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

In Puerto Rico, Medicare pays $1,551.78 for 32906 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 32906 nationwide

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

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.

How Puerto Rico compares for 32906

Across 109 of 109 payment localities, the facility rate for 32906 runs from $1,369.86 in Wisconsin to $1,943.64 in Alaska. Puerto Rico pays $1,551.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

32906 rates by state

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

See 32906 in every payment locality

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.

Payment rules and modifiers for 32906

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

What modifiers do to the payment

When to use modifier 51

Codes related to 32906

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

How 32906 has changed in Puerto Rico

Price 32906 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

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

Open CMS sourceHow we calculate rates