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

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, 2026One payment locality16 Medicare services in 2024

In Vermont, Medicare pays $1,428.94 for 32906 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,428.94Hospital or facility

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.

We’ll open 32906 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 32906 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 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 Vermont 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. Vermont pays $1,428.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

32906 in Vermont vs other payment areas
  1. Vermont · this page$1,428.94
  2. Los Angeles, CA · California$1,574.90+$145.96
  3. Washington, DC area · District of Columbia$1,693.65+$264.71
  4. Miami, FL · Florida$1,934.30+$505.36
  5. Chicago, IL · Illinois$1,871.80+$442.86
  6. Manhattan, NY · New York$1,811.40+$382.46
  7. Alaska · Alaska$1,943.64+$514.70

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

Every other payment area

32906 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,402.41
ArkansasArkansas—$1,384.42
ArizonaArizona—$1,505.75
Bakersfield, CACalifornia—$1,509.66
Chico, CACalifornia—$1,490.17
El Centro, CACalifornia—$1,491.37
Fresno, CACalifornia—$1,490.17
Hanford, CACalifornia—$1,490.17

32906 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
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

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.

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.

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,801

Code
32906
Physician work
28.57
Practice expense
10.67
Malpractice
7.21

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Facility calculation for 32906 in Vermont
ComponentRVULocality factorAdjusted
Physician work28.57× 1.00028.5700
Practice expense10.67× 0.99010.5633
Malpractice7.21× 0.5063.6483
Total RVUs42.7816
Conversion factor× 33.4009

Facility rate, Vermont$1428.94

Facility: (28.57 × 1 + 10.67 × 0.99 + 7.21 × 0.506) × $33.4009 = $1428.94

Open 32906 in the RVU calculator

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

How 32906 has changed in Vermont

32906 · 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$1,428.94RVU26D
2026-07-01Not available in this setting$1,428.94RVU26C
2026-04-01Not available in this setting$1,428.94RVU26B
2026-01-01Not available in this setting$1,428.94RVU26A
2025-10-01Not available in this setting$1,463.76RVU25D
2025-07-01Not available in this setting$1,463.76RVU25C
2025-04-01Not available in this setting$1,463.76RVU25B
2025-01-01Not available in this setting$1,463.76RVU25A
2024-10-01Not available in this setting$1,500.14RVU24D
2024-07-01Not available in this setting$1,500.14RVU24C
2024-04-01Not available in this setting$1,500.14RVU24B
2024-03-09Not available in this setting$1,500.14RVU24AR
2024-01-01Not available in this setting$1,475.65RVU24A
2023-10-01Not available in this setting$1,530.26RVU23D
2023-07-01Not available in this setting$1,530.26RVU23C
2023-04-01Not available in this setting$1,530.26RVU23B
2023-01-01Not available in this setting$1,530.26RVU23A
2022-10-01Not available in this setting$1,570.31RVU22D
2022-07-01Not available in this setting$1,570.31RVU22C
2022-04-01Not available in this setting$1,570.31RVU22B
2022-01-01Not available in this setting$1,570.31RVU22A
2021-10-01Not available in this setting$1,579.66RVU21D
2021-07-01Not available in this setting$1,579.66RVU21C
2021-04-01Not available in this setting$1,579.66RVU21B
2021-01-01Not available in this setting$1,579.66RVU21A
2020-10-01Not available in this setting$1,622.48RVU20D
2020-07-01Not available in this setting$1,622.48RVU20C
2020-04-01Not available in this setting$1,622.48RVU20B
2020-01-01Not available in this setting$1,622.48RVU20A
2019-10-01Not available in this setting$1,626.95RVU19D
2019-07-01Not available in this setting$1,626.95RVU19C
2019-04-01Not available in this setting$1,622.67RVU19B
2019-01-01Not available in this setting$1,622.67RVU19A
2018-10-01Not available in this setting$1,625.28RVU18D
2018-07-01Not available in this setting$1,625.28RVU18C
2018-04-01Not available in this setting$1,625.28RVU18B
2018-01-01Not available in this setting$1,625.28RVU18AR1
2017-10-01Not available in this setting$1,638.44RVU17D
2017-07-01Not available in this setting$1,638.44RVU17C
2017-04-01Not available in this setting$1,638.44RVU17B
2017-01-01Not available in this setting$1,638.44RVU17A
2016-10-01Not available in this setting$1,648.21RVU16D
2016-07-01Not available in this setting$1,648.21RVU16C
2016-04-01Not available in this setting$1,648.21RVU16B
2016-01-01Not available in this setting$1,648.21RVU16A
2015-10-01Not available in this setting$1,654.19RVU15D
2015-07-01Not available in this setting$1,654.19RVU15C
2015-04-01Not available in this setting$1,645.96RVU15B
2015-01-01Not available in this setting$1,645.96RVU15A
2014-10-01Not available in this setting$1,625.35RVU14D
2014-07-01Not available in this setting$1,625.35RVU14C
2014-04-01Not available in this setting$1,625.35RVU14B
2014-01-01Not available in this setting$1,625.35RVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 32906 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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