CPT code 39560: Diaphragm resection, simple resection2026 Medicare rate & RVUs in Florida
Report this service when a surgeon removes diaphragm tissue through a simple resection, such as excision of a localized area involved by disease.
CMS doesn’t publish an office rate for 39560 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $843.66 |
| Miami, FL | Unavailable | $923.14 |
| Rest of Florida | Unavailable | $799.55 |
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.
How the rate is built · 39560
RVUs × geographic indexes × conversion factor
Work12.73
12.73 RVUs× 1.000 GPCI
Practice expense6.96
6.96 RVUs× 1.000 GPCI
Malpractice3.03
3.03 RVUs× 1.000 GPCI
Adjusted RVUs
22.7200
Conversion factor
$33.4009
Medicare rate
$758.87
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 39560
39560 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 39560
Diaphragm resection, simple resection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 39560
Diaphragm resection, simple resection
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
39560 without 51 · national facility
$758.87
Diaphragm resection, simple resection
39560-51 · Second procedure: 50%
$379.44
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%).
39560 compared with similar codes
Compare codes · National
4 codes, side by side
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.
39560 billing questions
How is simple resection distinguished from complex resection?
Choose based on the documented operative work and complexity, not just the amount of diaphragm removed. Compare the operative report with 39561 when the resection is described as complex.
Does this code describe diaphragm repair?
No. It represents removal of diaphragm tissue. Repair of a laceration or diaphragmatic hernia is described by a different procedure code when that is the work performed.
What documentation supports reporting 39560?
The operative report should identify the diaphragm tissue resected and describe the extent and nature of the resection, including closure or reconstruction that helps establish its complexity.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid for this code. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does the global period affect postoperative visits?
The major-surgery global period includes the day-before preoperative visit and 90 days of related 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
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