No office rate
32100 describes exploratory thoracotomy without the penetrating-wound repair included in 32110. The repair of a penetrating injury is the key distinction.
On this page
CMS RVU26D · Effective 2026-10-01
32110 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1350.68
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 32110: Thoracotomy for penetrating chest wound repair
Open-chest exploration and repair for a penetrating injury, such as a stab or gunshot wound, with or without bleeding control.
A surgeon opens the chest to assess and repair damage from a penetrating injury, such as a stab or gunshot wound. The operation may include repairing injured intrathoracic tissue and controlling hemorrhage. Thoracic and general surgeons typically perform this urgent procedure in a hospital operating room, often after trauma evaluation identifies a chest injury requiring operative treatment.
Report this code when the operative service includes exploration and repair of a penetrating chest wound; the operative report should establish the injury, the findings, and the repair performed. Exploration and hemorrhage control are part of the service described, not separate reasons to report this code more than once. CMS assigns a 90-day global period, including the day-before preoperative visit and 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 not appropriate for this service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32110
- 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 RVU24.65 · 59%
- Practice expense (office) RVU11.04 · 26%
- Malpractice RVU6.10 · 15%
231
Medicare services in 2024 · #4197 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.
32110 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
32120 is used when a prior thoracotomy is reopened for re-exploration. 32110 addresses exploration and repair of a penetrating chest injury.
No office rate
32124 addresses open intrapleural adhesiolysis. Choose 32110 when the operative service is repair of a penetrating wound.
The same code, a different location
How does Merced compare?
32110 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 32110
Office
Unavailable
Facility
$1350.68
No comparable office rate is available.
Modesto
California · 32110
Office
Unavailable
Facility
$1350.68
No comparable office rate is available.
Napa
California · 32110
Office
Unavailable
Facility
$1464.71
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 32110
Office
Unavailable
Facility
$1409.18
No comparable office rate is available.
Redding
California · 32110
Office
Unavailable
Facility
$1350.68
No comparable office rate is available.
Rest Of California
California · 32110
Office
Unavailable
Facility
$1350.68
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 32110
Office
Unavailable
Facility
$1416.09
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 32110
Office
Unavailable
Facility
$1391.03
No comparable office rate is available.
Salinas
California · 32110
Office
Unavailable
Facility
$1385.44
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 32110
Office
Unavailable
Facility
$1399.48
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 32110
Office
Unavailable
Facility
$1515.00
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 32110
Office
Unavailable
Facility
$1508.07
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 32110
Office
Unavailable
Facility
$1554.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 32110
Office
Unavailable
Facility
$1526.52
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 32110
Office
Unavailable
Facility
$1366.54
No comparable office rate is available.
Santa Cruz-Watsonville
California · 32110
Office
Unavailable
Facility
$1397.86
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 32110
Office
Unavailable
Facility
$1385.55
No comparable office rate is available.
Santa Rosa-Petaluma
California · 32110
Office
Unavailable
Facility
$1410.06
No comparable office rate is available.
Stockton
California · 32110
Office
Unavailable
Facility
$1350.68
No comparable office rate is available.
Vallejo
California · 32110
Office
Unavailable
Facility
$1454.73
No comparable office rate is available.
Visalia
California · 32110
Office
Unavailable
Facility
$1350.68
No comparable office rate is available.
Yuba City
California · 32110
Office
Unavailable
Facility
$1350.68
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 32110
Office
Unavailable
Facility
$1528.94
No comparable office rate is available.
Miami
Florida · 32110
Office
Unavailable
Facility
$1722.47
No comparable office rate is available.
Chicago
Illinois · 32110
Office
Unavailable
Facility
$1667.28
No comparable office rate is available.
Manhattan
New York · 32110
Office
Unavailable
Facility
$1627.65
No comparable office rate is available.
Alaska*
Alaska · 32110
Office
Unavailable
Facility
$1739.98
No comparable office rate is available.
Alabama
Alabama · 32110
Office
Unavailable
Facility
$1261.30
No comparable office rate is available.
Arkansas
Arkansas · 32110
Office
Unavailable
Facility
$1245.01
No comparable office rate is available.
Arizona
Arizona · 32110
Office
Unavailable
Facility
$1355.05
No comparable office rate is available.
Colorado
Colorado · 32110
Office
Unavailable
Facility
$1384.68
No comparable office rate is available.
Connecticut
Connecticut · 32110
Office
Unavailable
Facility
$1483.47
No comparable office rate is available.
Delaware
Delaware · 32110
Office
Unavailable
Facility
$1374.94
No comparable office rate is available.
Fort Lauderdale
Florida · 32110
Office
Unavailable
Facility
$1565.24
No comparable office rate is available.
Rest Of Florida
Florida · 32110
Office
Unavailable
Facility
$1482.08
No comparable office rate is available.
Atlanta
Georgia · 32110
Office
Unavailable
Facility
$1445.15
No comparable office rate is available.
Rest Of Georgia
Georgia · 32110
Office
Unavailable
Facility
$1395.12
No comparable office rate is available.
Hawaii, Guam
Hawaii · 32110
Office
Unavailable
Facility
$1360.56
No comparable office rate is available.
Iowa
Iowa · 32110
Office
Unavailable
Facility
$1241.62
No comparable office rate is available.
Idaho
Idaho · 32110
Office
Unavailable
Facility
$1258.95
No comparable office rate is available.
East St. Louis
Illinois · 32110
Office
Unavailable
Facility
$1572.92
No comparable office rate is available.
Rest Of Illinois
Illinois · 32110
Office
Unavailable
Facility
$1478.45
No comparable office rate is available.
Suburban Chicago
Illinois · 32110
Office
Unavailable
Facility
$1568.83
No comparable office rate is available.
Indiana
Indiana · 32110
Office
Unavailable
Facility
$1264.18
No comparable office rate is available.
Kansas
Kansas · 32110
Office
Unavailable
Facility
$1259.37
No comparable office rate is available.
Kentucky
Kentucky · 32110
Office
Unavailable
Facility
$1337.57
No comparable office rate is available.
New Orleans
Louisiana · 32110
Office
Unavailable
Facility
$1401.78
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 32110
Office
Unavailable
Facility
$1344.86
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 32110
Office
Unavailable
Facility
$1478.70
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 32110
Office
Unavailable
Facility
$1387.18
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 32110
Office
Unavailable
Facility
$1484.20
No comparable office rate is available.
Rest Of Maryland
Maryland · 32110
Office
Unavailable
Facility
$1391.77
No comparable office rate is available.
Rest Of Maine
Maine · 32110
Office
Unavailable
Facility
$1289.31
No comparable office rate is available.
Southern Maine
Maine · 32110
Office
Unavailable
Facility
$1317.32
No comparable office rate is available.
Detroit
Michigan · 32110
Office
Unavailable
Facility
$1522.69
No comparable office rate is available.
Rest Of Michigan
Michigan · 32110
Office
Unavailable
Facility
$1390.03
No comparable office rate is available.
Minnesota
Minnesota · 32110
Office
Unavailable
Facility
$1263.08
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 32110
Office
Unavailable
Facility
$1368.64
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 32110
Office
Unavailable
Facility
$1378.53
No comparable office rate is available.
Rest Of Missouri
Missouri · 32110
Office
Unavailable
Facility
$1339.64
No comparable office rate is available.
Mississippi
Mississippi · 32110
Office
Unavailable
Facility
$1291.39
No comparable office rate is available.
Montana**
Montana · 32110
Office
Unavailable
Facility
$1395.42
No comparable office rate is available.
North Carolina
North Carolina · 32110
Office
Unavailable
Facility
$1297.57
No comparable office rate is available.
North Dakota**
North Dakota · 32110
Office
Unavailable
Facility
$1274.80
No comparable office rate is available.
Nebraska
Nebraska · 32110
Office
Unavailable
Facility
$1240.70
No comparable office rate is available.
New Hampshire
New Hampshire · 32110
Office
Unavailable
Facility
$1385.47
No comparable office rate is available.
Northern Nj
New Jersey · 32110
Office
Unavailable
Facility
$1520.55
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 32110
Office
Unavailable
Facility
$1482.44
No comparable office rate is available.
New Mexico
New Mexico · 32110
Office
Unavailable
Facility
$1406.17
No comparable office rate is available.
Nevada**
Nevada · 32110
Office
Unavailable
Facility
$1362.17
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 32110
Office
Unavailable
Facility
$1692.82
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 32110
Office
Unavailable
Facility
$1510.69
No comparable office rate is available.
Queens
New York · 32110
Office
Unavailable
Facility
$1605.68
No comparable office rate is available.
Rest Of New York
New York · 32110
Office
Unavailable
Facility
$1316.87
No comparable office rate is available.
Ohio
Ohio · 32110
Office
Unavailable
Facility
$1365.37
No comparable office rate is available.
Oklahoma
Oklahoma · 32110
Office
Unavailable
Facility
$1310.93
No comparable office rate is available.
Portland
Oregon · 32110
Office
Unavailable
Facility
$1397.77
No comparable office rate is available.
Rest Of Oregon
Oregon · 32110
Office
Unavailable
Facility
$1333.84
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 32110
Office
Unavailable
Facility
$1465.09
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 32110
Office
Unavailable
Facility
$1354.38
No comparable office rate is available.
Puerto Rico
Puerto Rico · 32110
Office
Unavailable
Facility
$1396.82
No comparable office rate is available.
Rhode Island
Rhode Island · 32110
Office
Unavailable
Facility
$1401.63
No comparable office rate is available.
South Carolina
South Carolina · 32110
Office
Unavailable
Facility
$1337.24
No comparable office rate is available.
South Dakota**
South Dakota · 32110
Office
Unavailable
Facility
$1260.54
No comparable office rate is available.
Tennessee
Tennessee · 32110
Office
Unavailable
Facility
$1267.93
No comparable office rate is available.
Austin
Texas · 32110
Office
Unavailable
Facility
$1395.63
No comparable office rate is available.
Beaumont
Texas · 32110
Office
Unavailable
Facility
$1348.17
No comparable office rate is available.
Brazoria
Texas · 32110
Office
Unavailable
Facility
$1354.27
No comparable office rate is available.
Dallas
Texas · 32110
Office
Unavailable
Facility
$1372.83
No comparable office rate is available.
Fort Worth
Texas · 32110
Office
Unavailable
Facility
$1371.79
No comparable office rate is available.
Galveston
Texas · 32110
Office
Unavailable
Facility
$1364.78
No comparable office rate is available.
Houston
Texas · 32110
Office
Unavailable
Facility
$1476.44
No comparable office rate is available.
Rest Of Texas
Texas · 32110
Office
Unavailable
Facility
$1357.25
No comparable office rate is available.
Utah
Utah · 32110
Office
Unavailable
Facility
$1352.92
No comparable office rate is available.
Virginia
Virginia · 32110
Office
Unavailable
Facility
$1329.65
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 32110
Office
Unavailable
Facility
$1396.82
No comparable office rate is available.
Vermont
Vermont · 32110
Office
Unavailable
Facility
$1291.49
No comparable office rate is available.
Rest Of Washington
Washington · 32110
Office
Unavailable
Facility
$1377.38
No comparable office rate is available.
Seattle (King Cnty)
Washington · 32110
Office
Unavailable
Facility
$1483.41
No comparable office rate is available.
Wisconsin
Wisconsin · 32110
Office
Unavailable
Facility
$1239.34
No comparable office rate is available.
West Virginia
West Virginia · 32110
Office
Unavailable
Facility
$1435.33
No comparable office rate is available.
Wyoming**
Wyoming · 32110
Office
Unavailable
Facility
$1342.85
No comparable office rate is available.
See how rates vary across the country
32110 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 32110 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1485.75
$1350.68 × 110% = $1485.75
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 32110 in Merced.
PPRRVU2026_Oct_nonQPP.csv
3,691
- Code
- 32110
- Physician work
- 24.65
- Practice expense
- 11.04
- Malpractice
- 6.10
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.65 | × 1.017 | 25.0690 |
| Practice expense | 11.04 | × 1.096 | 12.0998 |
| Malpractice | 6.10 | × 0.536 | 3.2696 |
| Total RVUs | 40.4385 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$1350.68
Open 32110 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.65 | 1.017 |
| Practice expense | 11.04 | 1.096 |
| Malpractice | 6.1 | 0.536 |
(24.65 × 1.017 + 11.04 × 1.096 + 6.1 × 0.536) × $33.4009 = $1350.68
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
32110 · 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 | $1350.68 | RVU26D |
| 2026-07-01 | Not available in this setting | $1350.68 | RVU26C |
| 2026-04-01 | Not available in this setting | $1350.68 | RVU26B |
| 2026-01-01 | Not available in this setting | $1350.68 | RVU26A |
| 2025-10-01 | Not available in this setting | $1392.52 | RVU25D |
| 2025-07-01 | Not available in this setting | $1392.52 | RVU25C |
| 2025-04-01 | Not available in this setting | $1392.52 | RVU25B |
| 2025-01-01 | Not available in this setting | $1392.52 | RVU25A |
32110 billing questions
When should 32110 be chosen over 32100?
Use 32110 when the thoracotomy includes exploration and repair of a penetrating chest wound. Use 32100 for exploratory thoracotomy when the service does not include that penetrating-wound repair.
Can exploration or bleeding control be reported separately?
Exploration and hemorrhage control are included in the penetrating-wound service represented by 32110. The operative report should document the wound and repair rather than treating those elements as separate services.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care. The period is tied to this major thoracotomy.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be appended for a wound on either side of the chest?
No. Modifier 50 is not appropriate for this code because the descriptor and anatomy are not suited to bilateral adjustment.
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.
3,68832098,,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
3,69332124,,Explore chest free adhesions,A,,15.06,8.12,NA,8.12,,3.74,26.92,26.92,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,69432140,,Removal of lung lesion(s),A,,16.24,8.28,NA,8.28,,4.08,28.60,28.60,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623