No office rate
Use this code for total pulmonary decortication, which releases the lung by removing a restrictive peel. Code 32215 describes pleurectomy through an open thoracotomy.
On this page
CMS RVU26D · Effective 2026-10-01
32215 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$771.92
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 32215: Open thoracotomy with pleurectomy
Open thoracotomy with removal of pleural tissue, commonly performed to manage recurrent pneumothorax or selected pleural disease.
The surgeon enters the chest through a thoracotomy and removes pleural tissue. This open operation may be used in selected cases of recurrent spontaneous pneumothorax or pleural disease; the operative indication and extent of removal determine whether this service is appropriate. Thoracic surgeons typically perform it in a hospital operating room. It is distinct from lung decortication, which removes a restrictive peel from the lung surface.
Report the code when the operative record supports an open thoracotomy with pleurectomy, including the side and extent of the work. CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32215
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU12.72 · 54%
- Practice expense (office) RVU7.55 · 32%
- Malpractice RVU3.19 · 14%
42
Medicare services in 2024 · #5465 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.
32215 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Code 32225 is for partial pulmonary decortication. It is not the code for removing pleural tissue through thoracotomy.
No office rate
Code 32650 describes thoracoscopic pleurodesis. Code 32215 is an open thoracotomy with pleurectomy, so the approach and work differ.
The same code, a different location
How does Delaware compare?
32215 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 · 32215
Office
Unavailable
Facility
$705.82
No comparable office rate is available.
Arkansas
Arkansas · 32215
Office
Unavailable
Facility
$696.35
No comparable office rate is available.
Arizona
Arizona · 32215
Office
Unavailable
Facility
$760.42
No comparable office rate is available.
Bakersfield
California · 32215
Office
Unavailable
Facility
$774.21
No comparable office rate is available.
Chico
California · 32215
Office
Unavailable
Facility
$765.58
No comparable office rate is available.
El Centro
California · 32215
Office
Unavailable
Facility
$766.11
No comparable office rate is available.
Fresno
California · 32215
Office
Unavailable
Facility
$765.58
No comparable office rate is available.
Hanford-Corcoran
California · 32215
Office
Unavailable
Facility
$765.58
No comparable office rate is available.
Madera
California · 32215
Office
Unavailable
Facility
$765.58
No comparable office rate is available.
Merced
California · 32215
Office
Unavailable
Facility
$765.58
No comparable office rate is available.
Modesto
California · 32215
Office
Unavailable
Facility
$765.58
No comparable office rate is available.
Napa
California · 32215
Office
Unavailable
Facility
$838.12
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 32215
Office
Unavailable
Facility
$801.21
No comparable office rate is available.
Redding
California · 32215
Office
Unavailable
Facility
$765.58
No comparable office rate is available.
Rest Of California
California · 32215
Office
Unavailable
Facility
$765.58
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 32215
Office
Unavailable
Facility
$799.78
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 32215
Office
Unavailable
Facility
$790.55
No comparable office rate is available.
Salinas
California · 32215
Office
Unavailable
Facility
$787.41
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 32215
Office
Unavailable
Facility
$796.96
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 32215
Office
Unavailable
Facility
$869.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 32215
Office
Unavailable
Facility
$866.07
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 32215
Office
Unavailable
Facility
$892.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 32215
Office
Unavailable
Facility
$877.53
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 32215
Office
Unavailable
Facility
$776.42
No comparable office rate is available.
Santa Cruz-Watsonville
California · 32215
Office
Unavailable
Facility
$797.29
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 32215
Office
Unavailable
Facility
$787.90
No comparable office rate is available.
Santa Rosa-Petaluma
California · 32215
Office
Unavailable
Facility
$804.39
No comparable office rate is available.
Stockton
California · 32215
Office
Unavailable
Facility
$765.58
No comparable office rate is available.
Vallejo
California · 32215
Office
Unavailable
Facility
$832.90
No comparable office rate is available.
Visalia
California · 32215
Office
Unavailable
Facility
$765.58
No comparable office rate is available.
Yuba City
California · 32215
Office
Unavailable
Facility
$765.58
No comparable office rate is available.
Colorado
Colorado · 32215
Office
Unavailable
Facility
$781.49
No comparable office rate is available.
Connecticut
Connecticut · 32215
Office
Unavailable
Facility
$833.88
No comparable office rate is available.
Fort Lauderdale
Florida · 32215
Office
Unavailable
Facility
$872.95
No comparable office rate is available.
Rest Of Florida
Florida · 32215
Office
Unavailable
Facility
$826.08
No comparable office rate is available.
Atlanta
Georgia · 32215
Office
Unavailable
Facility
$810.31
No comparable office rate is available.
Rest Of Georgia
Georgia · 32215
Office
Unavailable
Facility
$776.81
No comparable office rate is available.
Hawaii, Guam
Hawaii · 32215
Office
Unavailable
Facility
$773.28
No comparable office rate is available.
Iowa
Iowa · 32215
Office
Unavailable
Facility
$697.90
No comparable office rate is available.
Idaho
Idaho · 32215
Office
Unavailable
Facility
$707.26
No comparable office rate is available.
East St. Louis
Illinois · 32215
Office
Unavailable
Facility
$871.45
No comparable office rate is available.
Rest Of Illinois
Illinois · 32215
Office
Unavailable
Facility
$821.63
No comparable office rate is available.
Suburban Chicago
Illinois · 32215
Office
Unavailable
Facility
$875.62
No comparable office rate is available.
Indiana
Indiana · 32215
Office
Unavailable
Facility
$710.41
No comparable office rate is available.
Kansas
Kansas · 32215
Office
Unavailable
Facility
$706.53
No comparable office rate is available.
Kentucky
Kentucky · 32215
Office
Unavailable
Facility
$746.54
No comparable office rate is available.
New Orleans
Louisiana · 32215
Office
Unavailable
Facility
$783.20
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 32215
Office
Unavailable
Facility
$750.11
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 32215
Office
Unavailable
Facility
$838.21
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 32215
Office
Unavailable
Facility
$782.12
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 32215
Office
Unavailable
Facility
$834.04
No comparable office rate is available.
Rest Of Maryland
Maryland · 32215
Office
Unavailable
Facility
$782.12
No comparable office rate is available.
Rest Of Maine
Maine · 32215
Office
Unavailable
Facility
$723.14
No comparable office rate is available.
Southern Maine
Maine · 32215
Office
Unavailable
Facility
$742.00
No comparable office rate is available.
Detroit
Michigan · 32215
Office
Unavailable
Facility
$847.85
No comparable office rate is available.
Rest Of Michigan
Michigan · 32215
Office
Unavailable
Facility
$775.39
No comparable office rate is available.
Minnesota
Minnesota · 32215
Office
Unavailable
Facility
$715.89
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 32215
Office
Unavailable
Facility
$765.75
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 32215
Office
Unavailable
Facility
$771.69
No comparable office rate is available.
Rest Of Missouri
Missouri · 32215
Office
Unavailable
Facility
$746.01
No comparable office rate is available.
Mississippi
Mississippi · 32215
Office
Unavailable
Facility
$720.72
No comparable office rate is available.
Montana**
Montana · 32215
Office
Unavailable
Facility
$783.37
No comparable office rate is available.
North Carolina
North Carolina · 32215
Office
Unavailable
Facility
$728.23
No comparable office rate is available.
North Dakota**
North Dakota · 32215
Office
Unavailable
Facility
$720.30
No comparable office rate is available.
Nebraska
Nebraska · 32215
Office
Unavailable
Facility
$697.89
No comparable office rate is available.
New Hampshire
New Hampshire · 32215
Office
Unavailable
Facility
$780.61
No comparable office rate is available.
Northern Nj
New Jersey · 32215
Office
Unavailable
Facility
$857.94
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 32215
Office
Unavailable
Facility
$834.11
No comparable office rate is available.
New Mexico
New Mexico · 32215
Office
Unavailable
Facility
$784.07
No comparable office rate is available.
Nevada**
Nevada · 32215
Office
Unavailable
Facility
$766.04
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 32215
Office
Unavailable
Facility
$949.75
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 32215
Office
Unavailable
Facility
$849.04
No comparable office rate is available.
Queens
New York · 32215
Office
Unavailable
Facility
$903.77
No comparable office rate is available.
Rest Of New York
New York · 32215
Office
Unavailable
Facility
$739.33
No comparable office rate is available.
Ohio
Ohio · 32215
Office
Unavailable
Facility
$762.50
No comparable office rate is available.
Oklahoma
Oklahoma · 32215
Office
Unavailable
Facility
$732.84
No comparable office rate is available.
Portland
Oregon · 32215
Office
Unavailable
Facility
$791.10
No comparable office rate is available.
Rest Of Oregon
Oregon · 32215
Office
Unavailable
Facility
$750.93
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 32215
Office
Unavailable
Facility
$822.14
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 32215
Office
Unavailable
Facility
$757.05
No comparable office rate is available.
Puerto Rico
Puerto Rico · 32215
Office
Unavailable
Facility
$784.76
No comparable office rate is available.
Rhode Island
Rhode Island · 32215
Office
Unavailable
Facility
$788.47
No comparable office rate is available.
South Carolina
South Carolina · 32215
Office
Unavailable
Facility
$748.44
No comparable office rate is available.
South Dakota**
South Dakota · 32215
Office
Unavailable
Facility
$712.84
No comparable office rate is available.
Tennessee
Tennessee · 32215
Office
Unavailable
Facility
$711.30
No comparable office rate is available.
Austin
Texas · 32215
Office
Unavailable
Facility
$786.91
No comparable office rate is available.
Beaumont
Texas · 32215
Office
Unavailable
Facility
$753.32
No comparable office rate is available.
Brazoria
Texas · 32215
Office
Unavailable
Facility
$761.27
No comparable office rate is available.
Dallas
Texas · 32215
Office
Unavailable
Facility
$771.27
No comparable office rate is available.
Fort Worth
Texas · 32215
Office
Unavailable
Facility
$770.13
No comparable office rate is available.
Galveston
Texas · 32215
Office
Unavailable
Facility
$766.89
No comparable office rate is available.
Houston
Texas · 32215
Office
Unavailable
Facility
$825.28
No comparable office rate is available.
Rest Of Texas
Texas · 32215
Office
Unavailable
Facility
$760.39
No comparable office rate is available.
Utah
Utah · 32215
Office
Unavailable
Facility
$757.59
No comparable office rate is available.
Virginia
Virginia · 32215
Office
Unavailable
Facility
$747.97
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 32215
Office
Unavailable
Facility
$784.76
No comparable office rate is available.
Vermont
Vermont · 32215
Office
Unavailable
Facility
$728.43
No comparable office rate is available.
Rest Of Washington
Washington · 32215
Office
Unavailable
Facility
$777.01
No comparable office rate is available.
Seattle (King Cnty)
Washington · 32215
Office
Unavailable
Facility
$842.57
No comparable office rate is available.
Wisconsin
Wisconsin · 32215
Office
Unavailable
Facility
$699.26
No comparable office rate is available.
West Virginia
West Virginia · 32215
Office
Unavailable
Facility
$796.47
No comparable office rate is available.
Wyoming**
Wyoming · 32215
Office
Unavailable
Facility
$755.88
No comparable office rate is available.
See how rates vary across the country
32215 · 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 32215 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$849.11
$771.92 × 110% = $849.11
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 32215 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
3,704
- Code
- 32215
- Physician work
- 12.72
- Practice expense
- 7.55
- Malpractice
- 3.19
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.72 | × 1.005 | 12.7836 |
| Practice expense | 7.55 | × 0.988 | 7.4594 |
| Malpractice | 3.19 | × 0.899 | 2.8678 |
| Total RVUs | 23.1108 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$771.92
Open 32215 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.72 | 1.005 |
| Practice expense | 7.55 | 0.988 |
| Malpractice | 3.19 | 0.899 |
(12.72 × 1.005 + 7.55 × 0.988 + 3.19 × 0.899) × $33.4009 = $771.92
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
32215 · 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 | $771.92 | RVU26D |
| 2026-07-01 | Not available in this setting | $771.92 | RVU26C |
| 2026-04-01 | Not available in this setting | $771.92 | RVU26B |
| 2026-01-01 | Not available in this setting | $771.92 | RVU26A |
| 2025-10-01 | Not available in this setting | $773.18 | RVU25D |
| 2025-07-01 | Not available in this setting | $773.18 | RVU25C |
| 2025-04-01 | Not available in this setting | $773.18 | RVU25B |
| 2025-01-01 | Not available in this setting | $773.18 | RVU25A |
32215 billing questions
How is pleurectomy different from pulmonary decortication?
Pleurectomy removes pleural tissue through thoracotomy. Decortication removes a restrictive peel from the lung surface; choose the code that matches the work documented in the operative report.
Does the 90-day global period include postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
How does CMS apply the multiple-procedure reduction?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.
How is bilateral pleurectomy reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires 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.
3,7013218F,,Rna tstng hep c docd done,I,,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
3,70232200,,Drain open lung lesion,A,,18.21,10.41,NA,10.41,,4.58,33.20,33.20,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,7033220F,,Hep c quant rna tstng docd,I,,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
3,70432215,,Treat chest lining,A,,12.72,7.55,NA,7.55,,3.19,23.46,23.46,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,70532220,,Release of lung,A,,25.98,13.61,NA,13.61,,6.47,46.06,46.06,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,70632225,,Partial release of lung,A,,16.33,8.27,NA,8.27,,4.07,28.67,28.67,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,7073230F,,Note hring tst w/in 6 mon,I,,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
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