CPT code 32960: Therapeutic pneumothorax, intrapleural air introduction2026 Medicare rate & RVUs in Montana

Reports deliberate introduction of air into the pleural space to create a therapeutic pneumothorax, rather than drainage of pleural air or fluid.

CMS RVU26DEffective Oct 1, 2026One payment locality14 Medicare services in 2024

In Montana, Medicare pays $134.26 for 32960 in the office and $82.16 when it’s performed in a hospital or facility.

$134.26Office (non-facility)
$82.16Hospital or facility
−0.0%vs the national office rate ($134.27)

Check a contract rate as a % of Medicare · 32960 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 32960 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 32960 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 32960 covers

This service involves intentionally introducing air into the pleural space to produce a pneumothorax for therapeutic purposes. It is distinct from treating a spontaneous pneumothorax by removing air or placing a drain. The procedure is performed by a physician; documentation should establish the therapeutic intent and describe the pleural intervention. The code is rarely reported in current Medicare practice, so the record should make clear what was done rather than relying only on a diagnosis of pneumothorax.

Report 32960 for the therapeutic induction itself, not for thoracentesis or chest-tube drainage. The minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are 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 Montana compares for 32960

Across 109 of 109 payment localities, the office rate for 32960 runs from $122.05 in Arkansas to $169.23 in San Benito County, CA. Montana pays $134.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

32960 in Montana vs other payment areas
  1. Montana · this page$134.26
  2. Los Angeles, CA · California$147.75+$13.49
  3. Washington, DC area · District of Columbia$150.43+$16.17
  4. Miami, FL · Florida$144.78+$10.52
  5. Chicago, IL · Illinois$141.53+$7.27
  6. Manhattan, NY · New York$152.29+$18.03
  7. Alaska · Alaska$166.43+$32.17

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

Every other payment area

32960 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$123.41$77.82
ArkansasArkansas$122.05$77.29
ArizonaArizona$131.40$80.91
Bakersfield, CACalifornia$140.12$83.01
Chico, CACalifornia$139.63$82.53
El Centro, CACalifornia$139.66$82.55
Fresno, CACalifornia$139.63$82.53
Hanford, CACalifornia$139.63$82.53

32960 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.

$122.05

$166.43

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
32960 office rate range by state
State / territoryOffice rate rangeLocalities
AK$166.431
AL$123.411
AR$122.051
AZ$131.401
CA$139.63–$169.2329
CO$138.341
CT$141.871
DC$150.431
DE$133.231
FL$133.73–$144.783
GA$127.73–$136.572
GU$141.681
HI$141.681
IA$125.351
ID$126.071
IL$131.05–$141.534
IN$126.621
KS$125.121
KY$126.131
LA$126.07–$130.852
MA$137.89–$149.652
MD$135.29–$150.433
ME$126.82–$131.802
MI$128.87–$135.282
MN$132.761
MO$124.55–$130.953
MS$123.311
MT$134.261
NC$127.811
ND$131.301
NE$125.811
NH$136.491
NJ$143.54–$149.492
NM$129.511
NV$133.501
NY$129.31–$155.525
OH$128.271
OK$125.721
OR$132.51–$141.662
PA$128.30–$139.162
PR$134.961
RI$137.161
SC$128.241
SD$130.941
TN$125.631
TX$127.66–$137.858
UT$129.591
VA$131.62–$150.432
VI$134.961
VT$131.101
WA$137.53–$152.112
WI$127.891
WV$127.331
WY$132.971

See 32960 in every payment locality

How the 32960 rate is calculated

Each of 32960’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 · 32960

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.79

1.79 RVUs× 1.000 GPCI

Practice expense2.08

2.08 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

4.0200

Conversion factor

$33.4009

Medicare rate

$134.27

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,808

Code
32960
Physician work
1.79
Practice expense
2.08
Malpractice
0.15

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 32960 in Montana
ComponentRVULocality factorAdjusted
Physician work1.79× 1.0001.7900
Practice expense2.08× 1.0002.0800
Malpractice0.15× 0.9980.1497
Total RVUs4.0197
Conversion factor× 33.4009

Office rate, Montana$134.26

Office: (1.79 × 1 + 2.08 × 1 + 0.15 × 0.998) × $33.4009 = $134.26

Facility: (1.79 × 1 + 0.52 × 1 + 0.15 × 0.998) × $33.4009 = $82.16

Open 32960 in the RVU calculator

Payment rules and modifiers for 32960

The CMS indicators that decide how 32960 is paid alongside other services.

CMS payment indicators · 32960

Therapeutic pneumothorax, intrapleural air introduction

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

32960 without 51 · national office

$134.27

Therapeutic pneumothorax, intrapleural air introduction

32960-51 · Second procedure: 50%

$67.14

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 32960 has changed in Montana

32960 · Office / nonfacility

$134.26

Effective 2026-10-01

The base rate is $11.78 higher than on 2025-10-01, moving from $122.48 to $134.26 (9.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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
  1. January 1, 2026

    RVU26A

    $122.48changed to$134.26

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.84 changed to 1.79
    • Practice expense RVU 1.79 changed to 2.08
    • Malpractice RVU 0.16 changed to 0.15
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $126.05changed to$122.48

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.80 changed to 1.79
    • Malpractice RVU 0.15 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $123.99changed to$126.05

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $127.63changed to$123.99

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.76 changed to 1.80
    • Malpractice RVU 0.17 changed to 0.15
  5. January 1, 2023

    RVU23A

    $128.99changed to$127.63

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.77 changed to 1.76
    • Malpractice RVU 0.12 changed to 0.17
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $130.04changed to$128.99

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.75 changed to 1.77
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $131.71changed to$130.04

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.64 changed to 1.75
    • Malpractice RVU 0.13 changed to 0.14
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $133.28changed to$131.71

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.63 changed to 1.64
    • Malpractice RVU 0.14 changed to 0.13
    • Malpractice GPCI 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $133.50changed to$133.28

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.64 changed to 1.63

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $133.66changed to$133.50

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.67 changed to 1.64
    • Malpractice RVU 0.15 changed to 0.14
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $147.76changed to$133.66

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.87 changed to 1.67
    • Malpractice RVU 0.34 changed to 0.15
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $130.86changed to$147.76

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.63 changed to 1.87
    • Malpractice RVU 0.14 changed to 0.34

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $130.21changed to$130.86

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $155.69changed to$130.21

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.04 changed to 1.63
    • Malpractice RVU 0.40 changed to 0.14
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $156.28changed to$155.69

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.29 changed to 2.04
    • Malpractice RVU 0.42 changed to 0.40
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $156.28

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$134.26$82.16RVU26D
2026-07-01$134.26$82.16RVU26C
2026-04-01$134.26$82.16RVU26B
2026-01-01$134.26$82.16RVU26A
2025-10-01$122.48$86.90RVU25D
2025-07-01$122.48$86.90RVU25C
2025-04-01$122.48$86.90RVU25B
2025-01-01$122.48$86.90RVU25A
2024-10-01$126.05$88.77RVU24D
2024-07-01$126.05$88.77RVU24C
2024-04-01$126.05$88.77RVU24B
2024-03-09$126.05$88.77RVU24AR
2024-01-01$123.99$87.32RVU24A
2023-10-01$127.63$90.69RVU23D
2023-07-01$127.63$90.69RVU23C
2023-04-01$127.63$90.69RVU23B
2023-01-01$127.63$90.69RVU23A
2022-10-01$128.99$91.61RVU22D
2022-07-01$128.99$91.61RVU22C
2022-04-01$128.99$91.61RVU22B
2022-01-01$128.99$91.61RVU22A
2021-10-01$130.04$92.70RVU21D
2021-07-01$130.04$92.70RVU21C
2021-04-01$130.04$92.70RVU21B
2021-01-01$130.04$92.70RVU21A
2020-10-01$131.71$95.98RVU20D
2020-07-01$131.71$95.98RVU20C
2020-04-01$131.71$95.98RVU20B
2020-01-01$131.71$95.98RVU20A
2019-10-01$133.28$97.97RVU19D
2019-07-01$133.28$97.97RVU19C
2019-04-01$133.28$97.97RVU19B
2019-01-01$133.28$97.97RVU19A
2018-10-01$133.50$98.22RVU18D
2018-07-01$133.50$98.22RVU18C
2018-04-01$133.50$98.22RVU18B
2018-01-01$133.50$98.22RVU18AR1
2017-10-01$133.66$98.49RVU17D
2017-07-01$133.66$98.49RVU17C
2017-04-01$133.66$98.49RVU17B
2017-01-01$133.66$98.49RVU17A
2016-10-01$147.76$106.23RVU16D
2016-07-01$147.76$106.23RVU16C
2016-04-01$147.76$106.23RVU16B
2016-01-01$147.76$106.23RVU16A
2015-10-01$130.86$96.00RVU15D
2015-07-01$130.86$96.00RVU15C
2015-04-01$130.21$95.52RVU15B
2015-01-01$130.21$95.52RVU15A
2014-10-01$155.69$109.12RVU14D
2014-07-01$155.69$109.12RVU14C
2014-04-01$155.69$109.12RVU14B
2014-01-01$155.69$109.12RVU14A
2013-10-01$156.28$105.92RVU13D
2013-07-01$156.28$105.92RVU13C
2013-04-01$156.28$105.92RVU13B
2013-01-01$156.28$105.92RVU13AR

Price 32960 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

32960 billing questions

How is 32960 different from a chest tube procedure?

32960 describes deliberate introduction of air to create a therapeutic pneumothorax. A chest tube procedure addresses pleural drainage or evacuation, so select the code that matches the documented service.

Can 32960 be reported with same-day preoperative or postoperative care?

The 0-day global period includes same-day preoperative and postoperative care for the procedure.

Should modifier 50 be added when both sides are treated?

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

Can an assistant surgeon or co-surgeon be billed?

Medicare does not pay an assistant at surgery for 32960, and co-surgeons are not permitted. Team surgery is also not permitted.

What documentation supports reporting 32960?

Document the therapeutic intent, the deliberate introduction of air into the pleural space, and the procedure performed. A diagnosis of pneumothorax alone does not establish that this service was provided.

How does Medicare handle 32960 when another procedure is performed in the same session?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are subject to the reduction.

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 32960PPRRVU2026_Oct_nonQPP.csv, line 3,808 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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