No office rate
Choose 39200 for resection of a mediastinal cyst and 39220 for resection of a mediastinal tumor.
On this page
CMS RVU26D · Effective 2026-10-01
39200 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$803.50
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 39200: Open mediastinal cyst resection
Surgical removal of a cyst in the mediastinum, reported when the operative service is definitive excision rather than tumor resection or diagnostic sampling.
Code 39200 describes open surgical removal of a cyst located in the mediastinum, the central compartment of the chest between the lungs. A thoracic or cardiothoracic surgeon typically performs the operation in a hospital operating room. A bronchogenic cyst is one example; the operative record should establish that the lesion is cystic and mediastinal, rather than a solid tumor or a lesion in another chest compartment.
Report the code when the surgeon resects the cyst, not when the service is limited to diagnostic sampling. The operative report should document the lesion’s location, cystic nature, and the procedure performed. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 39200
- 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 RVU14.71 · 59%
- Practice expense (office) RVU6.49 · 26%
- Malpractice RVU3.70 · 15%
38
Medicare services in 2024 · #5527 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.
39200 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
32662 describes thoracoscopic excision of a mediastinal cyst, tumor, or mass; 39200 is the open resection code.
No office rate
39401 is mediastinoscopy with lymph-node biopsy for diagnostic sampling. It does not represent surgical removal of a mediastinal cyst.
The same code, a different location
How does Merced compare?
39200 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 · 39200
Office
Unavailable
Facility
$803.50
No comparable office rate is available.
Modesto
California · 39200
Office
Unavailable
Facility
$803.50
No comparable office rate is available.
Napa
California · 39200
Office
Unavailable
Facility
$870.77
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 39200
Office
Unavailable
Facility
$838.30
No comparable office rate is available.
Redding
California · 39200
Office
Unavailable
Facility
$803.50
No comparable office rate is available.
Rest Of California
California · 39200
Office
Unavailable
Facility
$803.50
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 39200
Office
Unavailable
Facility
$843.17
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 39200
Office
Unavailable
Facility
$827.36
No comparable office rate is available.
Salinas
California · 39200
Office
Unavailable
Facility
$824.04
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 39200
Office
Unavailable
Facility
$832.31
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 39200
Office
Unavailable
Facility
$900.38
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 39200
Office
Unavailable
Facility
$896.17
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 39200
Office
Unavailable
Facility
$924.20
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 39200
Office
Unavailable
Facility
$907.02
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 39200
Office
Unavailable
Facility
$812.82
No comparable office rate is available.
Santa Cruz-Watsonville
California · 39200
Office
Unavailable
Facility
$831.26
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 39200
Office
Unavailable
Facility
$824.08
No comparable office rate is available.
Santa Rosa-Petaluma
California · 39200
Office
Unavailable
Facility
$838.50
No comparable office rate is available.
Stockton
California · 39200
Office
Unavailable
Facility
$803.50
No comparable office rate is available.
Vallejo
California · 39200
Office
Unavailable
Facility
$864.71
No comparable office rate is available.
Visalia
California · 39200
Office
Unavailable
Facility
$803.50
No comparable office rate is available.
Yuba City
California · 39200
Office
Unavailable
Facility
$803.50
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 39200
Office
Unavailable
Facility
$910.76
No comparable office rate is available.
Miami
Florida · 39200
Office
Unavailable
Facility
$1029.53
No comparable office rate is available.
Chicago
Illinois · 39200
Office
Unavailable
Facility
$996.25
No comparable office rate is available.
Manhattan
New York · 39200
Office
Unavailable
Facility
$970.66
No comparable office rate is available.
Alaska*
Alaska · 39200
Office
Unavailable
Facility
$1035.95
No comparable office rate is available.
Alabama
Alabama · 39200
Office
Unavailable
Facility
$750.95
No comparable office rate is available.
Arkansas
Arkansas · 39200
Office
Unavailable
Facility
$741.18
No comparable office rate is available.
Arizona
Arizona · 39200
Office
Unavailable
Facility
$807.17
No comparable office rate is available.
Colorado
Colorado · 39200
Office
Unavailable
Facility
$824.39
No comparable office rate is available.
Connecticut
Connecticut · 39200
Office
Unavailable
Facility
$884.15
No comparable office rate is available.
Delaware
Delaware · 39200
Office
Unavailable
Facility
$819.06
No comparable office rate is available.
Fort Lauderdale
Florida · 39200
Office
Unavailable
Facility
$934.36
No comparable office rate is available.
Rest Of Florida
Florida · 39200
Office
Unavailable
Facility
$884.31
No comparable office rate is available.
Atlanta
Georgia · 39200
Office
Unavailable
Facility
$861.46
No comparable office rate is available.
Rest Of Georgia
Georgia · 39200
Office
Unavailable
Facility
$832.00
No comparable office rate is available.
Hawaii, Guam
Hawaii · 39200
Office
Unavailable
Facility
$809.35
No comparable office rate is available.
Iowa
Iowa · 39200
Office
Unavailable
Facility
$738.74
No comparable office rate is available.
Idaho
Idaho · 39200
Office
Unavailable
Facility
$749.21
No comparable office rate is available.
East St. Louis
Illinois · 39200
Office
Unavailable
Facility
$939.65
No comparable office rate is available.
Rest Of Illinois
Illinois · 39200
Office
Unavailable
Facility
$882.40
No comparable office rate is available.
Suburban Chicago
Illinois · 39200
Office
Unavailable
Facility
$936.38
No comparable office rate is available.
Indiana
Indiana · 39200
Office
Unavailable
Facility
$752.34
No comparable office rate is available.
Kansas
Kansas · 39200
Office
Unavailable
Facility
$749.57
No comparable office rate is available.
Kentucky
Kentucky · 39200
Office
Unavailable
Facility
$797.12
No comparable office rate is available.
New Orleans
Louisiana · 39200
Office
Unavailable
Facility
$835.70
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 39200
Office
Unavailable
Facility
$801.56
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 39200
Office
Unavailable
Facility
$880.29
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 39200
Office
Unavailable
Facility
$825.95
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 39200
Office
Unavailable
Facility
$884.66
No comparable office rate is available.
Rest Of Maryland
Maryland · 39200
Office
Unavailable
Facility
$829.06
No comparable office rate is available.
Rest Of Maine
Maine · 39200
Office
Unavailable
Facility
$767.63
No comparable office rate is available.
Southern Maine
Maine · 39200
Office
Unavailable
Facility
$784.13
No comparable office rate is available.
Detroit
Michigan · 39200
Office
Unavailable
Facility
$908.87
No comparable office rate is available.
Rest Of Michigan
Michigan · 39200
Office
Unavailable
Facility
$828.77
No comparable office rate is available.
Minnesota
Minnesota · 39200
Office
Unavailable
Facility
$750.97
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 39200
Office
Unavailable
Facility
$815.62
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 39200
Office
Unavailable
Facility
$821.52
No comparable office rate is available.
Rest Of Missouri
Missouri · 39200
Office
Unavailable
Facility
$798.55
No comparable office rate is available.
Mississippi
Mississippi · 39200
Office
Unavailable
Facility
$769.30
No comparable office rate is available.
Montana**
Montana · 39200
Office
Unavailable
Facility
$831.44
No comparable office rate is available.
North Carolina
North Carolina · 39200
Office
Unavailable
Facility
$772.55
No comparable office rate is available.
North Dakota**
North Dakota · 39200
Office
Unavailable
Facility
$758.27
No comparable office rate is available.
Nebraska
Nebraska · 39200
Office
Unavailable
Facility
$738.12
No comparable office rate is available.
New Hampshire
New Hampshire · 39200
Office
Unavailable
Facility
$825.12
No comparable office rate is available.
Northern Nj
New Jersey · 39200
Office
Unavailable
Facility
$905.72
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 39200
Office
Unavailable
Facility
$883.27
No comparable office rate is available.
New Mexico
New Mexico · 39200
Office
Unavailable
Facility
$838.53
No comparable office rate is available.
Nevada**
Nevada · 39200
Office
Unavailable
Facility
$811.26
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 39200
Office
Unavailable
Facility
$1010.01
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 39200
Office
Unavailable
Facility
$900.34
No comparable office rate is available.
Queens
New York · 39200
Office
Unavailable
Facility
$957.20
No comparable office rate is available.
Rest Of New York
New York · 39200
Office
Unavailable
Facility
$784.14
No comparable office rate is available.
Ohio
Ohio · 39200
Office
Unavailable
Facility
$813.81
No comparable office rate is available.
Oklahoma
Oklahoma · 39200
Office
Unavailable
Facility
$780.93
No comparable office rate is available.
Portland
Oregon · 39200
Office
Unavailable
Facility
$831.97
No comparable office rate is available.
Rest Of Oregon
Oregon · 39200
Office
Unavailable
Facility
$794.11
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 39200
Office
Unavailable
Facility
$873.27
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 39200
Office
Unavailable
Facility
$807.11
No comparable office rate is available.
Puerto Rico
Puerto Rico · 39200
Office
Unavailable
Facility
$832.21
No comparable office rate is available.
Rhode Island
Rhode Island · 39200
Office
Unavailable
Facility
$834.82
No comparable office rate is available.
South Carolina
South Carolina · 39200
Office
Unavailable
Facility
$796.67
No comparable office rate is available.
South Dakota**
South Dakota · 39200
Office
Unavailable
Facility
$749.62
No comparable office rate is available.
Tennessee
Tennessee · 39200
Office
Unavailable
Facility
$754.74
No comparable office rate is available.
Austin
Texas · 39200
Office
Unavailable
Facility
$831.15
No comparable office rate is available.
Beaumont
Texas · 39200
Office
Unavailable
Facility
$803.40
No comparable office rate is available.
Brazoria
Texas · 39200
Office
Unavailable
Facility
$806.47
No comparable office rate is available.
Dallas
Texas · 39200
Office
Unavailable
Facility
$817.69
No comparable office rate is available.
Fort Worth
Texas · 39200
Office
Unavailable
Facility
$817.13
No comparable office rate is available.
Galveston
Texas · 39200
Office
Unavailable
Facility
$812.84
No comparable office rate is available.
Houston
Texas · 39200
Office
Unavailable
Facility
$880.56
No comparable office rate is available.
Rest Of Texas
Texas · 39200
Office
Unavailable
Facility
$808.64
No comparable office rate is available.
Utah
Utah · 39200
Office
Unavailable
Facility
$806.07
No comparable office rate is available.
Virginia
Virginia · 39200
Office
Unavailable
Facility
$791.66
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 39200
Office
Unavailable
Facility
$832.21
No comparable office rate is available.
Vermont
Vermont · 39200
Office
Unavailable
Facility
$768.46
No comparable office rate is available.
Rest Of Washington
Washington · 39200
Office
Unavailable
Facility
$820.02
No comparable office rate is available.
Seattle (King Cnty)
Washington · 39200
Office
Unavailable
Facility
$882.84
No comparable office rate is available.
Wisconsin
Wisconsin · 39200
Office
Unavailable
Facility
$737.06
No comparable office rate is available.
West Virginia
West Virginia · 39200
Office
Unavailable
Facility
$856.55
No comparable office rate is available.
Wyoming**
Wyoming · 39200
Office
Unavailable
Facility
$799.55
No comparable office rate is available.
See how rates vary across the country
39200 · 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 39200 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$883.85
$803.50 × 110% = $883.85
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 39200 in Merced.
PPRRVU2026_Oct_nonQPP.csv
4,776
- Code
- 39200
- Physician work
- 14.71
- Practice expense
- 6.49
- Malpractice
- 3.70
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.71 | × 1.017 | 14.9601 |
| Practice expense | 6.49 | × 1.096 | 7.1130 |
| Malpractice | 3.70 | × 0.536 | 1.9832 |
| Total RVUs | 24.0563 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$803.50
Open 39200 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.71 | 1.017 |
| Practice expense | 6.49 | 1.096 |
| Malpractice | 3.7 | 0.536 |
(14.71 × 1.017 + 6.49 × 1.096 + 3.7 × 0.536) × $33.4009 = $803.50
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
39200 · 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 | $803.50 | RVU26D |
| 2026-07-01 | Not available in this setting | $803.50 | RVU26C |
| 2026-04-01 | Not available in this setting | $803.50 | RVU26B |
| 2026-01-01 | Not available in this setting | $803.50 | RVU26A |
| 2025-10-01 | Not available in this setting | $813.68 | RVU25D |
| 2025-07-01 | Not available in this setting | $813.68 | RVU25C |
| 2025-04-01 | Not available in this setting | $813.68 | RVU25B |
| 2025-01-01 | Not available in this setting | $813.68 | RVU25A |
39200 billing questions
How is this code distinguished from mediastinal tumor resection?
Use 39200 for resection of a mediastinal cyst. Code 39220 describes resection of a mediastinal tumor.
Can this code be used for a diagnostic biopsy?
No. This code represents surgical removal of the cyst; a service limited to diagnostic sampling is not cyst resection.
Should modifier 50 be appended for bilateral treatment?
No. The descriptor and anatomy make modifier 50 inappropriate for this code.
How does the multiple-procedure reduction affect payment?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
What surgical-assistance billing rules apply?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and 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.
4,77338999,,Unlistd px hemic/lymphtc sys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77439000,,Exploration of chest,A,,7.38,5.66,NA,5.66,,1.69,14.73,14.73,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77539010,,Exploration of chest,A,,12.86,6.82,NA,6.82,,3.14,22.82,22.82,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77639200,,Resect mediastinal cyst,A,,14.71,6.49,NA,6.49,,3.70,24.90,24.90,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77739220,,Resect mediastinal tumor,A,,19.06,8.47,NA,8.47,,4.44,31.97,31.97,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77839401,,Mediastinoscpy w/medstnl bx,A,,5.30,2.14,NA,2.14,,1.32,8.76,8.76,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77939402,,Mediastinoscpy w/lmph nod bx,A,,7.07,2.48,NA,2.48,,1.76,11.31,11.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,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