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CPT code 32906: Chest wall repair, revision with prosthetic material2026 Medicare rate & RVUs

Reports revision and repair of the chest wall after prior surgery when prosthetic material is used to reconstruct or reinforce the defect.

CMS RVU26DEffective Oct 1, 2026109 payment localities16 Medicare services in 2024

Medicare pays $1,551.47 for 32906 nationally in a facility.

Medicare rate · 32906

Chest wall repair, revision with prosthetic material

Office or facility?

Work RVUs
28.57
Total RVUs
46.45
Global days
090

National rate · 2026

$1,551.47

Facility setting, before claim adjustments.

See every locality for 32906 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 32906 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 32906 covers

This code describes operative revision of a chest wall defect after earlier surgery, with prosthetic material used in the repair. A thoracic or general surgeon may perform the reconstruction in a hospital operating room, such as when a prior chest operation has left a defect requiring repair or reinforcement. The operative work is more than routine closure: the record should establish the prior surgery, the chest wall problem being corrected, and the prosthetic material used.

Select this code when the repair follows previous surgery and uses prosthetic material; code 32905 is the related option when prosthetic material is not used. The operative report should describe the defect, revision performed, and material implanted. Medicare 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 multiple-procedure reduction. Modifier 50 is inappropriate. 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.

Where 32906 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

32906 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,402.41
AlaskaUnavailable$1,943.64
ArizonaUnavailable$1,505.75
ArkansasUnavailable$1,384.42
Atlanta, GAUnavailable$1,608.44
Austin, TXUnavailable$1,546.60
Bakersfield, CAUnavailable$1,509.66
Baltimore area, MDUnavailable$1,649.83
Beaumont, TXUnavailable$1,502.30
Brazoria, TXUnavailable$1,502.92

32906 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
32906 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

How the 32906 rate is calculated

Each of 32906’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 · 32906

RVUs × geographic indexes × conversion factor

Office or facility?

Work28.57

28.57 RVUs× 1.000 GPCI

Practice expense10.67

10.67 RVUs× 1.000 GPCI

Malpractice7.21

7.21 RVUs× 1.000 GPCI

Adjusted RVUs

46.4500

Conversion factor

$33.4009

Medicare rate

$1,551.47

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

Payment rules and modifiers for 32906

32906 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32906

Chest wall repair, revision with prosthetic material

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 · 32906

Chest wall repair, revision with prosthetic material

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

32906 without 51 · national facility

$1,551.47

Chest wall repair, revision with prosthetic material

32906-51 · Second procedure: 50%

$775.74

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

32906 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 32906

    Chest wall repair, revision with prosthetic material28.57 wRVU

    Not priced

  • 32905

    Chest wall repair, prosthetic material22.71 wRVU

    Not priced

  • 32800

    Lung hernia repair15.32 wRVU

    Not priced

  • 32999

    Unlisted lung procedure, lungs and pleura0 wRVU

    Not priced

How to choose

32905Chest wall repairProsthetic material
Choose 32906 when prosthetic material is used in the post-surgical chest wall revision; 32905 is the related code when it is not.
32800Lung hernia repair
32800 describes chest wall repair outside the specific post-surgical revision context addressed by 32906.
32999Unlisted lung procedureLungs and pleura
32999 is an unlisted lung or pleura procedure code; use 32906 when the documented service matches its specific chest wall revision and prosthetic-material criteria.

Codes related to 32906

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 32906
CodeHow it relatesNational office range
Same family
32905Chest wall repair, prosthetic materialRelated chest wall revision and repair code for cases without prosthetic material.No office rate
Used instead
32800Lung hernia repairFor chest wall repair when the service is not revision after previous surgery.No office rate
32999Unlisted lung procedure, lungs and pleuraUnlisted lung or pleura procedure code when no specific listed code describes the service.No office rate

32906 billing questions

How does 32906 differ from 32905?

Both concern revision and repair of the chest wall after prior surgery. Use 32906 when prosthetic material is used; 32905 is the related code when it is not.

Can the prosthetic material be billed separately?

The code describes the repair that uses prosthetic material. The operative record should identify the material and how it was used; separate reporting depends on the applicable coding and payment rules for the item.

Should modifier 50 be appended for a bilateral repair?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What postoperative care is included?

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

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.

How is 32906 affected when other procedures are performed in the same session?

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

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 32906PPRRVU2026_Oct_nonQPP.csv, line 3,801 (RVU26D)

Open CMS sourceHow we calculate rates

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