setting$742.83RVU17D
2017-07-01Not available in this setting$742.83RVU17C
2017-04-01Not available in this setting$742.83RVU17B
2017-01-01Not available in this setting$742.83RVU17A
2016-10-01Not available in this setting$739.98RVU16D
2016-07-01Not available in this setting$739.98RVU16C
2016-04-01Not available in this setting$739.98RVU16B
2016-01-01Not available in this setting$739.98RVU16A
2015-10-01Not available in this setting$745.97RVU15D
2015-07-01Not available in this setting$745.97RVU15C
2015-04-01Not available in this setting$742.26RVU15B
2015-01-01Not available in this setting$742.26RVU15A
2014-10-01Not available in this setting$727.99RVU14D
2014-07-01Not available in this setting$727.99RVU14C
2014-04-01Not available in this setting$727.99RVU14B
2014-01-01Not available in this setting$727.99RVU14A
2013-10-01Not available in this setting$708.29RVU13D
2013-07-01Not available in this setting$708.29RVU13C
2013-04-01Not available in this setting$708.29RVU13B
2013-01-01Not available in this setting$708.29RVU13AR

Price 32658 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

32658 billing questions

How is this code distinguished from 32659?

Use 32658 when the surgeon removes a foreign body from the pericardial sac. Code 32659 describes thoracoscopic drainage of the sac.

Can drainage of the pericardial sac be reported with this code?

Choose the code that represents the operative service performed. Do not report drainage as a separate service solely because fluid or other material is encountered during foreign body removal.

Should modifier 50 be appended?

No. The pericardial sac is a single structure, so modifier 50 is inappropriate for this service.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What documentation supports reporting this code?

Document the foreign body and its location in the pericardial sac, the thoracoscopic approach, and the removal performed. The operative note should distinguish this work from pericardial drainage or tissue excision.

How does the multiple-procedure rule affect payment?

For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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 32658PPRRVU2026_Oct_nonQPP.csv, line 3,754 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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