CPT code 39560: Diaphragm resection, simple resection2026 Medicare rate & RVUs

Medicare pays $758.87 for 39560 nationally in a facility.

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

What 39560 covers

A surgeon removes a portion of the diaphragm in a simple resection, often during an operation for disease involving the diaphragm, such as an adjacent tumor. Thoracic and general surgeons typically perform the procedure in a hospital operating room. The operative report should identify the diaphragm tissue removed and describe the resection and any closure or reconstruction performed.

Select this code when the documented work is a simple resection; use the complex resection code when the operative work meets that level. The major-surgery global period includes 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 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this service.

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 39560 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

39560 rates by state

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

How the 39560 rate is calculated

Each of 39560’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 39560

39560 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

39560 compared with similar codes

How to choose

39561Diaphragm resectionComplex repair

Use 39560 for a simple diaphragm resection and 39561 for a complex resection. The operative details, rather than tissue quantity alone, support the level selected.

39501Diaphragm repairLaceration repair

39501 describes repair of a diaphragm laceration. Report 39560 when diaphragm tissue is resected rather than simply repaired.

39503Diaphragm hernia repairIncluding neonatal repair

39503 describes repair of a diaphragmatic hernia. It is not the resection code when the operative service is removal of diaphragm tissue.

Codes related to 39560

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

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