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Billing code 32905: Chest wall repairMedicare rate & RVUs in Brazoria

Reports operative reconstruction of a chest-wall defect with prosthetic material, such as mesh, after trauma or a prior operation.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Brazoria, Medicare pays $1,228.74 for 32905 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,228.74Hospital or facility

Check a contract rate as a % of Medicare · 32905 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 32905 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Brazoria
  2. What 32905 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 32905 covers

Code 32905 describes surgical reconstruction of a chest-wall defect using prosthetic material, commonly mesh. A thoracic surgeon typically performs the repair in an operating room when a defect from trauma or a prior operation requires structural coverage. The operative note should identify the defect and its cause, describe the reconstruction, and document the prosthetic material used. A repair using a muscle flap is distinguished by code 32906; rib removal alone is not this service.

This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery 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 Brazoria compares for 32905

Across 109 of 109 payment localities, the facility rate for 32905 runs from $1,122.00 in Wisconsin to $1,581.72 in Alaska*. Brazoria pays $1,228.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

32905 in Brazoria vs other payment areas
  1. Brazoria · this page$1,228.74
  2. Austin · Texas$1,265.74+$37.00
  3. Beaumont · Texas$1,225.38−$3.36
  4. Dallas · Texas$1,245.99+$17.25
  5. Fort Worth · Texas$1,245.29+$16.55
  6. Galveston · Texas$1,238.55+$9.81
  7. Houston · Texas$1,343.24+$114.50

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

Every other payment area

32905 in every other Medicare payment locality
Payment localityOfficeFacility
Rest Of TexasTexas—$1,232.82
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)California—$1,292.66
Dc + Md/Va SuburbsDistrict of Columbia—$1,386.71
MiamiFlorida—$1,572.72
ChicagoIllinois—$1,521.88
ManhattanNew York—$1,479.58
Alaska*Alaska—$1,581.72
AlabamaAlabama—$1,144.90

32905 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
32905 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 32905 in every payment locality

How the 32905 rate is calculated

Each of 32905’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 · 32905

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 22.71Practice expense 9.52Malpractice 5.72

37.9500 adjusted RVUs×$33.4009 conversion factor=$1,267.56

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

The exact Brazoria inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,800

Code
32905
Physician work
22.71
Practice expense
9.52
Malpractice
5.72

GPCI2026.csv

98

Locality
Brazoria
Physician work
1.008
Practice expense
0.991
Malpractice
0.780
Facility calculation for 32905 in Brazoria
ComponentRVULocality factorAdjusted
Physician work22.71× 1.00822.8917
Practice expense9.52× 0.9919.4343
Malpractice5.72× 0.7804.4616
Total RVUs36.7876
Conversion factor× 33.4009

Facility rate, Brazoria$1228.74

Facility: (22.71 × 1.008 + 9.52 × 0.991 + 5.72 × 0.78) × $33.4009 = $1228.74

Open 32905 in the RVU calculator

Payment rules and modifiers for 32905

32905 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32905

Chest wall repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.76/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 32905

Chest wall repair

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

32905 without 51 · national facility

$1,267.56

Chest wall repair

32905-51 · Second procedure: 50%

$633.78

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

Codes related to 32905

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

Codes related to 32905
CodeHow it relatesOffice range, Brazoria
Same family
32906Chest wall repairChest-wall repair using a muscle flap rather than prosthetic material.No office rate
Often billed with
32900Rib removalRib removal may accompany reconstruction when it is a distinct operative step.No office rate
21811Rib fixationRib-fracture fixation may accompany reconstruction in a trauma operation.No office rate

How 32905 has changed in Brazoria

32905 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,228.74RVU26D
2026-07-01Not available in this setting$1,228.74RVU26C
2026-04-01Not available in this setting$1,228.74RVU26B
2026-01-01Not available in this setting$1,228.74RVU26A
2025-10-01Not available in this setting$1,256.45RVU25D
2025-07-01Not available in this setting$1,256.45RVU25C
2025-04-01Not available in this setting$1,256.45RVU25B
2025-01-01Not available in this setting$1,256.45RVU25A

Price 32905 for an earlier date of service

Where the Brazoria rate applies

Brazoria is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

32905 billing questions

How do I distinguish 32905 from 32906?

Use 32905 when the chest-wall reconstruction uses prosthetic material. Code 32906 identifies repair using a muscle flap.

Does rib removal alone support 32905?

No. Rib removal without prosthetic chest-wall reconstruction is a different service; 32905 describes reconstruction of a defect using prosthetic material.

What documentation supports 32905?

Document the chest-wall defect and its cause, the operative reconstruction, and the prosthetic material used.

Should modifier 50 be appended for repair on both sides?

No. Modifier 50 is inappropriate for this service.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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 32905PPRRVU2026_Oct_nonQPP.csv, line 3,800 (RVU26D)
Geographic factors for BrazoriaGPCI2026.csv, line 98 (RVU26D)

Open CMS sourceHow we calculate rates

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