CPT code 32035: Thoracostomy2026 Medicare rate & RVUs in Redding
Reports surgical opening of the chest with rib resection to provide drainage for empyema, rather than drainage by chest tube alone.
In Redding, Medicare pays $716.63 for 32035 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 32035 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 32035 covers
The surgeon removes a portion of a rib while creating an opening into the chest to drain empyema, a collection of infected material in the pleural space. This is a more extensive operation than placing a chest tube and is typically performed by a thoracic surgeon in a facility operating room for a patient who needs surgical drainage.
Report the code when the operative documentation supports both the thoracostomy and rib resection for empyema. A tube placed for pleural drainage alone, or an open-flap drainage approach, represents a different service. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
How Redding compares for 32035
Across 109 of 109 payment localities, the facility rate for 32035 runs from $645.04 in Arkansas to $887.34 in Alaska*. Redding pays $716.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding · this page$716.63
- Bakersfield · California$724.10+$7.47
- Chico · California$716.63
- El Centro · California$717.09+$0.46
- Fresno · California$716.63
- Hanford-Corcoran · California$716.63
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$760.53+$43.90
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MaderaCalifornia | — | $716.63 |
| MercedCalifornia | — | $716.63 |
| ModestoCalifornia | — | $716.63 |
| NapaCalifornia | — | $790.36 |
| Oxnard-Thousand Oaks-VenturaCalifornia | — | $751.71 |
| Rest Of CaliforniaCalifornia | — | $716.63 |
| Riverside-San Bernardino-OntarioCalifornia | — | $746.22 |
| Sacramento-Roseville-FolsomCalifornia | — | $741.55 |
| SalinasCalifornia | — | $738.64 |
| San Diego-Chula Vista-CarlsbadCalifornia | — | $748.72 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | — | $822.23 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | — | $819.09 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | — | $843.40 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | — | $830.59 |
| San Luis Obispo-Paso RoblesCalifornia | — | $728.14 |
| Santa Cruz-WatsonvilleCalifornia | — | $749.94 |
| Santa Maria-Santa BarbaraCalifornia | — | $739.41 |
| Santa Rosa-PetalumaCalifornia | — | $756.73 |
| StocktonCalifornia | — | $716.63 |
| VallejoCalifornia | — | $785.84 |
| VisaliaCalifornia | — | $716.63 |
| Yuba CityCalifornia | — | $716.63 |
| Dc + Md/Va SuburbsDistrict of Columbia | — | $805.37 |
| MiamiFlorida | — | $879.39 |
| ChicagoIllinois | — | $850.77 |
| ManhattanNew York | — | $848.37 |
| Alaska*Alaska | — | $887.34 |
| AlabamaAlabama | — | $654.02 |
| ArkansasArkansas | — | $645.04 |
| ArizonaArizona | — | $705.90 |
| ColoradoColorado | — | $728.82 |
| ConnecticutConnecticut | — | $774.79 |
| DelawareDelaware | — | $716.79 |
| Fort LauderdaleFlorida | — | $805.44 |
| Rest Of FloridaFlorida | — | $762.07 |
| AtlantaGeorgia | — | $751.38 |
| Rest Of GeorgiaGeorgia | — | $716.28 |
| Hawaii, GuamHawaii | — | $725.31 |
| IowaIowa | — | $649.14 |
| IdahoIdaho | — | $657.49 |
| East St. LouisIllinois | — | $799.55 |
| Rest Of IllinoisIllinois | — | $756.10 |
| Suburban ChicagoIllinois | — | $808.44 |
| IndianaIndiana | — | $660.56 |
| KansasKansas | — | $656.06 |
| KentuckyKentucky | — | $689.94 |
| New OrleansLouisiana | — | $724.22 |
| Rest Of LouisianaLouisiana | — | $692.83 |
| Metropolitan BostonMassachusetts | — | $784.31 |
| Rest Of MassachusettsMassachusetts | — | $728.82 |
| Baltimore/Surr. CntysMaryland | — | $774.73 |
| Rest Of MarylandMaryland | — | $726.80 |
| Rest Of MaineMaine | — | $671.22 |
| Southern MaineMaine | — | $691.05 |
| DetroitMichigan | — | $781.35 |
| Rest Of MichiganMichigan | — | $716.09 |
| MinnesotaMinnesota | — | $670.33 |
| Metropolitan Kansas CityMissouri | — | $709.03 |
| Metropolitan St. LouisMissouri | — | $714.81 |
| Rest Of MissouriMissouri | — | $688.15 |
| MississippiMississippi | — | $666.22 |
| Montana**Montana | — | $727.29 |
| North CarolinaNorth Carolina | — | $676.27 |
| North Dakota**North Dakota | — | $672.71 |
| NebraskaNebraska | — | $649.53 |
| New HampshireNew Hampshire | — | $726.92 |
| Northern NjNew Jersey | — | $799.71 |
| Rest Of New JerseyNew Jersey | — | $775.74 |
| New MexicoNew Mexico | — | $723.80 |
| Nevada**Nevada | — | $712.34 |
| Nyc Suburbs/Long IslandNew York | — | $880.58 |
| Poughkpsie/N Nyc SuburbsNew York | — | $788.80 |
| QueensNew York | — | $840.45 |
| Rest Of New YorkNew York | — | $686.72 |
| OhioOhio | — | $704.93 |
| OklahomaOklahoma | — | $678.29 |
| PortlandOregon | — | $739.45 |
| Rest Of OregonOregon | — | $699.02 |
| Metropolitan PhiladelphiaPennsylvania | — | $762.85 |
| Rest Of PennsylvaniaPennsylvania | — | $700.46 |
| Puerto RicoPuerto Rico | — | $729.03 |
| Rhode IslandRhode Island | — | $733.33 |
| South CarolinaSouth Carolina | — | $693.31 |
| South Dakota**South Dakota | — | $666.26 |
| TennesseeTennessee | — | $660.44 |
| AustinTexas | — | $733.22 |
| BeaumontTexas | — | $696.85 |
| BrazoriaTexas | — | $707.72 |
| DallasTexas | — | $716.62 |
| Fort WorthTexas | — | $715.14 |
| GalvestonTexas | — | $712.68 |
| HoustonTexas | — | $763.20 |
| Rest Of TexasTexas | — | $704.88 |
| UtahUtah | — | $702.02 |
| VirginiaVirginia | — | $695.82 |
| Virgin IslandsUnited States Virgin Islands | — | $729.03 |
| VermontVermont | — | $679.26 |
| Rest Of WashingtonWashington | — | $724.40 |
| Seattle (King Cnty)Washington | — | $789.72 |
| WisconsinWisconsin | — | $652.44 |
| West VirginiaWest Virginia | — | $732.16 |
| Wyoming**Wyoming | — | $703.50 |
32035 rates by state
Office rate range in each state. Select a state to see its payment localities.
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 every state and territory as a table
| State / territory | Office 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 |
How the 32035 rate is calculated
Each of 32035’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 32035
RVUs × geographic indexes × conversion factor
Work11.01
11.01 RVUs× 1.000 GPCI
Practice expense8.01
8.01 RVUs× 1.000 GPCI
Malpractice2.76
2.76 RVUs× 1.000 GPCI
Adjusted RVUs
21.7800
Conversion factor
$33.4009
Medicare rate
$727.47
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Redding inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,684
- Code
- 32035
- Physician work
- 11.01
- Practice expense
- 8.01
- Malpractice
- 2.76
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.01 | × 1.017 | 11.1972 |
| Practice expense | 8.01 | × 1.096 | 8.7790 |
| Malpractice | 2.76 | × 0.536 | 1.4794 |
| Total RVUs | 21.4555 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$716.63
Facility: (11.01 × 1.017 + 8.01 × 1.096 + 2.76 × 0.536) × $33.4009 = $716.63
Payment rules and modifiers for 32035
32035 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 32035
Thoracostomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 32035
Thoracostomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
32035 without 50 · national facility
$727.47
Thoracostomy
32035-50 · Bilateral: 150%
$1,091.21
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 32035 has changed in Redding
32035 · 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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $716.63 | RVU26D |
| 2026-07-01 | Not available in this setting | $716.63 | RVU26C |
| 2026-04-01 | Not available in this setting | $716.63 | RVU26B |
| 2026-01-01 | Not available in this setting | $716.63 | RVU26A |
| 2025-10-01 | Not available in this setting | $701.90 | RVU25D |
| 2025-07-01 | Not available in this setting | $701.90 | RVU25C |
| 2025-04-01 | Not available in this setting | $701.90 | RVU25B |
| 2025-01-01 | Not available in this setting | $701.90 | RVU25A |
| 2024-10-01 | Not available in this setting | $718.51 | RVU24D |
| 2024-07-01 | Not available in this setting | $718.51 | RVU24C |
| 2024-04-01 | Not available in this setting | $718.51 | RVU24B |
| 2024-03-09 | Not available in this setting | $718.51 | RVU24AR |
| 2024-01-01 | Not available in this setting | $706.78 | RVU24A |
| 2023-10-01 | Not available in this setting | $727.53 | RVU23D |
| 2023-07-01 | Not available in this setting | $727.53 | RVU23C |
| 2023-04-01 | Not available in this setting | $727.53 | RVU23B |
| 2023-01-01 | Not available in this setting | $727.53 | RVU23A |
| 2022-10-01 | Not available in this setting | $742.25 | RVU22D |
| 2022-07-01 | Not available in this setting | $742.25 | RVU22C |
| 2022-04-01 | Not available in this setting | $742.25 | RVU22B |
| 2022-01-01 | Not available in this setting | $742.25 | RVU22A |
| 2021-10-01 | Not available in this setting | $741.70 | RVU21D |
| 2021-07-01 | Not available in this setting | $741.70 | RVU21C |
| 2021-04-01 | Not available in this setting | $741.70 | RVU21B |
| 2021-01-01 | Not available in this setting | $741.70 | RVU21A |
| 2020-10-01 | Not available in this setting | $746.57 | RVU20D |
| 2020-07-01 | Not available in this setting | $746.57 | RVU20C |
| 2020-04-01 | Not available in this setting | $746.57 | RVU20B |
| 2020-01-01 | Not available in this setting | $746.57 | RVU20A |
| 2019-10-01 | Not available in this setting | $738.12 | RVU19D |
| 2019-07-01 | Not available in this setting | $738.12 | RVU19C |
| 2019-04-01 | Not available in this setting | $735.89 | RVU19B |
| 2019-01-01 | Not available in this setting | $735.89 | RVU19A |
| 2018-10-01 | Not available in this setting | $739.98 | RVU18D |
| 2018-07-01 | Not available in this setting | $739.98 | RVU18C |
| 2018-04-01 | Not available in this setting | $739.98 | RVU18B |
| 2018-01-01 | Not available in this setting | $739.98 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $746.41 | RVU17D |
| 2017-07-01 | Not available in this setting | $746.41 | RVU17C |
| 2017-04-01 | Not available in this setting | $746.41 | RVU17B |
| 2017-01-01 | Not available in this setting | $746.41 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Redding rate applies
Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
32035 billing questions
What documentation supports reporting this code?
The operative report should describe empyema drainage through a thoracostomy that includes rib resection. Documentation of chest tube placement alone does not support this service.
How does this differ from an open-flap thoracostomy?
This code represents thoracostomy with rib resection for empyema. Code 32036 describes an open-flap drainage approach, such as an Eloesser flap.
Can this code be used for routine chest tube placement?
No. A chest tube placed without the rib-resection operation is a different service; consider the applicable tube thoracostomy code instead.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are assistants and co-surgeons handled?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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