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CMS RVU26D · Effective 2026-10-01

32998 in Modesto

Office / nonfacility

$3160.85

Base rate per service

Facility setting

$375.03

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.

Pulmonary procedures

About 32998: Percutaneous pulmonary tumor radiofrequency ablation

Percutaneous radiofrequency ablation reduces or destroys one or more pulmonary tumors, with imaging guidance included when performed.

Code 32998 covers percutaneous radiofrequency treatment intended to destroy or reduce one or more lung tumors. An interventional radiologist or thoracic specialist typically advances an RF probe through the chest wall into the target, often using CT or other imaging. It is performed in a procedural setting for selected patients with a primary lung tumor or pulmonary metastasis; imaging guidance, when performed, is included in the service.

Report this code for radiofrequency ablation, not cryoablation or a diagnostic needle biopsy. One service covers one or more tumors treated during the procedure; document the targets, laterality, percutaneous approach, and RF technique. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral treatment with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 32998

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU8.80 · 10%
  • Practice expense (office) RVU77.68 · 89%
  • Malpractice RVU1.02 · 1%

230

Medicare services in 2024 · #4201 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.

32998 compared with similar codes

Office rates for Modesto, from the same CMS release.

32994

Lung tumor ablation

Percutaneous cryoablation

$4,938.88

Both address percutaneous ablation of pulmonary tumors, but 32998 is for radiofrequency treatment and 32994 is for cryoablation.

32408

Core biopsy

Lung or mediastinum

$866.97

Code 32408 reports a percutaneous core needle biopsy of lung or mediastinal tissue for diagnosis; 32998 treats a pulmonary tumor by radiofrequency ablation.

32999

Unlisted px lungs & pleura

No office rate

Use 32999 for an unlisted pulmonary procedure when no specific code describes the service; 32998 specifically describes percutaneous pulmonary tumor radiofrequency ablation.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 32998 is $3163.92—$3.07 higher than the $3160.85 rate in Modesto. Both use the same code, release and participation basis.

32998 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $3160.85

  2. Bakersfield

    $3163.92

    $3.07 higher than Modesto

  3. Chico

    $3160.85

    The same base rate than Modesto

  4. El Centro

    $3161.02

    $0.17 higher than Modesto

  5. Fresno

    $3160.85

    The same base rate than Modesto

  6. Hanford-Corcoran

    $3160.85

    The same base rate than Modesto

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $3397.99

    $237.14 higher than Modesto

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 32998 ranges from $2540.22 in Arkansas to $4085.91 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 32998

    Office

    $3160.85

    Facility

    $375.03

    The same base rate than Modesto for the office setting.

  • Merced

    California · 32998

    Office

    $3160.85

    Facility

    $375.03

    The same base rate than Modesto for the office setting.

  • Napa

    California · 32998

    Office

    $3749.41

    Facility

    $399.31

    $588.56 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 32998

    Office

    $3390.18

    Facility

    $385.76

    $229.33 higher than Modesto for the office setting.

  • Redding

    California · 32998

    Office

    $3160.85

    Facility

    $375.03

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 32998

    Office

    $3160.85

    Facility

    $375.03

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 32998

    Office

    $3171.94

    Facility

    $386.12

    $11.09 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 32998

    Office

    $3340.27

    Facility

    $384.15

    $179.42 higher than Modesto for the office setting.

  • Salinas

    California · 32998

    Office

    $3328.42

    Facility

    $382.47

    $167.57 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 32998

    Office

    $3424.33

    Facility

    $384.33

    $263.48 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 32998

    Office

    $3995.85

    Facility

    $411.90

    $835.00 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 32998

    Office

    $3994.69

    Facility

    $410.74

    $833.84 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 32998

    Office

    $4085.91

    Facility

    $420.62

    $925.06 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 32998

    Office

    $4081.17

    Facility

    $415.88

    $920.32 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 32998

    Office

    $3272.41

    Facility

    $377.29

    $111.56 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 32998

    Office

    $3470.78

    Facility

    $382.48

    $309.93 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 32998

    Office

    $3345.70

    Facility

    $381.95

    $184.85 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 32998

    Office

    $3507.15

    Facility

    $385.81

    $346.30 higher than Modesto for the office setting.

  • Stockton

    California · 32998

    Office

    $3160.85

    Facility

    $375.03

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 32998

    Office

    $3747.74

    Facility

    $397.64

    $586.89 higher than Modesto for the office setting.

  • Visalia

    California · 32998

    Office

    $3160.85

    Facility

    $375.03

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 32998

    Office

    $3160.85

    Facility

    $375.03

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 32998

    Office

    $3404.14

    Facility

    $409.89

    $243.29 higher than Modesto for the office setting.

  • Miami

    Florida · 32998

    Office

    $3081.05

    Facility

    $435.03

    $79.80 lower than Modesto for the office setting.

  • Chicago

    Illinois · 32998

    Office

    $2981.73

    Facility

    $427.21

    $179.12 lower than Modesto for the office setting.

  • Manhattan

    New York · 32998

    Office

    $3381.68

    Facility

    $428.10

    $220.83 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 32998

    Office

    $3222.89

    Facility

    $515.87

    $62.04 higher than Modesto for the office setting.

  • Alabama

    Alabama · 32998

    Office

    $2583.47

    Facility

    $359.39

    $577.38 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 32998

    Office

    $2540.22

    Facility

    $356.81

    $620.63 lower than Modesto for the office setting.

  • Arizona

    Arizona · 32998

    Office

    $2837.24

    Facility

    $374.23

    $323.61 lower than Modesto for the office setting.

  • Colorado

    Colorado · 32998

    Office

    $3084.70

    Facility

    $380.21

    $76.15 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 32998

    Office

    $3135.39

    Facility

    $397.87

    $25.46 lower than Modesto for the office setting.

  • Delaware

    Delaware · 32998

    Office

    $2889.47

    Facility

    $378.17

    $271.38 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 32998

    Office

    $2983.84

    Facility

    $408.98

    $177.01 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 32998

    Office

    $2825.55

    Facility

    $395.58

    $335.30 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 32998

    Office

    $2971.82

    Facility

    $389.34

    $189.03 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 32998

    Office

    $2648.91

    Facility

    $381.61

    $511.94 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 32998

    Office

    $3263.69

    Facility

    $373.66

    $102.84 higher than Modesto for the office setting.

  • Iowa

    Iowa · 32998

    Office

    $2681.50

    Facility

    $355.74

    $479.35 lower than Modesto for the office setting.

  • Idaho

    Idaho · 32998

    Office

    $2697.06

    Facility

    $358.59

    $463.79 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 32998

    Office

    $2749.56

    Facility

    $411.09

    $411.29 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 32998

    Office

    $2716.03

    Facility

    $395.36

    $444.82 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 32998

    Office

    $3020.99

    Facility

    $410.55

    $139.86 lower than Modesto for the office setting.

  • Indiana

    Indiana · 32998

    Office

    $2715.66

    Facility

    $359.41

    $445.19 lower than Modesto for the office setting.

  • Kansas

    Kansas · 32998

    Office

    $2656.60

    Facility

    $358.81

    $504.25 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 32998

    Office

    $2631.68

    Facility

    $372.02

    $529.17 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 32998

    Office

    $2774.13

    Facility

    $382.29

    $386.72 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 32998

    Office

    $2622.77

    Facility

    $373.27

    $538.08 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 32998

    Office

    $3434.23

    Facility

    $399.31

    $273.38 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 32998

    Office

    $3057.88

    Facility

    $381.35

    $102.97 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 32998

    Office

    $3124.76

    Facility

    $397.40

    $36.09 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 32998

    Office

    $2953.86

    Facility

    $381.55

    $206.99 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 32998

    Office

    $2702.13

    Facility

    $363.67

    $458.72 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 32998

    Office

    $2886.66

    Facility

    $367.72

    $274.19 lower than Modesto for the office setting.

  • Detroit

    Michigan · 32998

    Office

    $2855.14

    Facility

    $402.29

    $305.71 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 32998

    Office

    $2701.25

    Facility

    $380.57

    $459.60 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 32998

    Office

    $2973.84

    Facility

    $358.32

    $187.01 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 32998

    Office

    $2763.53

    Facility

    $376.77

    $397.32 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 32998

    Office

    $2798.11

    Facility

    $378.31

    $362.74 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 32998

    Office

    $2563.64

    Facility

    $372.60

    $597.21 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 32998

    Office

    $2553.04

    Facility

    $364.54

    $607.81 lower than Modesto for the office setting.

  • Montana**

    Montana · 32998

    Office

    $2922.51

    Facility

    $380.70

    $238.34 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 32998

    Office

    $2736.44

    Facility

    $364.94

    $424.41 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 32998

    Office

    $2902.34

    Facility

    $360.53

    $258.51 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 32998

    Office

    $2701.61

    Facility

    $355.52

    $459.24 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 32998

    Office

    $3024.70

    Facility

    $378.68

    $136.15 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 32998

    Office

    $3358.55

    Facility

    $410.05

    $197.70 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 32998

    Office

    $3176.34

    Facility

    $400.69

    $15.49 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 32998

    Office

    $2714.08

    Facility

    $383.24

    $446.77 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 32998

    Office

    $2919.48

    Facility

    $375.13

    $241.37 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 32998

    Office

    $3460.96

    Facility

    $438.75

    $300.11 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 32998

    Office

    $3189.45

    Facility

    $406.16

    $28.60 higher than Modesto for the office setting.

  • Queens

    New York · 32998

    Office

    $3428.66

    Facility

    $424.24

    $267.81 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 32998

    Office

    $2782.73

    Facility

    $368.01

    $378.12 lower than Modesto for the office setting.

  • Ohio

    Ohio · 32998

    Office

    $2697.12

    Facility

    $376.45

    $463.73 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 32998

    Office

    $2637.36

    Facility

    $367.53

    $523.49 lower than Modesto for the office setting.

  • Portland

    Oregon · 32998

    Office

    $3206.56

    Facility

    $382.61

    $45.71 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 32998

    Office

    $2902.08

    Facility

    $370.44

    $258.77 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 32998

    Office

    $3040.82

    Facility

    $394.80

    $120.03 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 32998

    Office

    $2707.95

    Facility

    $374.57

    $452.90 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 32998

    Office

    $2950.61

    Facility

    $380.84

    $210.24 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 32998

    Office

    $3010.11

    Facility

    $384.42

    $150.74 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 32998

    Office

    $2720.28

    Facility

    $371.65

    $440.57 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 32998

    Office

    $2899.96

    Facility

    $358.15

    $260.89 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 32998

    Office

    $2670.70

    Facility

    $360.19

    $490.15 lower than Modesto for the office setting.

  • Austin

    Texas · 32998

    Office

    $3069.77

    Facility

    $380.54

    $91.08 lower than Modesto for the office setting.

  • Beaumont

    Texas · 32998

    Office

    $2686.65

    Facility

    $373.60

    $474.20 lower than Modesto for the office setting.

  • Brazoria

    Texas · 32998

    Office

    $2894.08

    Facility

    $375.15

    $266.77 lower than Modesto for the office setting.

  • Dallas

    Texas · 32998

    Office

    $2910.01

    Facility

    $378.37

    $250.84 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 32998

    Office

    $2884.51

    Facility

    $378.28

    $276.34 lower than Modesto for the office setting.

  • Galveston

    Texas · 32998

    Office

    $2900.91

    Facility

    $376.89

    $259.94 lower than Modesto for the office setting.

  • Houston

    Texas · 32998

    Office

    $2919.58

    Facility

    $395.56

    $241.27 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 32998

    Office

    $2786.95

    Facility

    $374.77

    $373.90 lower than Modesto for the office setting.

  • Utah

    Utah · 32998

    Office

    $2763.43

    Facility

    $374.13

    $397.42 lower than Modesto for the office setting.

  • Virginia

    Virginia · 32998

    Office

    $2868.45

    Facility

    $369.86

    $292.40 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 32998

    Office

    $2950.61

    Facility

    $380.84

    $210.24 lower than Modesto for the office setting.

  • Vermont

    Vermont · 32998

    Office

    $2879.80

    Facility

    $363.41

    $281.05 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 32998

    Office

    $3055.77

    Facility

    $379.25

    $105.08 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 32998

    Office

    $3520.01

    Facility

    $401.21

    $359.16 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 32998

    Office

    $2790.03

    Facility

    $354.98

    $370.82 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 32998

    Office

    $2597.37

    Facility

    $388.54

    $563.48 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 32998

    Office

    $2913.72

    Facility

    $371.91

    $247.13 lower than Modesto for the office setting.

See how rates vary across the country

32998 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$2,540.22

$3,623.38

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$3,222.891
AL$2,583.471
AR$2,540.221
AZ$2,837.241
CA$3,160.85–$4,085.9129
CO$3,084.701
CT$3,135.391
DC$3,404.141
DE$2,889.471
FL$2,825.55–$3,081.053
GA$2,648.91–$2,971.822
GU$3,263.691
HI$3,263.691
IA$2,681.501
ID$2,697.061
IL$2,716.03–$3,020.994
IN$2,715.661
KS$2,656.601
KY$2,631.681
LA$2,622.77–$2,774.132
MA$3,057.88–$3,434.232
MD$2,953.86–$3,404.143
ME$2,702.13–$2,886.662
MI$2,701.25–$2,855.142
MN$2,973.841
MO$2,563.64–$2,798.113
MS$2,553.041
MT$2,922.511
NC$2,736.441
ND$2,902.341
NE$2,701.611
NH$3,024.701
NJ$3,176.34–$3,358.552
NM$2,714.081
NV$2,919.481
NY$2,782.73–$3,460.965
OH$2,697.121
OK$2,637.361
OR$2,902.08–$3,206.562
PA$2,707.95–$3,040.822
PR$2,950.611
RI$3,010.111
SC$2,720.281
SD$2,899.961
TN$2,670.701
TX$2,686.65–$3,069.778
UT$2,763.431
VA$2,868.45–$3,404.142
VI$2,950.611
VT$2,879.801
WA$3,055.77–$3,520.012
WI$2,790.031
WV$2,597.371
WY$2,913.721

Explore 32998 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 32998 in Modesto, the physician’s office rate is $3160.85 and the facility-setting rate is $375.03: a difference of $2785.82.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 32998 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$3476.94

$3160.85 × 110% = $3476.94

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.

Compare your contract offer →

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 32998 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

3,811

Code
32998
Physician work
8.80
Practice expense
77.68
Malpractice
1.02

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 32998 in Modesto
ComponentRVULocality factorAdjusted
Physician work8.80× 1.0178.9496
Practice expense77.68× 1.09685.1373
Malpractice1.02× 0.5360.5467
Total RVUs94.6336
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$3160.85

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

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Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work8.81.017
Practice expense77.681.096
Malpractice1.020.536

(8.8 × 1.017 + 77.68 × 1.096 + 1.02 × 0.536) × $33.4009 = $3160.85

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work8.81.017
Practice expense1.581.096
Malpractice1.020.536

(8.8 × 1.017 + 1.58 × 1.096 + 1.02 × 0.536) × $33.4009 = $375.03

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

32998 · Office / nonfacility

$3160.85

Effective 2026-10-01

The base rate is $85.73 higher than on 2025-10-01, moving from $3075.12 to $3160.85 (2.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $3075.12changed to$3160.85

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 9.03 changed to 8.80
    • Practice expense RVU 78.12 changed to 77.68
    • Malpractice RVU 0.94 changed to 1.02
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $3075.12

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$3160.85$375.03RVU26D
2026-07-01$3160.85$375.03RVU26C
2026-04-01$3160.85$375.03RVU26B
2026-01-01$3160.85$375.03RVU26A
2025-10-01$3075.12$416.09RVU25D
2025-07-01$3075.12$416.09RVU25C
2025-04-01$3075.12$416.09RVU25B
2025-01-01$3075.12$416.09RVU25A

32998 billing questions

When should 32998 be chosen instead of 32994?

Use 32998 for percutaneous radiofrequency ablation of pulmonary tumor tissue. Code 32994 describes the cryoablation method.

Can imaging guidance be billed separately?

Imaging guidance, when performed for the ablation, is included in 32998. Do not separately report guidance for that same service.

How should bilateral lung treatment be reported?

For bilateral treatment, report modifier 50. CMS pays the bilateral procedure at 150%.

Does the number of tumors determine the units?

The code covers treatment of one or more pulmonary tumors. Document the treated targets and do not assign units solely by counting tumors.

What documentation supports reporting 32998?

Document the pulmonary tumor targets, laterality, percutaneous approach, use of radiofrequency, and imaging guidance when performed.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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.

RVUs for 32998PPRRVU2026_Oct_nonQPP.csv, line 3,811 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet