CPT code 32900: Rib removal, one or more ribs2026 Medicare rate & RVUs in Tennessee
Reports operative removal of one or more ribs during thoracic or chest-wall surgery, with payment subject to the major-surgery global period and multiple-procedure reduction.
In Tennessee, Medicare pays $1,172.24 for 32900 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 32900 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 32900 covers
This service covers operative removal of one or more ribs. A thoracic surgeon or another surgeon performing chest-wall or intrathoracic surgery may remove rib tissue to address a chest-wall or pleural operative problem or to provide access for the planned procedure. The operative report should identify the ribs removed and explain the surgical purpose; the code is not supported by a mention of rib removal without documentation of the work performed.
Report the service when rib removal is the documented procedure, and distinguish it from a procedure directed at revising or repairing the chest wall. CMS assigns a 90-day global period, including 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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 Tennessee compares for 32900
Across 109 of 109 payment localities, the facility rate for 32900 runs from $1,143.24 in Wisconsin to $1,612.72 in Alaska. Tennessee pays $1,172.24. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Tennessee · this page$1,172.24
- Los Angeles, CA · California$1,316.88+$144.64
- Washington, DC area · District of Columbia$1,413.08+$240.84
- Miami, FL · Florida$1,603.88+$431.64
- Chicago, IL · Illinois$1,552.02+$379.78
- Manhattan, NY · New York$1,508.12+$335.88
- Alaska · Alaska$1,612.72+$440.48
Other areas in Tennessee first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,166.98 |
| ArkansasArkansas | — | $1,151.87 |
| ArizonaArizona | — | $1,253.85 |
| Bakersfield, CACalifornia | — | $1,261.12 |
| Chico, CACalifornia | — | $1,245.31 |
| El Centro, CACalifornia | — | $1,246.29 |
| Fresno, CACalifornia | — | $1,245.31 |
| Hanford, CACalifornia | — | $1,245.31 |
| Madera, CACalifornia | — | $1,245.31 |
| Merced, CACalifornia | — | $1,245.31 |
| Modesto, CACalifornia | — | $1,245.31 |
| Napa, CACalifornia | — | $1,346.83 |
| Oxnard, CACalifornia | — | $1,298.47 |
| Redding, CACalifornia | — | $1,245.31 |
| Rest of CaliforniaCalifornia | — | $1,245.31 |
| Riverside, CACalifornia | — | $1,308.02 |
| Sacramento, CACalifornia | — | $1,281.57 |
| Salinas, CACalifornia | — | $1,276.41 |
| San Diego, CACalifornia | — | $1,288.69 |
| Marin County, CACalifornia | — | $1,391.63 |
| San Francisco, CACalifornia | — | $1,384.98 |
| San Benito County, CACalifornia | — | $1,428.58 |
| Santa Clara County, CACalifornia | — | $1,401.42 |
| San Luis Obispo, CACalifornia | — | $1,259.13 |
| Santa Cruz, CACalifornia | — | $1,286.65 |
| Santa Maria, CACalifornia | — | $1,276.33 |
| Santa Rosa, CACalifornia | — | $1,297.80 |
| Stockton, CACalifornia | — | $1,245.31 |
| Vallejo, CACalifornia | — | $1,337.26 |
| Visalia, CACalifornia | — | $1,245.31 |
| Yuba City, CACalifornia | — | $1,245.31 |
| ColoradoColorado | — | $1,279.02 |
| ConnecticutConnecticut | — | $1,373.23 |
| DelawareDelaware | — | $1,272.23 |
| Fort Lauderdale, FLFlorida | — | $1,454.00 |
| Rest of FloridaFlorida | — | $1,376.09 |
| Atlanta, GAGeorgia | — | $1,338.69 |
| Rest of GeorgiaGeorgia | — | $1,294.76 |
| Hawaii, Guam, HIHawaii | — | $1,253.71 |
| IowaIowa | — | $1,146.81 |
| IdahoIdaho | — | $1,163.27 |
| East St. Louis, ILIllinois | — | $1,464.37 |
| Rest of IllinoisIllinois | — | $1,374.00 |
| Suburban Chicago, ILIllinois | — | $1,456.89 |
| IndianaIndiana | — | $1,168.06 |
| KansasKansas | — | $1,164.18 |
| KentuckyKentucky | — | $1,239.67 |
| New Orleans, LALouisiana | — | $1,299.56 |
| Rest of LouisianaLouisiana | — | $1,246.79 |
| Metropolitan Boston, MAMassachusetts | — | $1,364.57 |
| Rest of MassachusettsMassachusetts | — | $1,281.72 |
| Baltimore area, MDMaryland | — | $1,374.12 |
| Rest of MarylandMaryland | — | $1,287.53 |
| Rest of MaineMaine | — | $1,192.38 |
| Southern Maine, MEMaine | — | $1,216.95 |
| Detroit, MIMichigan | — | $1,414.74 |
| Rest of MichiganMichigan | — | $1,289.20 |
| MinnesotaMinnesota | — | $1,163.71 |
| Metropolitan Kansas City, MOMissouri | — | $1,267.85 |
| Metropolitan St. Louis, MOMissouri | — | $1,276.91 |
| Rest of MissouriMissouri | — | $1,242.52 |
| MississippiMississippi | — | $1,196.29 |
| MontanaMontana | — | $1,291.56 |
| North CarolinaNorth Carolina | — | $1,199.88 |
| North DakotaNorth Dakota | — | $1,175.88 |
| NebraskaNebraska | — | $1,145.67 |
| New HampshireNew Hampshire | — | $1,280.70 |
| Northern New JerseyNew Jersey | — | $1,405.48 |
| Rest of New JerseyNew Jersey | — | $1,371.47 |
| New MexicoNew Mexico | — | $1,304.55 |
| NevadaNevada | — | $1,259.64 |
| NYC suburbs and Long Island, NYNew York | — | $1,569.74 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,398.39 |
| Queens, NYNew York | — | $1,486.41 |
| Rest of New YorkNew York | — | $1,217.85 |
| OhioOhio | — | $1,265.56 |
| OklahomaOklahoma | — | $1,213.99 |
| Portland, OROregon | — | $1,290.00 |
| Rest of OregonOregon | — | $1,232.63 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,356.79 |
| Rest of PennsylvaniaPennsylvania | — | $1,254.85 |
| Puerto RicoPuerto Rico | — | $1,292.55 |
| Rhode IslandRhode Island | — | $1,296.18 |
| South CarolinaSouth Carolina | — | $1,238.22 |
| South DakotaSouth Dakota | — | $1,162.20 |
| Austin, TXTexas | — | $1,289.86 |
| Beaumont, TXTexas | — | $1,249.16 |
| Brazoria, TXTexas | — | $1,252.27 |
| Dallas, TXTexas | — | $1,269.89 |
| Fort Worth, TXTexas | — | $1,269.22 |
| Galveston, TXTexas | — | $1,262.29 |
| Houston, TXTexas | — | $1,369.37 |
| Rest of TexasTexas | — | $1,256.61 |
| UtahUtah | — | $1,252.74 |
| VirginiaVirginia | — | $1,229.04 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,292.55 |
| VermontVermont | — | $1,192.21 |
| Rest of WashingtonWashington | — | $1,272.36 |
| King County, WAWashington | — | $1,367.89 |
| WisconsinWisconsin | — | $1,143.24 |
| West VirginiaWest Virginia | — | $1,334.07 |
| WyomingWyoming | — | $1,241.14 |
32900 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 32900 rate is calculated
Each of 32900’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 · 32900
RVUs × geographic indexes × conversion factor
Work23.21
23.21 RVUs× 1.000 GPCI
Practice expense9.62
9.62 RVUs× 1.000 GPCI
Malpractice5.85
5.85 RVUs× 1.000 GPCI
Adjusted RVUs
38.6800
Conversion factor
$33.4009
Medicare rate
$1,291.95
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Tennessee inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,799
- Code
- 32900
- Physician work
- 23.21
- Practice expense
- 9.62
- Malpractice
- 5.85
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.21 | × 1.000 | 23.2100 |
| Practice expense | 9.62 | × 0.909 | 8.7446 |
| Malpractice | 5.85 | × 0.537 | 3.1414 |
| Total RVUs | 35.0960 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1172.24
Facility: (23.21 × 1 + 9.62 × 0.909 + 5.85 × 0.537) × $33.4009 = $1172.24
Payment rules and modifiers for 32900
32900 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 32900
Rib removal, one or more ribs
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 32900
Rib removal, one or more ribs
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
32900 without 51 · national facility
$1,291.95
Rib removal, one or more ribs
32900-51 · Second procedure: 50%
$645.98
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%).
How 32900 has changed in Tennessee
32900 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,172.24 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,172.24 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,172.24 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,172.24 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,282.62 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,282.62 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,282.62 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,282.62 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,214.79 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,214.79 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,214.79 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,214.79 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,194.96 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,292.84 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,292.84 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,292.84 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,292.84 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,297.37 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,297.37 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,297.37 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,297.37 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,312.28 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,312.28 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,312.28 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,312.28 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,340.75 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,340.75 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,340.75 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,340.75 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,340.48 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,340.48 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,340.48 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,340.48 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,340.06 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,340.06 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,340.06 | RVU18B |
| 2018-01-01 | Not available in this setting | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Not available in this setting | Rate data unavailable | RVU17D |
| 2017-07-01 | Not available in this setting | Rate data unavailable | RVU17C |
| 2017-04-01 | Not available in this setting | Rate data unavailable | RVU17B |
| 2017-01-01 | Not available in this setting | Rate data unavailable | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Tennessee rate applies
Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.
- Adams
- Adamsville
- Alamo
- Alcoa
- Alexandria
- Algood
- Allardt
- Altamont
32900 billing questions
How does 32900 differ from a partial-rib excision code?
Use 32900 for the documented rib-removal service. Compare the operative work with the separate partial-rib excision code, 21600, and select the code whose service matches the procedure performed.
Can modifier 50 be used when ribs on both sides are removed?
No. CMS identifies bilateral adjustment as inappropriate for this code, even when the operative documentation describes work on both sides.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 32900 affected when other procedures are performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What should the operative report document?
Identify the rib or ribs removed and describe the operative work and purpose. Documentation should make clear that rib removal was performed, rather than only mentioning a rib in the context of another procedure.
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
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