No office rate
32100 represents open exploration; 32110 is for thoracotomy that includes control of traumatic hemorrhage or repair of a lung tear.
On this page
CMS RVU26D · Effective 2026-10-01
32100 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$765.69
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 32100: Open thoracotomy for chest exploration
Reports an open chest operation for direct intrathoracic exploration when the operative service is not better represented by a more specific thoracotomy procedure.
A surgeon opens the chest to inspect the intrathoracic space directly when diagnostic evaluation or operative findings call for exploration. The service is generally performed in a hospital operating room, such as when the surgeon must assess an uncertain chest finding that cannot be resolved through a less invasive approach. The operative report should identify the reason for exploration, the structures examined, and the findings. When the operation instead includes a specific repair, removal, or other defined thoracic procedure, select the code that describes that work.
Report this code for the open exploration itself, with documentation supporting why direct inspection was needed and what was done. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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. Do not append modifier 50. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32100
- 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 RVU13.41 · 58%
- Practice expense (office) RVU6.55 · 28%
- Malpractice RVU3.31 · 14%
351
Medicare services in 2024 · #3857 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.
32100 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
32120 is for thoracic re-exploration related to a postoperative complication, rather than general open chest exploration.
No office rate
32124 is directed to thoracotomy for biopsy of lung nodules or masses. Use 32100 when the documented service is exploration rather than that specific biopsy procedure.
The same code, a different location
How does Delaware compare?
32100 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware 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
Alabama
Alabama · 32100
Office
Unavailable
Facility
$701.91
No comparable office rate is available.
Arkansas
Arkansas · 32100
Office
Unavailable
Facility
$692.77
No comparable office rate is available.
Arizona
Arizona · 32100
Office
Unavailable
Facility
$754.54
No comparable office rate is available.
Bakersfield
California · 32100
Office
Unavailable
Facility
$763.52
No comparable office rate is available.
Chico
California · 32100
Office
Unavailable
Facility
$754.56
No comparable office rate is available.
El Centro
California · 32100
Office
Unavailable
Facility
$755.11
No comparable office rate is available.
Fresno
California · 32100
Office
Unavailable
Facility
$754.56
No comparable office rate is available.
Hanford-Corcoran
California · 32100
Office
Unavailable
Facility
$754.56
No comparable office rate is available.
Madera
California · 32100
Office
Unavailable
Facility
$754.56
No comparable office rate is available.
Merced
California · 32100
Office
Unavailable
Facility
$754.56
No comparable office rate is available.
Modesto
California · 32100
Office
Unavailable
Facility
$754.56
No comparable office rate is available.
Napa
California · 32100
Office
Unavailable
Facility
$820.63
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 32100
Office
Unavailable
Facility
$787.92
No comparable office rate is available.
Redding
California · 32100
Office
Unavailable
Facility
$754.56
No comparable office rate is available.
Rest Of California
California · 32100
Office
Unavailable
Facility
$754.56
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 32100
Office
Unavailable
Facility
$790.05
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 32100
Office
Unavailable
Facility
$777.73
No comparable office rate is available.
Salinas
California · 32100
Office
Unavailable
Facility
$774.61
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 32100
Office
Unavailable
Facility
$782.92
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 32100
Office
Unavailable
Facility
$849.68
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 32100
Office
Unavailable
Facility
$845.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 32100
Office
Unavailable
Facility
$871.91
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 32100
Office
Unavailable
Facility
$856.54
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 32100
Office
Unavailable
Facility
$763.96
No comparable office rate is available.
Santa Cruz-Watsonville
California · 32100
Office
Unavailable
Facility
$782.38
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 32100
Office
Unavailable
Facility
$774.80
No comparable office rate is available.
Santa Rosa-Petaluma
California · 32100
Office
Unavailable
Facility
$789.26
No comparable office rate is available.
Stockton
California · 32100
Office
Unavailable
Facility
$754.56
No comparable office rate is available.
Vallejo
California · 32100
Office
Unavailable
Facility
$815.22
No comparable office rate is available.
Visalia
California · 32100
Office
Unavailable
Facility
$754.56
No comparable office rate is available.
Yuba City
California · 32100
Office
Unavailable
Facility
$754.56
No comparable office rate is available.
Colorado
Colorado · 32100
Office
Unavailable
Facility
$772.40
No comparable office rate is available.
Connecticut
Connecticut · 32100
Office
Unavailable
Facility
$826.26
No comparable office rate is available.
Fort Lauderdale
Florida · 32100
Office
Unavailable
Facility
$869.41
No comparable office rate is available.
Rest Of Florida
Florida · 32100
Office
Unavailable
Facility
$823.22
No comparable office rate is available.
Atlanta
Georgia · 32100
Office
Unavailable
Facility
$804.31
No comparable office rate is available.
Rest Of Georgia
Georgia · 32100
Office
Unavailable
Facility
$774.84
No comparable office rate is available.
Hawaii, Guam
Hawaii · 32100
Office
Unavailable
Facility
$760.67
No comparable office rate is available.
Iowa
Iowa · 32100
Office
Unavailable
Facility
$691.98
No comparable office rate is available.
Idaho
Idaho · 32100
Office
Unavailable
Facility
$701.47
No comparable office rate is available.
East St. Louis
Illinois · 32100
Office
Unavailable
Facility
$871.84
No comparable office rate is available.
Rest Of Illinois
Illinois · 32100
Office
Unavailable
Facility
$820.45
No comparable office rate is available.
Suburban Chicago
Illinois · 32100
Office
Unavailable
Facility
$871.63
No comparable office rate is available.
Indiana
Indiana · 32100
Office
Unavailable
Facility
$704.44
No comparable office rate is available.
Kansas
Kansas · 32100
Office
Unavailable
Facility
$701.40
No comparable office rate is available.
Kentucky
Kentucky · 32100
Office
Unavailable
Facility
$743.56
No comparable office rate is available.
New Orleans
Louisiana · 32100
Office
Unavailable
Facility
$779.37
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 32100
Office
Unavailable
Facility
$747.44
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 32100
Office
Unavailable
Facility
$825.88
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 32100
Office
Unavailable
Facility
$773.56
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 32100
Office
Unavailable
Facility
$826.58
No comparable office rate is available.
Rest Of Maryland
Maryland · 32100
Office
Unavailable
Facility
$775.28
No comparable office rate is available.
Rest Of Maine
Maine · 32100
Office
Unavailable
Facility
$717.95
No comparable office rate is available.
Southern Maine
Maine · 32100
Office
Unavailable
Facility
$734.47
No comparable office rate is available.
Detroit
Michigan · 32100
Office
Unavailable
Facility
$845.42
No comparable office rate is available.
Rest Of Michigan
Michigan · 32100
Office
Unavailable
Facility
$772.47
No comparable office rate is available.
Minnesota
Minnesota · 32100
Office
Unavailable
Facility
$705.75
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 32100
Office
Unavailable
Facility
$761.35
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 32100
Office
Unavailable
Facility
$766.96
No comparable office rate is available.
Rest Of Missouri
Missouri · 32100
Office
Unavailable
Facility
$744.17
No comparable office rate is available.
Mississippi
Mississippi · 32100
Office
Unavailable
Facility
$717.97
No comparable office rate is available.
Montana**
Montana · 32100
Office
Unavailable
Facility
$777.02
No comparable office rate is available.
North Carolina
North Carolina · 32100
Office
Unavailable
Facility
$722.67
No comparable office rate is available.
North Dakota**
North Dakota · 32100
Office
Unavailable
Facility
$711.57
No comparable office rate is available.
Nebraska
Nebraska · 32100
Office
Unavailable
Facility
$691.63
No comparable office rate is available.
New Hampshire
New Hampshire · 32100
Office
Unavailable
Facility
$772.39
No comparable office rate is available.
Northern Nj
New Jersey · 32100
Office
Unavailable
Facility
$847.98
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 32100
Office
Unavailable
Facility
$826.01
No comparable office rate is available.
New Mexico
New Mexico · 32100
Office
Unavailable
Facility
$781.30
No comparable office rate is available.
Nevada**
Nevada · 32100
Office
Unavailable
Facility
$758.99
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 32100
Office
Unavailable
Facility
$942.00
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 32100
Office
Unavailable
Facility
$841.40
No comparable office rate is available.
Queens
New York · 32100
Office
Unavailable
Facility
$894.59
No comparable office rate is available.
Rest Of New York
New York · 32100
Office
Unavailable
Facility
$733.46
No comparable office rate is available.
Ohio
Ohio · 32100
Office
Unavailable
Facility
$759.09
No comparable office rate is available.
Oklahoma
Oklahoma · 32100
Office
Unavailable
Facility
$729.18
No comparable office rate is available.
Portland
Oregon · 32100
Office
Unavailable
Facility
$780.39
No comparable office rate is available.
Rest Of Oregon
Oregon · 32100
Office
Unavailable
Facility
$743.53
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 32100
Office
Unavailable
Facility
$815.61
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 32100
Office
Unavailable
Facility
$753.22
No comparable office rate is available.
Puerto Rico
Puerto Rico · 32100
Office
Unavailable
Facility
$777.99
No comparable office rate is available.
Rhode Island
Rhode Island · 32100
Office
Unavailable
Facility
$781.03
No comparable office rate is available.
South Carolina
South Carolina · 32100
Office
Unavailable
Facility
$744.03
No comparable office rate is available.
South Dakota**
South Dakota · 32100
Office
Unavailable
Facility
$703.83
No comparable office rate is available.
Tennessee
Tennessee · 32100
Office
Unavailable
Facility
$706.14
No comparable office rate is available.
Austin
Texas · 32100
Office
Unavailable
Facility
$778.22
No comparable office rate is available.
Beaumont
Texas · 32100
Office
Unavailable
Facility
$749.70
No comparable office rate is available.
Brazoria
Texas · 32100
Office
Unavailable
Facility
$754.53
No comparable office rate is available.
Dallas
Texas · 32100
Office
Unavailable
Facility
$764.70
No comparable office rate is available.
Fort Worth
Texas · 32100
Office
Unavailable
Facility
$763.95
No comparable office rate is available.
Galveston
Texas · 32100
Office
Unavailable
Facility
$760.27
No comparable office rate is available.
Houston
Texas · 32100
Office
Unavailable
Facility
$820.86
No comparable office rate is available.
Rest Of Texas
Texas · 32100
Office
Unavailable
Facility
$755.36
No comparable office rate is available.
Utah
Utah · 32100
Office
Unavailable
Facility
$752.84
No comparable office rate is available.
Virginia
Virginia · 32100
Office
Unavailable
Facility
$741.02
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 32100
Office
Unavailable
Facility
$777.99
No comparable office rate is available.
Vermont
Vermont · 32100
Office
Unavailable
Facility
$720.44
No comparable office rate is available.
Rest Of Washington
Washington · 32100
Office
Unavailable
Facility
$768.23
No comparable office rate is available.
Seattle (King Cnty)
Washington · 32100
Office
Unavailable
Facility
$829.06
No comparable office rate is available.
Wisconsin
Wisconsin · 32100
Office
Unavailable
Facility
$691.54
No comparable office rate is available.
West Virginia
West Virginia · 32100
Office
Unavailable
Facility
$796.23
No comparable office rate is available.
Wyoming**
Wyoming · 32100
Office
Unavailable
Facility
$748.49
No comparable office rate is available.
See how rates vary across the country
32100 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 32100 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$842.26
$765.69 × 110% = $842.26
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 32100 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
3,689
- Code
- 32100
- Physician work
- 13.41
- Practice expense
- 6.55
- Malpractice
- 3.31
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.41 | × 1.005 | 13.4770 |
| Practice expense | 6.55 | × 0.988 | 6.4714 |
| Malpractice | 3.31 | × 0.899 | 2.9757 |
| Total RVUs | 22.9241 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$765.69
Open 32100 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.41 | 1.005 |
| Practice expense | 6.55 | 0.988 |
| Malpractice | 3.31 | 0.899 |
(13.41 × 1.005 + 6.55 × 0.988 + 3.31 × 0.899) × $33.4009 = $765.69
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
32100 · 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 | $765.69 | RVU26D |
| 2026-07-01 | Not available in this setting | $765.69 | RVU26C |
| 2026-04-01 | Not available in this setting | $765.69 | RVU26B |
| 2026-01-01 | Not available in this setting | $765.69 | RVU26A |
| 2025-10-01 | Not available in this setting | $781.50 | RVU25D |
| 2025-07-01 | Not available in this setting | $781.50 | RVU25C |
| 2025-04-01 | Not available in this setting | $781.50 | RVU25B |
| 2025-01-01 | Not available in this setting | $781.50 | RVU25A |
32100 billing questions
When should I report 32100 instead of 32110?
Use 32100 when the documented service is open chest exploration. When the operation includes control of traumatic bleeding or repair of a lung tear, consider 32110.
How does 32100 differ from 32120?
32120 describes thoracotomy for re-exploration related to a postoperative complication. Use 32100 for exploration that is not a postoperative re-exploration.
What documentation supports 32100?
The operative report should explain the need for open exploration, describe the thoracic structures inspected, and record the findings and any definitive work performed.
Should modifier 50 be reported?
No. The descriptor and anatomy are not treated as a bilateral service for Medicare payment.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, with other procedures subject to the standard 50% multiple-procedure reduction. Related postoperative care is included in the 90-day global period.
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.
3,68632096,,Open wedge/bx lung infiltr,A,,13.41,6.14,NA,6.14,,3.33,22.88,22.88,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,68732097,,Open wedge/bx lung nodule,A,,13.41,6.32,NA,6.32,,3.32,23.05,23.05,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,68832098,,Open biopsy of lung pleura,A,,12.59,5.95,NA,5.95,,3.06,21.60,21.60,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,68932100,,Exploration of chest,A,,13.41,6.55,NA,6.55,,3.31,23.27,23.27,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,6903210F,,Grp a strep test performed,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,69132110,,Explore/repair chest,A,,24.65,11.04,NA,11.04,,6.10,41.79,41.79,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,69232120,,Re-exploration of chest,A,,14.03,7.90,NA,7.90,,3.49,25.42,25.42,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503