No office rate
Both are open pulmonary decortication; 32225 is for partial release, while 32220 represents complete decortication.
On this page
CMS RVU26D · Effective 2026-10-01
32225 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$930.32
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 32225: Partial pulmonary decortication by thoracotomy
Reports open surgical removal of part of a fibrous covering that restricts lung expansion, commonly for a trapped lung after pleural disease.
The surgeon opens the chest and removes part of the fibrous peel constricting the lung, allowing the affected portion to expand more freely. This operation may be used for a trapped lung associated with chronic pleural inflammation, empyema, or retained blood. Thoracic surgeons typically perform it in a hospital operating room. The code represents partial pulmonary decortication through an open approach; video-assisted thoracoscopic decortication is represented by a different code family.
Choose partial rather than complete decortication based on the extent of peel removed, not simply the underlying diagnosis. The operative report should describe the affected lung, the fibrous restriction, the portion released, and the open approach. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32225
- 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 RVU16.33 · 57%
- Practice expense (office) RVU8.27 · 29%
- Malpractice RVU4.07 · 14%
421
Medicare services in 2024 · #3691 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.
32225 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
32215 concerns removal of parietal pleura. Code 32225 releases the lung by removing a constricting fibrous peel from its surface.
No office rate
Both represent partial pulmonary decortication, but 32651 is for a thoracoscopic operation; 32225 is the open approach.
No office rate
32652 describes complete thoracoscopic pulmonary decortication. Code 32225 describes partial decortication through an open approach.
The same code, a different location
How does Merced compare?
32225 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 · 32225
Office
Unavailable
Facility
$930.32
No comparable office rate is available.
Modesto
California · 32225
Office
Unavailable
Facility
$930.32
No comparable office rate is available.
Napa
California · 32225
Office
Unavailable
Facility
$1012.92
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 32225
Office
Unavailable
Facility
$971.90
No comparable office rate is available.
Redding
California · 32225
Office
Unavailable
Facility
$930.32
No comparable office rate is available.
Rest Of California
California · 32225
Office
Unavailable
Facility
$930.32
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 32225
Office
Unavailable
Facility
$973.96
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 32225
Office
Unavailable
Facility
$959.19
No comparable office rate is available.
Salinas
California · 32225
Office
Unavailable
Facility
$955.36
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 32225
Office
Unavailable
Facility
$965.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 32225
Office
Unavailable
Facility
$1049.13
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 32225
Office
Unavailable
Facility
$1044.51
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 32225
Office
Unavailable
Facility
$1076.62
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 32225
Office
Unavailable
Facility
$1057.72
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 32225
Office
Unavailable
Facility
$942.19
No comparable office rate is available.
Santa Cruz-Watsonville
California · 32225
Office
Unavailable
Facility
$965.37
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 32225
Office
Unavailable
Facility
$955.65
No comparable office rate is available.
Santa Rosa-Petaluma
California · 32225
Office
Unavailable
Facility
$973.87
No comparable office rate is available.
Stockton
California · 32225
Office
Unavailable
Facility
$930.32
No comparable office rate is available.
Vallejo
California · 32225
Office
Unavailable
Facility
$1006.26
No comparable office rate is available.
Visalia
California · 32225
Office
Unavailable
Facility
$930.32
No comparable office rate is available.
Yuba City
California · 32225
Office
Unavailable
Facility
$930.32
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 32225
Office
Unavailable
Facility
$1051.59
No comparable office rate is available.
Miami
Florida · 32225
Office
Unavailable
Facility
$1176.78
No comparable office rate is available.
Chicago
Illinois · 32225
Office
Unavailable
Facility
$1138.85
No comparable office rate is available.
Manhattan
New York · 32225
Office
Unavailable
Facility
$1116.92
No comparable office rate is available.
Alaska*
Alaska · 32225
Office
Unavailable
Facility
$1187.24
No comparable office rate is available.
Alabama
Alabama · 32225
Office
Unavailable
Facility
$864.08
No comparable office rate is available.
Arkansas
Arkansas · 32225
Office
Unavailable
Facility
$852.72
No comparable office rate is available.
Arizona
Arizona · 32225
Office
Unavailable
Facility
$929.47
No comparable office rate is available.
Colorado
Colorado · 32225
Office
Unavailable
Facility
$952.06
No comparable office rate is available.
Connecticut
Connecticut · 32225
Office
Unavailable
Facility
$1018.33
No comparable office rate is available.
Delaware
Delaware · 32225
Office
Unavailable
Facility
$943.29
No comparable office rate is available.
Fort Lauderdale
Florida · 32225
Office
Unavailable
Facility
$1071.04
No comparable office rate is available.
Rest Of Florida
Florida · 32225
Office
Unavailable
Facility
$1013.83
No comparable office rate is available.
Atlanta
Georgia · 32225
Office
Unavailable
Facility
$990.98
No comparable office rate is available.
Rest Of Georgia
Georgia · 32225
Office
Unavailable
Facility
$953.87
No comparable office rate is available.
Hawaii, Guam
Hawaii · 32225
Office
Unavailable
Facility
$938.22
No comparable office rate is available.
Iowa
Iowa · 32225
Office
Unavailable
Facility
$852.15
No comparable office rate is available.
Idaho
Idaho · 32225
Office
Unavailable
Facility
$863.86
No comparable office rate is available.
East St. Louis
Illinois · 32225
Office
Unavailable
Facility
$1073.35
No comparable office rate is available.
Rest Of Illinois
Illinois · 32225
Office
Unavailable
Facility
$1010.11
No comparable office rate is available.
Suburban Chicago
Illinois · 32225
Office
Unavailable
Facility
$1073.83
No comparable office rate is available.
Indiana
Indiana · 32225
Office
Unavailable
Facility
$867.57
No comparable office rate is available.
Kansas
Kansas · 32225
Office
Unavailable
Facility
$863.66
No comparable office rate is available.
Kentucky
Kentucky · 32225
Office
Unavailable
Facility
$915.39
No comparable office rate is available.
New Orleans
Louisiana · 32225
Office
Unavailable
Facility
$959.79
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 32225
Office
Unavailable
Facility
$920.13
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 32225
Office
Unavailable
Facility
$1018.60
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 32225
Office
Unavailable
Facility
$953.37
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 32225
Office
Unavailable
Facility
$1018.71
No comparable office rate is available.
Rest Of Maryland
Maryland · 32225
Office
Unavailable
Facility
$955.23
No comparable office rate is available.
Rest Of Maine
Maine · 32225
Office
Unavailable
Facility
$884.12
No comparable office rate is available.
Southern Maine
Maine · 32225
Office
Unavailable
Facility
$904.96
No comparable office rate is available.
Detroit
Michigan · 32225
Office
Unavailable
Facility
$1041.19
No comparable office rate is available.
Rest Of Michigan
Michigan · 32225
Office
Unavailable
Facility
$951.11
No comparable office rate is available.
Minnesota
Minnesota · 32225
Office
Unavailable
Facility
$869.91
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 32225
Office
Unavailable
Facility
$937.63
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 32225
Office
Unavailable
Facility
$944.62
No comparable office rate is available.
Rest Of Missouri
Missouri · 32225
Office
Unavailable
Facility
$915.95
No comparable office rate is available.
Mississippi
Mississippi · 32225
Office
Unavailable
Facility
$883.73
No comparable office rate is available.
Montana**
Montana · 32225
Office
Unavailable
Facility
$957.33
No comparable office rate is available.
North Carolina
North Carolina · 32225
Office
Unavailable
Facility
$890.02
No comparable office rate is available.
North Dakota**
North Dakota · 32225
Office
Unavailable
Facility
$876.85
No comparable office rate is available.
Nebraska
Nebraska · 32225
Office
Unavailable
Facility
$851.78
No comparable office rate is available.
New Hampshire
New Hampshire · 32225
Office
Unavailable
Facility
$951.94
No comparable office rate is available.
Northern Nj
New Jersey · 32225
Office
Unavailable
Facility
$1045.41
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 32225
Office
Unavailable
Facility
$1018.02
No comparable office rate is available.
New Mexico
New Mexico · 32225
Office
Unavailable
Facility
$962.00
No comparable office rate is available.
Nevada**
Nevada · 32225
Office
Unavailable
Facility
$935.18
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 32225
Office
Unavailable
Facility
$1161.22
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 32225
Office
Unavailable
Facility
$1036.94
No comparable office rate is available.
Queens
New York · 32225
Office
Unavailable
Facility
$1102.87
No comparable office rate is available.
Rest Of New York
New York · 32225
Office
Unavailable
Facility
$903.42
No comparable office rate is available.
Ohio
Ohio · 32225
Office
Unavailable
Facility
$934.66
No comparable office rate is available.
Oklahoma
Oklahoma · 32225
Office
Unavailable
Facility
$897.73
No comparable office rate is available.
Portland
Oregon · 32225
Office
Unavailable
Facility
$962.19
No comparable office rate is available.
Rest Of Oregon
Oregon · 32225
Office
Unavailable
Facility
$916.12
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 32225
Office
Unavailable
Facility
$1004.98
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 32225
Office
Unavailable
Facility
$927.48
No comparable office rate is available.
Puerto Rico
Puerto Rico · 32225
Office
Unavailable
Facility
$958.60
No comparable office rate is available.
Rhode Island
Rhode Island · 32225
Office
Unavailable
Facility
$962.40
No comparable office rate is available.
South Carolina
South Carolina · 32225
Office
Unavailable
Facility
$916.22
No comparable office rate is available.
South Dakota**
South Dakota · 32225
Office
Unavailable
Facility
$867.34
No comparable office rate is available.
Tennessee
Tennessee · 32225
Office
Unavailable
Facility
$869.53
No comparable office rate is available.
Austin
Texas · 32225
Office
Unavailable
Facility
$959.22
No comparable office rate is available.
Beaumont
Texas · 32225
Office
Unavailable
Facility
$923.09
No comparable office rate is available.
Brazoria
Texas · 32225
Office
Unavailable
Facility
$929.57
No comparable office rate is available.
Dallas
Texas · 32225
Office
Unavailable
Facility
$942.10
No comparable office rate is available.
Fort Worth
Texas · 32225
Office
Unavailable
Facility
$941.11
No comparable office rate is available.
Galveston
Texas · 32225
Office
Unavailable
Facility
$936.65
No comparable office rate is available.
Houston
Texas · 32225
Office
Unavailable
Facility
$1011.15
No comparable office rate is available.
Rest Of Texas
Texas · 32225
Office
Unavailable
Facility
$930.33
No comparable office rate is available.
Utah
Utah · 32225
Office
Unavailable
Facility
$927.16
No comparable office rate is available.
Virginia
Virginia · 32225
Office
Unavailable
Facility
$912.94
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 32225
Office
Unavailable
Facility
$958.60
No comparable office rate is available.
Vermont
Vermont · 32225
Office
Unavailable
Facility
$887.69
No comparable office rate is available.
Rest Of Washington
Washington · 32225
Office
Unavailable
Facility
$946.84
No comparable office rate is available.
Seattle (King Cnty)
Washington · 32225
Office
Unavailable
Facility
$1022.70
No comparable office rate is available.
Wisconsin
Wisconsin · 32225
Office
Unavailable
Facility
$851.93
No comparable office rate is available.
West Virginia
West Virginia · 32225
Office
Unavailable
Facility
$980.01
No comparable office rate is available.
Wyoming**
Wyoming · 32225
Office
Unavailable
Facility
$922.26
No comparable office rate is available.
See how rates vary across the country
32225 · 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 32225 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1023.35
$930.32 × 110% = $1023.35
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 32225 in Merced.
PPRRVU2026_Oct_nonQPP.csv
3,706
- Code
- 32225
- Physician work
- 16.33
- Practice expense
- 8.27
- Malpractice
- 4.07
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.33 | × 1.017 | 16.6076 |
| Practice expense | 8.27 | × 1.096 | 9.0639 |
| Malpractice | 4.07 | × 0.536 | 2.1815 |
| Total RVUs | 27.8530 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$930.32
Open 32225 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.33 | 1.017 |
| Practice expense | 8.27 | 1.096 |
| Malpractice | 4.07 | 0.536 |
(16.33 × 1.017 + 8.27 × 1.096 + 4.07 × 0.536) × $33.4009 = $930.32
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
32225 · 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 | $930.32 | RVU26D |
| 2026-07-01 | Not available in this setting | $930.32 | RVU26C |
| 2026-04-01 | Not available in this setting | $930.32 | RVU26B |
| 2026-01-01 | Not available in this setting | $930.32 | RVU26A |
| 2025-10-01 | Not available in this setting | $937.39 | RVU25D |
| 2025-07-01 | Not available in this setting | $937.39 | RVU25C |
| 2025-04-01 | Not available in this setting | $937.39 | RVU25B |
| 2025-01-01 | Not available in this setting | $937.39 | RVU25A |
32225 billing questions
How does 32225 differ from 32220?
Both describe open pulmonary decortication. Use 32225 when the surgeon releases part of the lung; 32220 represents complete decortication.
When is a thoracoscopic decortication code used instead?
Use the thoracoscopic code that matches the extent when the operation is performed by video-assisted thoracoscopy rather than an open thoracotomy. Codes 32651 and 32652 distinguish partial from complete decortication.
Can partial and complete decortication both be reported for the same lung in one operation?
Do not report both to describe the overall extent of decortication at the same site. Select the code that reflects the operation performed.
What documentation supports 32225?
Document the fibrous restriction, the lung area released, the extent of peel removed, and that the surgeon used an open approach.
How are bilateral procedures and assistant services handled?
CMS pays bilateral reporting with modifier 50 at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
3,7033220F,,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
3,70832310,,Removal of chest lining,A,,14.90,7.98,NA,7.98,,3.75,26.63,26.63,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,70932320,,Free/remove chest lining,A,,26.57,12.72,NA,12.72,,6.60,45.89,45.89,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,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