CPT code 32820: Chest wall reconstruction, major reconstruction2026 Medicare rate & RVUs in Mississippi

Report major reconstruction to restore chest-wall structure after substantial injury-related damage, rather than for a limited fistula closure or focal lung hernia repair.

CMS RVU26DEffective Oct 1, 2026One payment locality127 Medicare services in 2024

In Mississippi, Medicare pays $1,210.88 for 32820 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,210.88Hospital or facility

Check a contract rate as a % of Medicare · 32820 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 32820 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 32820 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 32820 covers

This service rebuilds a substantially damaged chest wall, commonly after trauma that has left a large defect or disrupted the chest wall’s structural support. A thoracic surgeon typically performs the reconstruction in an operating room, restoring support and coverage; the repair may involve graft or prosthetic material. The work is more extensive than closing a drainage site or repairing a focal lung hernia.

Select the code when the operative report supports major reconstruction, describing the injury, defect, structures rebuilt, and materials used. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; 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 Mississippi compares for 32820

Across 109 of 109 payment localities, the facility rate for 32820 runs from $1,169.01 in Arkansas to $1,624.07 in Alaska. Mississippi pays $1,210.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

32820 in Mississippi vs other payment areas
  1. Mississippi · this page$1,210.88
  2. Los Angeles, CA · California$1,355.18+$144.30
  3. Washington, DC area · District of Columbia$1,445.05+$234.17
  4. Miami, FL · Florida$1,610.66+$399.78
  5. Chicago, IL · Illinois$1,558.58+$347.70
  6. Manhattan, NY · New York$1,532.76+$321.88
  7. Alaska · Alaska$1,624.07+$413.19

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

Every other payment area

32820 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,184.72
ArkansasArkansas—$1,169.01
ArizonaArizona—$1,275.26
Bakersfield, CACalifornia—$1,294.38
Chico, CACalifornia—$1,279.53
El Centro, CACalifornia—$1,280.44
Fresno, CACalifornia—$1,279.53
Hanford, CACalifornia—$1,279.53

32820 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
32820 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 32820 in every payment locality

How the 32820 rate is calculated

Each of 32820’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 · 32820

RVUs × geographic indexes × conversion factor

Office or facility?

Work21.95

21.95 RVUs× 1.000 GPCI

Practice expense11.90

11.90 RVUs× 1.000 GPCI

Malpractice5.49

5.49 RVUs× 1.000 GPCI

Adjusted RVUs

39.3400

Conversion factor

$33.4009

Medicare rate

$1,313.99

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,788

Code
32820
Physician work
21.95
Practice expense
11.90
Malpractice
5.49

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 32820 in Mississippi
ComponentRVULocality factorAdjusted
Physician work21.95× 1.00021.9500
Practice expense11.90× 0.86110.2459
Malpractice5.49× 0.7394.0571
Total RVUs36.2530
Conversion factor× 33.4009

Facility rate, Mississippi$1210.88

Facility: (21.95 × 1 + 11.9 × 0.861 + 5.49 × 0.739) × $33.4009 = $1210.88

Open 32820 in the RVU calculator

Payment rules and modifiers for 32820

32820 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32820

Chest wall reconstruction, major reconstruction

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)0.10/0.76/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 32820

Chest wall reconstruction, major reconstruction

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

32820 without 51 · national facility

$1,313.99

Chest wall reconstruction, major reconstruction

32820-51 · Second procedure: 50%

$657.00

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 32820 has changed in Mississippi

32820 · 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$1,210.88RVU26D
2026-07-01Not available in this setting$1,210.88RVU26C
2026-04-01Not available in this setting$1,210.88RVU26B
2026-01-01Not available in this setting$1,210.88RVU26A
2025-10-01Not available in this setting$1,240.99RVU25D
2025-07-01Not available in this setting$1,240.99RVU25C
2025-04-01Not available in this setting$1,240.99RVU25B
2025-01-01Not available in this setting$1,240.99RVU25A
2024-10-01Not available in this setting$1,216.17RVU24D
2024-07-01Not available in this setting$1,216.17RVU24C
2024-04-01Not available in this setting$1,216.17RVU24B
2024-03-09Not available in this setting$1,216.17RVU24AR
2024-01-01Not available in this setting$1,196.33RVU24A
2023-10-01Not available in this setting$1,220.77RVU23D
2023-07-01Not available in this setting$1,220.77RVU23C
2023-04-01Not available in this setting$1,220.77RVU23B
2023-01-01Not available in this setting$1,220.77RVU23A
2022-10-01Not available in this setting$1,232.60RVU22D
2022-07-01Not available in this setting$1,232.60RVU22C
2022-04-01Not available in this setting$1,232.60RVU22B
2022-01-01Not available in this setting$1,232.60RVU22A
2021-10-01Not available in this setting$1,237.31RVU21D
2021-07-01Not available in this setting$1,237.31RVU21C
2021-04-01Not available in this setting$1,237.31RVU21B
2021-01-01Not available in this setting$1,237.31RVU21A
2020-10-01Not available in this setting$1,240.93RVU20D
2020-07-01Not available in this setting$1,240.93RVU20C
2020-04-01Not available in this setting$1,240.93RVU20B
2020-01-01Not available in this setting$1,240.93RVU20A
2019-10-01Not available in this setting$1,215.11RVU19D
2019-07-01Not available in this setting$1,215.11RVU19C
2019-04-01Not available in this setting$1,214.05RVU19B
2019-01-01Not available in this setting$1,214.05RVU19A
2018-10-01Not available in this setting$1,214.50RVU18D
2018-07-01Not available in this setting$1,214.50RVU18C
2018-04-01Not available in this setting$1,214.50RVU18B
2018-01-01Not available in this setting$1,214.50RVU18AR1
2017-10-01Not available in this setting$1,302.29RVU17D
2017-07-01Not available in this setting$1,302.29RVU17C
2017-04-01Not available in this setting$1,302.29RVU17B
2017-01-01Not available in this setting$1,302.29RVU17A
2016-10-01Not available in this setting$1,262.48RVU16D
2016-07-01Not available in this setting$1,262.48RVU16C
2016-04-01Not available in this setting$1,262.48RVU16B
2016-01-01Not available in this setting$1,262.48RVU16A
2015-10-01Not available in this setting$1,327.07RVU15D
2015-07-01Not available in this setting$1,327.07RVU15C
2015-04-01Not available in this setting$1,320.47RVU15B
2015-01-01Not available in this setting$1,320.47RVU15A
2014-10-01Not available in this setting$1,269.03RVU14D
2014-07-01Not available in this setting$1,269.03RVU14C
2014-04-01Not available in this setting$1,269.03RVU14B
2014-01-01Not available in this setting$1,269.03RVU14A
2013-10-01Not available in this setting$1,326.85RVU13D
2013-07-01Not available in this setting$1,326.85RVU13C
2013-04-01Not available in this setting$1,326.85RVU13B
2013-01-01Not available in this setting$1,326.85RVU13AR

Price 32820 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

32820 billing questions

When is this more appropriate than a limited chest-wall repair?

Use 32820 for major reconstruction of a substantial chest-wall defect, such as injury-related structural damage. A focal lung hernia repair or closure after drainage has a more specific code.

What documentation supports reporting 32820?

The operative report should establish the cause and extent of the defect, identify the chest-wall structures reconstructed, and describe the reconstructive work and materials used.

Should modifier 50 be appended for reconstruction on both sides?

No. Modifier 50 is inappropriate for this service.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days after surgery.

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 32820PPRRVU2026_Oct_nonQPP.csv, line 3,788 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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