CPT code 32997: Lung lavage, whole-lung lavage2026 Medicare rate & RVUs in New Mexico
Reports therapeutic washing of an entire lung, typically for pulmonary alveolar proteinosis, using repeated saline instillation and drainage.
In New Mexico, Medicare pays $300.71 for 32997 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 32997 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 32997 covers
Total lung lavage washes an entire lung to remove accumulated material from the air spaces, most commonly in a patient with pulmonary alveolar proteinosis. In a controlled operating-room setting, the lung being treated is isolated while the other lung is ventilated; warmed saline is introduced and drained in repeated cycles. A thoracic surgeon or pulmonologist typically performs the lavage with anesthesia support. The procedure treats a whole lung rather than a focal lesion or an individual airway.
Report the service when the operative record supports therapeutic lavage of the entire lung, including the indication, side treated, lung-isolation approach, and lavage performed. For bilateral treatment, CMS recognizes modifier 50 and pays the bilateral procedure at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. The 0-day global period includes same-day preoperative and postoperative care. Medicare does not pay an assistant at surgery for this code; 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 New Mexico compares for 32997
Across 109 of 109 payment localities, the facility rate for 32997 runs from $284.74 in Arkansas to $413.26 in Alaska. New Mexico pays $300.71. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$300.71
- Los Angeles, CA · California$311.18+$10.47
- Washington, DC area · District of Columbia$322.91+$22.20
- Miami, FL · Florida$332.14+$31.43
- Chicago, IL · Illinois$327.67+$26.96
- Manhattan, NY · New York$333.94+$33.23
- Alaska · Alaska$413.26+$112.55
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $286.42 |
| ArkansasArkansas | — | $284.74 |
| ArizonaArizona | — | $296.12 |
| Bakersfield, CACalifornia | — | $301.17 |
| Chico, CACalifornia | — | $299.25 |
| El Centro, CACalifornia | — | $299.35 |
| Fresno, CACalifornia | — | $299.25 |
| Hanford, CACalifornia | — | $299.25 |
| Madera, CACalifornia | — | $299.25 |
| Merced, CACalifornia | — | $299.25 |
| Modesto, CACalifornia | — | $299.25 |
| Napa, CACalifornia | — | $319.07 |
| Oxnard, CACalifornia | — | $307.23 |
| Redding, CACalifornia | — | $299.25 |
| Rest of CaliforniaCalifornia | — | $299.25 |
| Riverside, CACalifornia | — | $305.74 |
| Sacramento, CACalifornia | — | $306.62 |
| Salinas, CACalifornia | — | $305.26 |
| San Diego, CACalifornia | — | $306.71 |
| Marin County, CACalifornia | — | $329.63 |
| San Francisco, CACalifornia | — | $328.96 |
| San Benito County, CACalifornia | — | $336.08 |
| Santa Clara County, CACalifornia | — | $333.34 |
| San Luis Obispo, CACalifornia | — | $301.08 |
| Santa Cruz, CACalifornia | — | $305.25 |
| Santa Maria, CACalifornia | — | $304.84 |
| Santa Rosa, CACalifornia | — | $307.95 |
| Stockton, CACalifornia | — | $299.25 |
| Vallejo, CACalifornia | — | $318.11 |
| Visalia, CACalifornia | — | $299.25 |
| Yuba City, CACalifornia | — | $299.25 |
| ColoradoColorado | — | $301.53 |
| ConnecticutConnecticut | — | $312.44 |
| DelawareDelaware | — | $298.97 |
| Fort Lauderdale, FLFlorida | — | $316.75 |
| Rest of FloridaFlorida | — | $308.32 |
| Atlanta, GAGeorgia | — | $305.63 |
| Rest of GeorgiaGeorgia | — | $299.48 |
| Hawaii, Guam, HIHawaii | — | $297.79 |
| IowaIowa | — | $284.79 |
| IdahoIdaho | — | $286.50 |
| East St. Louis, ILIllinois | — | $316.86 |
| Rest of IllinoisIllinois | — | $307.68 |
| Suburban Chicago, ILIllinois | — | $318.30 |
| IndianaIndiana | — | $287.05 |
| KansasKansas | — | $286.43 |
| KentuckyKentucky | — | $293.89 |
| New Orleans, LALouisiana | — | $300.45 |
| Rest of LouisianaLouisiana | — | $294.57 |
| Metropolitan Boston, MAMassachusetts | — | $316.10 |
| Rest of MassachusettsMassachusetts | — | $302.33 |
| Baltimore area, MDMaryland | — | $311.85 |
| Rest of MarylandMaryland | — | $301.55 |
| Rest of MaineMaine | — | $289.43 |
| Southern Maine, MEMaine | — | $292.62 |
| Detroit, MIMichigan | — | $312.31 |
| Rest of MichiganMichigan | — | $299.13 |
| MinnesotaMinnesota | — | $287.63 |
| Metropolitan Kansas City, MOMissouri | — | $297.23 |
| Metropolitan St. Louis, MOMissouri | — | $298.28 |
| Rest of MissouriMissouri | — | $293.91 |
| MississippiMississippi | — | $289.23 |
| MontanaMontana | — | $300.23 |
| North CarolinaNorth Carolina | — | $290.32 |
| North DakotaNorth Dakota | — | $288.57 |
| NebraskaNebraska | — | $284.75 |
| New HampshireNew Hampshire | — | $299.55 |
| Northern New JerseyNew Jersey | — | $323.40 |
| Rest of New JerseyNew Jersey | — | $315.61 |
| NevadaNevada | — | $297.03 |
| NYC suburbs and Long Island, NYNew York | — | $340.42 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $319.16 |
| Queens, NYNew York | — | $331.95 |
| Rest of New YorkNew York | — | $292.30 |
| OhioOhio | — | $296.74 |
| OklahomaOklahoma | — | $291.34 |
| Portland, OROregon | — | $303.75 |
| Rest of OregonOregon | — | $294.25 |
| Metropolitan Philadelphia, PAPennsylvania | — | $310.10 |
| Rest of PennsylvaniaPennsylvania | — | $295.71 |
| Puerto RicoPuerto Rico | — | $300.45 |
| Rhode IslandRhode Island | — | $304.07 |
| South CarolinaSouth Carolina | — | $294.09 |
| South DakotaSouth Dakota | — | $287.19 |
| TennesseeTennessee | — | $287.29 |
| Austin, TXTexas | — | $300.96 |
| Beaumont, TXTexas | — | $295.06 |
| Brazoria, TXTexas | — | $297.46 |
| Dallas, TXTexas | — | $299.45 |
| Fort Worth, TXTexas | — | $299.28 |
| Galveston, TXTexas | — | $298.49 |
| Houston, TXTexas | — | $309.29 |
| Rest of TexasTexas | — | $296.20 |
| UtahUtah | — | $295.72 |
| VirginiaVirginia | — | $293.76 |
| Virgin Islands, VIUnited States Virgin Islands | — | $300.45 |
| VermontVermont | — | $290.11 |
| Rest of WashingtonWashington | — | $300.91 |
| King County, WAWashington | — | $318.20 |
| WisconsinWisconsin | — | $284.86 |
| West VirginiaWest Virginia | — | $303.21 |
| WyomingWyoming | — | $295.15 |
32997 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
| 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 32997 rate is calculated
Each of 32997’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 · 32997
RVUs × geographic indexes × conversion factor
Work7.13
7.13 RVUs× 1.000 GPCI
Practice expense1.27
1.27 RVUs× 1.000 GPCI
Malpractice0.59
0.59 RVUs× 1.000 GPCI
Adjusted RVUs
8.9900
Conversion factor
$33.4009
Medicare rate
$300.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,810
- Code
- 32997
- Physician work
- 7.13
- Practice expense
- 1.27
- Malpractice
- 0.59
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.13 | × 1.000 | 7.1300 |
| Practice expense | 1.27 | × 0.917 | 1.1646 |
| Malpractice | 0.59 | × 1.201 | 0.7086 |
| Total RVUs | 9.0032 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$300.71
Facility: (7.13 × 1 + 1.27 × 0.917 + 0.59 × 1.201) × $33.4009 = $300.71
Payment rules and modifiers for 32997
The CMS indicators that decide how 32997 is paid alongside other services.
CMS payment indicators · 32997
Lung lavage, whole-lung lavage
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
32997 without 50 · national facility
$300.27
Lung lavage, whole-lung lavage
32997-50 · Bilateral: 150%
$450.41
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 32997 has changed in New Mexico
32997 · 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 | $300.71 | RVU26D |
| 2026-07-01 | Not available in this setting | $300.71 | RVU26C |
| 2026-04-01 | Not available in this setting | $300.71 | RVU26B |
| 2026-01-01 | Not available in this setting | $300.71 | RVU26A |
| 2025-10-01 | Not available in this setting | $317.18 | RVU25D |
| 2025-07-01 | Not available in this setting | $317.18 | RVU25C |
| 2025-04-01 | Not available in this setting | $317.18 | RVU25B |
| 2025-01-01 | Not available in this setting | $317.18 | RVU25A |
| 2024-10-01 | Not available in this setting | $326.02 | RVU24D |
| 2024-07-01 | Not available in this setting | $326.02 | RVU24C |
| 2024-04-01 | Not available in this setting | $326.02 | RVU24B |
| 2024-03-09 | Not available in this setting | $326.02 | RVU24AR |
| 2024-01-01 | Not available in this setting | $320.70 | RVU24A |
| 2023-10-01 | Not available in this setting | $331.03 | RVU23D |
| 2023-07-01 | Not available in this setting | $331.03 | RVU23C |
| 2023-04-01 | Not available in this setting | $331.03 | RVU23B |
| 2023-01-01 | Not available in this setting | $331.03 | RVU23A |
| 2022-10-01 | Not available in this setting | $340.06 | RVU22D |
| 2022-07-01 | Not available in this setting | $340.06 | RVU22C |
| 2022-04-01 | Not available in this setting | $340.06 | RVU22B |
| 2022-01-01 | Not available in this setting | $340.06 | RVU22A |
| 2021-10-01 | Not available in this setting | $341.66 | RVU21D |
| 2021-07-01 | Not available in this setting | $341.66 | RVU21C |
| 2021-04-01 | Not available in this setting | $341.66 | RVU21B |
| 2021-01-01 | Not available in this setting | $341.66 | RVU21A |
| 2020-10-01 | Not available in this setting | $352.44 | RVU20D |
| 2020-07-01 | Not available in this setting | $352.44 | RVU20C |
| 2020-04-01 | Not available in this setting | $352.44 | RVU20B |
| 2020-01-01 | Not available in this setting | $352.44 | RVU20A |
| 2019-10-01 | Not available in this setting | $353.77 | RVU19D |
| 2019-07-01 | Not available in this setting | $353.77 | RVU19C |
| 2019-04-01 | Not available in this setting | $353.77 | RVU19B |
| 2019-01-01 | Not available in this setting | $353.77 | RVU19A |
| 2018-10-01 | Not available in this setting | $354.04 | RVU18D |
| 2018-07-01 | Not available in this setting | $354.04 | RVU18C |
| 2018-04-01 | Not available in this setting | $354.04 | RVU18B |
| 2018-01-01 | Not available in this setting | $354.04 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $352.81 | RVU17D |
| 2017-07-01 | Not available in this setting | $352.81 | RVU17C |
| 2017-04-01 | Not available in this setting | $352.81 | RVU17B |
| 2017-01-01 | Not available in this setting | $352.81 | RVU17A |
| 2016-10-01 | Not available in this setting | $352.31 | RVU16D |
| 2016-07-01 | Not available in this setting | $352.31 | RVU16C |
| 2016-04-01 | Not available in this setting | $352.31 | RVU16B |
| 2016-01-01 | Not available in this setting | $352.31 | RVU16A |
| 2015-10-01 | Not available in this setting | $352.00 | RVU15D |
| 2015-07-01 | Not available in this setting | $352.00 | RVU15C |
| 2015-04-01 | Not available in this setting | $350.24 | RVU15B |
| 2015-01-01 | Not available in this setting | $350.24 | RVU15A |
| 2014-10-01 | Not available in this setting | $362.25 | RVU14D |
| 2014-07-01 | Not available in this setting | $362.25 | RVU14C |
| 2014-04-01 | Not available in this setting | $362.25 | RVU14B |
| 2014-01-01 | Not available in this setting | $362.25 | RVU14A |
| 2013-10-01 | Not available in this setting | $351.57 | RVU13D |
| 2013-07-01 | Not available in this setting | $351.57 | RVU13C |
| 2013-04-01 | Not available in this setting | $351.57 | RVU13B |
| 2013-01-01 | Not available in this setting | $351.57 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
32997 billing questions
When is 32997 appropriate instead of a lung tumor ablation code?
Use 32997 for therapeutic washing of an entire lung, typically for pulmonary alveolar proteinosis. Lung tumor ablation codes describe treatment directed at a focal tumor, not diffuse material in the air spaces.
How should bilateral lavage be reported?
When both lungs are treated, report the bilateral service with modifier 50. CMS pays the bilateral procedure at 150%.
What documentation supports 32997?
Document the therapeutic indication, the side or sides treated, lung isolation, and the lavage performed. The record should make clear that the service involved whole-lung washing rather than a focal airway or tumor procedure.
How does the multiple-procedure reduction affect 32997?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and other procedures at 50%. Which procedure receives the reduction depends on the relative values of the services reported.
Can an assistant or co-surgeon be reported for this procedure?
Medicare does not pay an assistant at surgery for 32997. Co-surgeons and team surgery are not permitted.
What care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
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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