No office rate
Both codes include apical tumor and chest wall resection. Select 32504 when the chest wall is reconstructed; select 32503 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
32503 in Salinas
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1667.46
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 32503: Apical lung tumor resection without reconstruction
Open resection of an apical lung tumor with involved chest wall, reported when the operation does not include chest wall reconstruction.
Code 32503 represents an open major thoracic operation to remove an apical lung tumor, commonly a superior sulcus (Pancoast) tumor, together with involved chest wall. A thoracic surgeon performs the resection through thoracotomy in an operating room. The code distinguishes the operation in which the chest wall is not reconstructed. The specimen may include the apical lung lesion and a contiguous portion of chest wall removed as one oncologic resection.
Report 32503 when the operative report supports apical tumor resection with chest wall resection and no chest wall reconstruction; a diagnostic wedge resection or a lung resection without this apical and chest wall operation is not equivalent. The record should identify tumor location, structures removed, and whether reconstruction occurred. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32503
- 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 RVU30.95 · 61%
- Practice expense (office) RVU11.93 · 24%
- Malpractice RVU7.81 · 15%
22
Medicare services in 2024 · #5865 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.
32503 compared with similar codes
Office rates for Salinas, from the same CMS release.
No office rate
32505 describes an open wedge or segmental lung resection. It does not represent the apical tumor resection with chest wall resection described by 32503.
No office rate
32507 is for diagnostic lung wedge resection. 32503 represents therapeutic resection of an apical tumor with involved chest wall.
The same code, a different location
How does Salinas compare?
32503 across payment areas
Same release and payment basis · bars start at $0
Salinas · 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 · 32503
Office
Unavailable
Facility
$1627.88
No comparable office rate is available.
Merced
California · 32503
Office
Unavailable
Facility
$1627.88
No comparable office rate is available.
Modesto
California · 32503
Office
Unavailable
Facility
$1627.88
No comparable office rate is available.
Napa
California · 32503
Office
Unavailable
Facility
$1756.59
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 32503
Office
Unavailable
Facility
$1696.21
No comparable office rate is available.
Redding
California · 32503
Office
Unavailable
Facility
$1627.88
No comparable office rate is available.
Rest Of California
California · 32503
Office
Unavailable
Facility
$1627.88
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 32503
Office
Unavailable
Facility
$1711.61
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 32503
Office
Unavailable
Facility
$1674.22
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 32503
Office
Unavailable
Facility
$1682.73
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 32503
Office
Unavailable
Facility
$1813.55
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 32503
Office
Unavailable
Facility
$1804.68
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 32503
Office
Unavailable
Facility
$1861.89
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 32503
Office
Unavailable
Facility
$1825.63
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 32503
Office
Unavailable
Facility
$1645.01
No comparable office rate is available.
Santa Cruz-Watsonville
California · 32503
Office
Unavailable
Facility
$1679.43
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 32503
Office
Unavailable
Facility
$1667.14
No comparable office rate is available.
Santa Rosa-Petaluma
California · 32503
Office
Unavailable
Facility
$1693.92
No comparable office rate is available.
Stockton
California · 32503
Office
Unavailable
Facility
$1627.88
No comparable office rate is available.
Vallejo
California · 32503
Office
Unavailable
Facility
$1743.81
No comparable office rate is available.
Visalia
California · 32503
Office
Unavailable
Facility
$1627.88
No comparable office rate is available.
Yuba City
California · 32503
Office
Unavailable
Facility
$1627.88
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 32503
Office
Unavailable
Facility
$1849.32
No comparable office rate is available.
Miami
Florida · 32503
Office
Unavailable
Facility
$2108.29
No comparable office rate is available.
Chicago
Illinois · 32503
Office
Unavailable
Facility
$2040.14
No comparable office rate is available.
Manhattan
New York · 32503
Office
Unavailable
Facility
$1976.67
No comparable office rate is available.
Alaska*
Alaska · 32503
Office
Unavailable
Facility
$2118.74
No comparable office rate is available.
Alabama
Alabama · 32503
Office
Unavailable
Facility
$1530.07
No comparable office rate is available.
Arkansas
Arkansas · 32503
Office
Unavailable
Facility
$1510.39
No comparable office rate is available.
Arizona
Arizona · 32503
Office
Unavailable
Facility
$1643.17
No comparable office rate is available.
Colorado
Colorado · 32503
Office
Unavailable
Facility
$1673.87
No comparable office rate is available.
Connecticut
Connecticut · 32503
Office
Unavailable
Facility
$1799.23
No comparable office rate is available.
Delaware
Delaware · 32503
Office
Unavailable
Facility
$1667.13
No comparable office rate is available.
Fort Lauderdale
Florida · 32503
Office
Unavailable
Facility
$1909.05
No comparable office rate is available.
Rest Of Florida
Florida · 32503
Office
Unavailable
Facility
$1806.77
No comparable office rate is available.
Atlanta
Georgia · 32503
Office
Unavailable
Facility
$1755.00
No comparable office rate is available.
Rest Of Georgia
Georgia · 32503
Office
Unavailable
Facility
$1700.14
No comparable office rate is available.
Hawaii, Guam
Hawaii · 32503
Office
Unavailable
Facility
$1637.86
No comparable office rate is available.
Iowa
Iowa · 32503
Office
Unavailable
Facility
$1501.92
No comparable office rate is available.
Idaho
Idaho · 32503
Office
Unavailable
Facility
$1523.74
No comparable office rate is available.
East St. Louis
Illinois · 32503
Office
Unavailable
Facility
$1925.73
No comparable office rate is available.
Rest Of Illinois
Illinois · 32503
Office
Unavailable
Facility
$1805.29
No comparable office rate is available.
Suburban Chicago
Illinois · 32503
Office
Unavailable
Facility
$1912.47
No comparable office rate is available.
Indiana
Indiana · 32503
Office
Unavailable
Facility
$1529.92
No comparable office rate is available.
Kansas
Kansas · 32503
Office
Unavailable
Facility
$1525.45
No comparable office rate is available.
Kentucky
Kentucky · 32503
Office
Unavailable
Facility
$1626.69
No comparable office rate is available.
New Orleans
Louisiana · 32503
Office
Unavailable
Facility
$1705.06
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 32503
Office
Unavailable
Facility
$1636.31
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 32503
Office
Unavailable
Facility
$1784.08
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 32503
Office
Unavailable
Facility
$1677.80
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 32503
Office
Unavailable
Facility
$1800.54
No comparable office rate is available.
Rest Of Maryland
Maryland · 32503
Office
Unavailable
Facility
$1686.82
No comparable office rate is available.
Rest Of Maine
Maine · 32503
Office
Unavailable
Facility
$1562.61
No comparable office rate is available.
Southern Maine
Maine · 32503
Office
Unavailable
Facility
$1593.25
No comparable office rate is available.
Detroit
Michigan · 32503
Office
Unavailable
Facility
$1858.10
No comparable office rate is available.
Rest Of Michigan
Michigan · 32503
Office
Unavailable
Facility
$1692.08
No comparable office rate is available.
Minnesota
Minnesota · 32503
Office
Unavailable
Facility
$1521.00
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 32503
Office
Unavailable
Facility
$1662.78
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 32503
Office
Unavailable
Facility
$1674.49
No comparable office rate is available.
Rest Of Missouri
Missouri · 32503
Office
Unavailable
Facility
$1631.32
No comparable office rate is available.
Mississippi
Mississippi · 32503
Office
Unavailable
Facility
$1569.62
No comparable office rate is available.
Montana**
Montana · 32503
Office
Unavailable
Facility
$1692.57
No comparable office rate is available.
North Carolina
North Carolina · 32503
Office
Unavailable
Facility
$1572.22
No comparable office rate is available.
North Dakota**
North Dakota · 32503
Office
Unavailable
Facility
$1538.14
No comparable office rate is available.
Nebraska
Nebraska · 32503
Office
Unavailable
Facility
$1500.15
No comparable office rate is available.
New Hampshire
New Hampshire · 32503
Office
Unavailable
Facility
$1676.82
No comparable office rate is available.
Northern Nj
New Jersey · 32503
Office
Unavailable
Facility
$1839.71
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 32503
Office
Unavailable
Facility
$1796.40
No comparable office rate is available.
New Mexico
New Mexico · 32503
Office
Unavailable
Facility
$1712.45
No comparable office rate is available.
Nevada**
Nevada · 32503
Office
Unavailable
Facility
$1649.93
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 32503
Office
Unavailable
Facility
$2058.12
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 32503
Office
Unavailable
Facility
$1832.25
No comparable office rate is available.
Queens
New York · 32503
Office
Unavailable
Facility
$1947.07
No comparable office rate is available.
Rest Of New York
New York · 32503
Office
Unavailable
Facility
$1595.69
No comparable office rate is available.
Ohio
Ohio · 32503
Office
Unavailable
Facility
$1660.51
No comparable office rate is available.
Oklahoma
Oklahoma · 32503
Office
Unavailable
Facility
$1592.28
No comparable office rate is available.
Portland
Oregon · 32503
Office
Unavailable
Facility
$1687.08
No comparable office rate is available.
Rest Of Oregon
Oregon · 32503
Office
Unavailable
Facility
$1614.02
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 32503
Office
Unavailable
Facility
$1778.38
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 32503
Office
Unavailable
Facility
$1646.07
No comparable office rate is available.
Puerto Rico
Puerto Rico · 32503
Office
Unavailable
Facility
$1693.56
No comparable office rate is available.
Rhode Island
Rhode Island · 32503
Office
Unavailable
Facility
$1697.71
No comparable office rate is available.
South Carolina
South Carolina · 32503
Office
Unavailable
Facility
$1623.68
No comparable office rate is available.
South Dakota**
South Dakota · 32503
Office
Unavailable
Facility
$1519.88
No comparable office rate is available.
Tennessee
Tennessee · 32503
Office
Unavailable
Facility
$1536.05
No comparable office rate is available.
Austin
Texas · 32503
Office
Unavailable
Facility
$1688.53
No comparable office rate is available.
Beaumont
Texas · 32503
Office
Unavailable
Facility
$1638.71
No comparable office rate is available.
Brazoria
Texas · 32503
Office
Unavailable
Facility
$1640.39
No comparable office rate is available.
Dallas
Texas · 32503
Office
Unavailable
Facility
$1663.76
No comparable office rate is available.
Fort Worth
Texas · 32503
Office
Unavailable
Facility
$1663.17
No comparable office rate is available.
Galveston
Texas · 32503
Office
Unavailable
Facility
$1653.70
No comparable office rate is available.
Houston
Texas · 32503
Office
Unavailable
Facility
$1796.66
No comparable office rate is available.
Rest Of Texas
Texas · 32503
Office
Unavailable
Facility
$1647.47
No comparable office rate is available.
Utah
Utah · 32503
Office
Unavailable
Facility
$1642.58
No comparable office rate is available.
Virginia
Virginia · 32503
Office
Unavailable
Facility
$1609.62
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 32503
Office
Unavailable
Facility
$1693.56
No comparable office rate is available.
Vermont
Vermont · 32503
Office
Unavailable
Facility
$1560.24
No comparable office rate is available.
Rest Of Washington
Washington · 32503
Office
Unavailable
Facility
$1665.30
No comparable office rate is available.
Seattle (King Cnty)
Washington · 32503
Office
Unavailable
Facility
$1787.50
No comparable office rate is available.
Wisconsin
Wisconsin · 32503
Office
Unavailable
Facility
$1495.84
No comparable office rate is available.
West Virginia
West Virginia · 32503
Office
Unavailable
Facility
$1753.32
No comparable office rate is available.
Wyoming**
Wyoming · 32503
Office
Unavailable
Facility
$1625.27
No comparable office rate is available.
See how rates vary across the country
32503 · 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?
Salinas is a Medicare payment area. Our Census mapping connects it to 30 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 32503 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1834.21
$1667.46 × 110% = $1834.21
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 32503 in Salinas.
PPRRVU2026_Oct_nonQPP.csv
3,722
- Code
- 32503
- Physician work
- 30.95
- Practice expense
- 11.93
- Malpractice
- 7.81
GPCI2026.csv
22
- Locality
- Salinas
- Physician work
- 1.031
- Practice expense
- 1.159
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.95 | × 1.031 | 31.9094 |
| Practice expense | 11.93 | × 1.159 | 13.8269 |
| Malpractice | 7.81 | × 0.536 | 4.1862 |
| Total RVUs | 49.9225 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Salinas$1667.46
Open 32503 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 30.95 | 1.031 |
| Practice expense | 11.93 | 1.159 |
| Malpractice | 7.81 | 0.536 |
(30.95 × 1.031 + 11.93 × 1.159 + 7.81 × 0.536) × $33.4009 = $1667.46
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
32503 · 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 | $1667.46 | RVU26D |
| 2026-07-01 | Not available in this setting | $1667.46 | RVU26C |
| 2026-04-01 | Not available in this setting | $1667.46 | RVU26B |
| 2026-01-01 | Not available in this setting | $1667.46 | RVU26A |
| 2025-10-01 | Not available in this setting | $1718.31 | RVU25D |
| 2025-07-01 | Not available in this setting | $1718.31 | RVU25C |
| 2025-04-01 | Not available in this setting | $1718.31 | RVU25B |
| 2025-01-01 | Not available in this setting | $1718.31 | RVU25A |
32503 billing questions
What distinguishes 32503 from 32504?
Both describe apical lung tumor resection with chest wall resection. Use 32503 when the chest wall is not reconstructed and 32504 when reconstruction is performed.
Can the chest wall resection be billed separately?
Chest wall resection is part of the operation represented by 32503. The operative report should establish that it was performed as part of the apical tumor resection.
What should the operative report document?
Document the apical tumor location, lung and chest wall structures removed, and whether chest wall reconstruction was performed.
How does the multiple procedure reduction work?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.
What are the global and surgical team payment rules?
The 90-day global includes the day-before preoperative visit and related postoperative care. 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.
3,71932488,,Completion pneumonectomy,A,,41.92,14.55,NA,14.55,,10.57,67.04,67.04,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72032491,,Lung volume reduction,R,,24.61,11.33,NA,11.33,,6.20,42.14,42.14,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72132501,,Repair bronchus add-on,A,,4.56,0.90,NA,0.90,,1.15,6.61,6.61,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72232503,,Resect apical lung tumor,A,,30.95,11.93,NA,11.93,,7.81,50.69,50.69,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72332504,,Resect apical lung tum/chest,A,,35.63,12.85,NA,12.85,,8.99,57.47,57.47,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72432505,,Wedge resect of lung initial,A,,15.36,7.62,NA,7.62,,3.81,26.79,26.79,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72532506,,Wedge resect of lung add-on,A,,2.93,0.58,NA,0.58,,0.72,4.23,4.23,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536
2301182,CA,72,SAN DIEGO-CHULA VISTA-CARLSBAD,1.030,1.196,0.542
2401112,CA,05,SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY),1.095,1.410,0.425
2501112,CA,52,SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY),1.095,1.410,0.459