CPT code 39561: Diaphragm resection, complex repair2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $1,217.80 for 39561 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 39561 nationwide

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

What 39561 covers

Code 39561 describes removal of diaphragm tissue followed by complex repair of the defect, such as reconstruction using a graft. It is most often encountered during a major operation when a tumor or other diseased tissue involves the diaphragm. Thoracic or abdominal surgeons typically perform the work in a hospital operating room. The complex reconstruction distinguishes this service from a resection that can be repaired simply.

Choose this code when the operative report supports both diaphragm resection and complex repair; document the resection and how the defect was reconstructed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code's descriptor and anatomy. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team-surgery payment 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 New Mexico compares for 39561

Across 109 of 109 payment localities, the facility rate for 39561 runs from $1,080.89 in Arkansas to $1,494.98 in Alaska. New Mexico pays $1,217.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

39561 rates by state

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

See 39561 in every payment locality

How the 39561 rate is calculated

Each of 39561’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 39561

39561 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

Codes related to 39561

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

How 39561 has changed in New Mexico

Price 39561 for an earlier date of service

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

Browse all communities in New Mexico

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