No office rate
32651 describes partial decortication. Choose 32653 when the operative service is removal of a foreign body or fibrin deposit, not decortication.
On this page
CMS RVU26D · Effective 2026-10-01
32653 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$977.10
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Thoracic surgery
About 32653: Thoracoscopic removal of foreign body or fibrin
Reports thoracoscopic removal of a foreign object or fibrin deposit from the pleural space during an operative chest procedure.
A thoracic surgeon uses a thoracoscope to remove a foreign object or fibrinous material from the pleural space. The work is performed in an operating room, commonly during surgery for a retained intrathoracic object or fibrin deposit requiring operative removal. The operative report should identify the material and its location and describe its removal through the thoracoscopic approach.
Report this code when removal of the foreign body or fibrin deposit is the operative service, rather than pleural decortication or removal of an object from the pericardial sac. CMS assigns a 90-day global period, including 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% multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 32653
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.72 · 59%
- Practice expense (office) RVU8.18 · 27%
- Malpractice RVU4.23 · 14%
1.8K
Medicare services in 2024 · #2542 by national volume
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.
32653 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
32652 describes total decortication. The operative goal and extent of decortication distinguish it from removal reported with 32653.
No office rate
32658 is for removing a foreign body from the pericardial sac; 32653 is used for the corresponding removal service in the pleural space.
The same code, a different location
How does Chico compare?
32653 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 32653
Office
Unavailable
Facility
$977.10
No comparable office rate is available.
Modesto
California · 32653
Office
Unavailable
Facility
$977.10
No comparable office rate is available.
Napa
California · 32653
Office
Unavailable
Facility
$1061.03
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 32653
Office
Unavailable
Facility
$1019.40
No comparable office rate is available.
Redding
California · 32653
Office
Unavailable
Facility
$977.10
No comparable office rate is available.
Rest Of California
California · 32653
Office
Unavailable
Facility
$977.10
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 32653
Office
Unavailable
Facility
$1022.48
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 32653
Office
Unavailable
Facility
$1006.65
No comparable office rate is available.
Salinas
California · 32653
Office
Unavailable
Facility
$1002.60
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 32653
Office
Unavailable
Facility
$1012.97
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 32653
Office
Unavailable
Facility
$1098.18
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 32653
Office
Unavailable
Facility
$1093.38
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 32653
Office
Unavailable
Facility
$1126.68
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 32653
Office
Unavailable
Facility
$1107.04
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 32653
Office
Unavailable
Facility
$988.85
No comparable office rate is available.
Santa Cruz-Watsonville
California · 32653
Office
Unavailable
Facility
$1011.98
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 32653
Office
Unavailable
Facility
$1002.74
No comparable office rate is available.
Santa Rosa-Petaluma
California · 32653
Office
Unavailable
Facility
$1020.86
No comparable office rate is available.
Stockton
California · 32653
Office
Unavailable
Facility
$977.10
No comparable office rate is available.
Vallejo
California · 32653
Office
Unavailable
Facility
$1054.10
No comparable office rate is available.
Visalia
California · 32653
Office
Unavailable
Facility
$977.10
No comparable office rate is available.
Yuba City
California · 32653
Office
Unavailable
Facility
$977.10
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 32653
Office
Unavailable
Facility
$1102.93
No comparable office rate is available.
Miami
Florida · 32653
Office
Unavailable
Facility
$1233.60
No comparable office rate is available.
Chicago
Illinois · 32653
Office
Unavailable
Facility
$1194.84
No comparable office rate is available.
Manhattan
New York · 32653
Office
Unavailable
Facility
$1171.30
No comparable office rate is available.
Alaska*
Alaska · 32653
Office
Unavailable
Facility
$1256.62
No comparable office rate is available.
Alabama
Alabama · 32653
Office
Unavailable
Facility
$910.90
No comparable office rate is available.
Arkansas
Arkansas · 32653
Office
Unavailable
Facility
$899.32
No comparable office rate is available.
Arizona
Arizona · 32653
Office
Unavailable
Facility
$977.55
No comparable office rate is available.
Colorado
Colorado · 32653
Office
Unavailable
Facility
$1000.02
No comparable office rate is available.
Connecticut
Connecticut · 32653
Office
Unavailable
Facility
$1068.91
No comparable office rate is available.
Delaware
Delaware · 32653
Office
Unavailable
Facility
$991.78
No comparable office rate is available.
Fort Lauderdale
Florida · 32653
Office
Unavailable
Facility
$1124.08
No comparable office rate is available.
Rest Of Florida
Florida · 32653
Office
Unavailable
Facility
$1065.41
No comparable office rate is available.
Atlanta
Georgia · 32653
Office
Unavailable
Facility
$1040.91
No comparable office rate is available.
Rest Of Georgia
Georgia · 32653
Office
Unavailable
Facility
$1003.99
No comparable office rate is available.
Hawaii, Guam
Hawaii · 32653
Office
Unavailable
Facility
$984.32
No comparable office rate is available.
Iowa
Iowa · 32653
Office
Unavailable
Facility
$897.95
No comparable office rate is available.
Idaho
Idaho · 32653
Office
Unavailable
Facility
$910.05
No comparable office rate is available.
East St. Louis
Illinois · 32653
Office
Unavailable
Facility
$1127.78
No comparable office rate is available.
Rest Of Illinois
Illinois · 32653
Office
Unavailable
Facility
$1062.14
No comparable office rate is available.
Suburban Chicago
Illinois · 32653
Office
Unavailable
Facility
$1126.96
No comparable office rate is available.
Indiana
Indiana · 32653
Office
Unavailable
Facility
$913.80
No comparable office rate is available.
Kansas
Kansas · 32653
Office
Unavailable
Facility
$910.06
No comparable office rate is available.
Kentucky
Kentucky · 32653
Office
Unavailable
Facility
$964.03
No comparable office rate is available.
New Orleans
Louisiana · 32653
Office
Unavailable
Facility
$1009.46
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 32653
Office
Unavailable
Facility
$969.01
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 32653
Office
Unavailable
Facility
$1068.10
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 32653
Office
Unavailable
Facility
$1001.64
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 32653
Office
Unavailable
Facility
$1069.27
No comparable office rate is available.
Rest Of Maryland
Maryland · 32653
Office
Unavailable
Facility
$1003.98
No comparable office rate is available.
Rest Of Maine
Maine · 32653
Office
Unavailable
Facility
$931.11
No comparable office rate is available.
Southern Maine
Maine · 32653
Office
Unavailable
Facility
$951.78
No comparable office rate is available.
Detroit
Michigan · 32653
Office
Unavailable
Facility
$1093.73
No comparable office rate is available.
Rest Of Michigan
Michigan · 32653
Office
Unavailable
Facility
$1000.82
No comparable office rate is available.
Minnesota
Minnesota · 32653
Office
Unavailable
Facility
$914.83
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 32653
Office
Unavailable
Facility
$986.45
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 32653
Office
Unavailable
Facility
$993.54
No comparable office rate is available.
Rest Of Missouri
Missouri · 32653
Office
Unavailable
Facility
$964.99
No comparable office rate is available.
Mississippi
Mississippi · 32653
Office
Unavailable
Facility
$931.52
No comparable office rate is available.
Montana**
Montana · 32653
Office
Unavailable
Facility
$1006.09
No comparable office rate is available.
North Carolina
North Carolina · 32653
Office
Unavailable
Facility
$937.06
No comparable office rate is available.
North Dakota**
North Dakota · 32653
Office
Unavailable
Facility
$922.45
No comparable office rate is available.
Nebraska
Nebraska · 32653
Office
Unavailable
Facility
$897.45
No comparable office rate is available.
New Hampshire
New Hampshire · 32653
Office
Unavailable
Facility
$999.91
No comparable office rate is available.
Northern Nj
New Jersey · 32653
Office
Unavailable
Facility
$1096.98
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 32653
Office
Unavailable
Facility
$1068.88
No comparable office rate is available.
New Mexico
New Mexico · 32653
Office
Unavailable
Facility
$1012.09
No comparable office rate is available.
Nevada**
Nevada · 32653
Office
Unavailable
Facility
$983.05
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 32653
Office
Unavailable
Facility
$1216.97
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 32653
Office
Unavailable
Facility
$1088.63
No comparable office rate is available.
Queens
New York · 32653
Office
Unavailable
Facility
$1156.42
No comparable office rate is available.
Rest Of New York
New York · 32653
Office
Unavailable
Facility
$950.75
No comparable office rate is available.
Ohio
Ohio · 32653
Office
Unavailable
Facility
$983.73
No comparable office rate is available.
Oklahoma
Oklahoma · 32653
Office
Unavailable
Facility
$945.63
No comparable office rate is available.
Portland
Oregon · 32653
Office
Unavailable
Facility
$1010.00
No comparable office rate is available.
Rest Of Oregon
Oregon · 32653
Office
Unavailable
Facility
$963.31
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 32653
Office
Unavailable
Facility
$1055.49
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 32653
Office
Unavailable
Facility
$976.19
No comparable office rate is available.
Puerto Rico
Puerto Rico · 32653
Office
Unavailable
Facility
$1007.26
No comparable office rate is available.
Rhode Island
Rhode Island · 32653
Office
Unavailable
Facility
$1011.37
No comparable office rate is available.
South Carolina
South Carolina · 32653
Office
Unavailable
Facility
$964.41
No comparable office rate is available.
South Dakota**
South Dakota · 32653
Office
Unavailable
Facility
$912.56
No comparable office rate is available.
Tennessee
Tennessee · 32653
Office
Unavailable
Facility
$916.09
No comparable office rate is available.
Austin
Texas · 32653
Office
Unavailable
Facility
$1007.29
No comparable office rate is available.
Beaumont
Texas · 32653
Office
Unavailable
Facility
$971.75
No comparable office rate is available.
Brazoria
Texas · 32653
Office
Unavailable
Facility
$977.56
No comparable office rate is available.
Dallas
Texas · 32653
Office
Unavailable
Facility
$990.54
No comparable office rate is available.
Fort Worth
Texas · 32653
Office
Unavailable
Facility
$989.64
No comparable office rate is available.
Galveston
Texas · 32653
Office
Unavailable
Facility
$984.89
No comparable office rate is available.
Houston
Texas · 32653
Office
Unavailable
Facility
$1062.31
No comparable office rate is available.
Rest Of Texas
Texas · 32653
Office
Unavailable
Facility
$978.73
No comparable office rate is available.
Utah
Utah · 32653
Office
Unavailable
Facility
$975.56
No comparable office rate is available.
Virginia
Virginia · 32653
Office
Unavailable
Facility
$960.19
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 32653
Office
Unavailable
Facility
$1007.26
No comparable office rate is available.
Vermont
Vermont · 32653
Office
Unavailable
Facility
$933.84
No comparable office rate is available.
Rest Of Washington
Washington · 32653
Office
Unavailable
Facility
$994.78
No comparable office rate is available.
Seattle (King Cnty)
Washington · 32653
Office
Unavailable
Facility
$1072.13
No comparable office rate is available.
Wisconsin
Wisconsin · 32653
Office
Unavailable
Facility
$897.12
No comparable office rate is available.
West Virginia
West Virginia · 32653
Office
Unavailable
Facility
$1031.47
No comparable office rate is available.
Wyoming**
Wyoming · 32653
Office
Unavailable
Facility
$969.63
No comparable office rate is available.
See how rates vary across the country
32653 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 32653 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1074.81
$977.10 × 110% = $1074.81
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 32653 in Chico.
PPRRVU2026_Oct_nonQPP.csv
3,750
- Code
- 32653
- Physician work
- 17.72
- Practice expense
- 8.18
- Malpractice
- 4.23
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.72 | × 1.017 | 18.0212 |
| Practice expense | 8.18 | × 1.096 | 8.9653 |
| Malpractice | 4.23 | × 0.536 | 2.2673 |
| Total RVUs | 29.2538 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$977.10
Open 32653 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.72 | 1.017 |
| Practice expense | 8.18 | 1.096 |
| Malpractice | 4.23 | 0.536 |
(17.72 × 1.017 + 8.18 × 1.096 + 4.23 × 0.536) × $33.4009 = $977.10
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
32653 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $977.10 | RVU26D |
| 2026-07-01 | Not available in this setting | $977.10 | RVU26C |
| 2026-04-01 | Not available in this setting | $977.10 | RVU26B |
| 2026-01-01 | Not available in this setting | $977.10 | RVU26A |
| 2025-10-01 | Not available in this setting | $996.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $996.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $996.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $996.60 | RVU25A |
32653 billing questions
How is this different from thoracoscopic decortication?
Use 32653 for removal of a foreign body or fibrin deposit. Codes 32651 and 32652 describe partial and total lung decortication, respectively; select based on the operation documented.
When is 32658 the better code?
32658 is for thoracoscopic removal of a foreign body from the pericardial sac. Use 32653 for the removal service involving the pleural space.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code’s descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard 50% multiple-procedure reduction to the other procedures.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons require supporting documentation, while 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,74732650,,Thoracoscopy w/pleurodesis,A,,10.56,6.35,NA,6.35,,2.56,19.47,19.47,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74832651,,Thoracoscopy remove cortex,A,,18.31,8.27,NA,8.27,,4.55,31.13,31.13,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,74932652,,Thoracoscopy rem totl cortex,A,,28.40,11.49,NA,11.49,,7.11,47.00,47.00,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,75032653,,Thoracoscopy remov fb/fibrin,A,,17.72,8.18,NA,8.18,,4.23,30.13,30.13,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,75132654,,Thoracoscopy contrl bleeding,A,,20.01,8.93,NA,8.93,,4.83,33.77,33.77,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,75232655,,Thoracoscopy resect bullae,A,,15.77,7.70,NA,7.70,,3.95,27.42,27.42,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,75332656,,Thoracoscopy w/pleurectomy,A,,12.93,7.16,NA,7.16,,3.24,23.33,23.33,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536