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CMS RVU26D · Effective 2026-10-01

32408 in Wyoming**

Office / nonfacility

$801.34

Base rate per service

Facility setting

$127.64

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 32408: Percutaneous lung or mediastinal core biopsy

Reports a percutaneous core-needle biopsy of a lung or mediastinal target, with imaging guidance included when performed.

A physician, commonly a radiologist or interventional radiologist, passes a core needle through the chest wall to obtain tissue from a lung lesion or mediastinal target. The procedure is commonly performed in a hospital or outpatient imaging setting, often with CT or other imaging used to guide needle placement. Imaging guidance is included in the biopsy service when performed; this code distinguishes a percutaneous core-tissue sample from a bronchoscopic biopsy or a biopsy of the pleura.

Select the code when the documented approach is percutaneous and the specimen is obtained with a core needle from lung or mediastinum. The record should identify the target, approach, and tissue sampling performed; note imaging guidance when used. The 0-day global period includes same-day preoperative and postoperative care. When other 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. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted, and co-surgeon and team-surgery reporting are not permitted.

CMS billing rules for 32408

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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.10 · 13%
  • Practice expense (office) RVU20.64 · 86%
  • Malpractice RVU0.34 · 1%

44.2K

Medicare services in 2024 · #828 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.

32408 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

32400

Pleural biopsy

Percutaneous needle

$164.77

Choose 32408 for a percutaneous core biopsy of lung or mediastinum; 32400 is for a needle biopsy of pleura.

31628

Lung biopsy

Single lobe

$405.63

31628 is used for transbronchial lung biopsy through a bronchoscope. This code requires a percutaneous approach through the chest wall.

31629

Bronchoscopic biopsy

Needle aspiration biopsy

$493.88

31629 describes needle sampling performed bronchoscopically. Use this code when the core sample is obtained percutaneously from lung or mediastinum.

The same code, a different location

How does Wyoming** compare?

32408 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $801.34

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

    $930.88

    $129.54 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $933.88

    $132.54 higher than Wyoming**

  4. Miami

    $849.92

    $48.58 higher than Wyoming**

  5. Chicago

    $823.17

    $21.83 higher than Wyoming**

  6. Manhattan

    $929.26

    $127.92 higher than Wyoming**

  7. Alaska*

    $895.78

    $94.44 higher than Wyoming**

Other payment areas listed in Wyoming 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, 32408 ranges from $701.58 in Arkansas to $1115.13 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

  • Alabama

    Alabama · 32408

    Office

    $713.19

    Facility

    $123.71

    $88.15 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 32408

    Office

    $701.58

    Facility

    $122.88

    $99.76 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 32408

    Office

    $781.29

    Facility

    $128.48

    $20.05 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 32408

    Office

    $868.00

    Facility

    $129.63

    $66.66 higher than Wyoming** for the office setting.

  • Chico

    California · 32408

    Office

    $866.97

    Facility

    $128.60

    $65.63 higher than Wyoming** for the office setting.

  • El Centro

    California · 32408

    Office

    $867.02

    Facility

    $128.65

    $65.68 higher than Wyoming** for the office setting.

  • Fresno

    California · 32408

    Office

    $866.97

    Facility

    $128.60

    $65.63 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 32408

    Office

    $866.97

    Facility

    $128.60

    $65.63 higher than Wyoming** for the office setting.

  • Madera

    California · 32408

    Office

    $866.97

    Facility

    $128.60

    $65.63 higher than Wyoming** for the office setting.

  • Merced

    California · 32408

    Office

    $866.97

    Facility

    $128.60

    $65.63 higher than Wyoming** for the office setting.

  • Modesto

    California · 32408

    Office

    $866.97

    Facility

    $128.60

    $65.63 higher than Wyoming** for the office setting.

  • Napa

    California · 32408

    Office

    $1024.46

    Facility

    $136.53

    $223.12 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 32408

    Office

    $928.38

    Facility

    $132.07

    $127.04 higher than Wyoming** for the office setting.

  • Redding

    California · 32408

    Office

    $866.97

    Facility

    $128.60

    $65.63 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 32408

    Office

    $866.97

    Facility

    $128.60

    $65.63 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 32408

    Office

    $870.67

    Facility

    $132.30

    $69.33 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 32408

    Office

    $915.12

    Facility

    $131.61

    $113.78 higher than Wyoming** for the office setting.

  • Salinas

    California · 32408

    Office

    $911.85

    Facility

    $131.03

    $110.51 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 32408

    Office

    $937.32

    Facility

    $131.58

    $135.98 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 32408

    Office

    $1090.64

    Facility

    $140.73

    $289.30 higher than Wyoming** for the office setting.

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

    California · 32408

    Office

    $1090.25

    Facility

    $140.34

    $288.91 higher than Wyoming** for the office setting.

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

    California · 32408

    Office

    $1115.13

    Facility

    $143.66

    $313.79 higher than Wyoming** for the office setting.

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

    California · 32408

    Office

    $1113.55

    Facility

    $142.08

    $312.21 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 32408

    Office

    $896.61

    Facility

    $129.27

    $95.27 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 32408

    Office

    $949.42

    Facility

    $130.88

    $148.08 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 32408

    Office

    $916.36

    Facility

    $130.83

    $115.02 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 32408

    Office

    $959.31

    Facility

    $132.01

    $157.97 higher than Wyoming** for the office setting.

  • Stockton

    California · 32408

    Office

    $866.97

    Facility

    $128.60

    $65.63 higher than Wyoming** for the office setting.

  • Vallejo

    California · 32408

    Office

    $1023.90

    Facility

    $135.97

    $222.56 higher than Wyoming** for the office setting.

  • Visalia

    California · 32408

    Office

    $866.97

    Facility

    $128.60

    $65.63 higher than Wyoming** for the office setting.

  • Yuba City

    California · 32408

    Office

    $866.97

    Facility

    $128.60

    $65.63 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 32408

    Office

    $847.17

    Facility

    $130.36

    $45.83 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 32408

    Office

    $861.83

    Facility

    $136.26

    $60.49 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 32408

    Office

    $795.39

    Facility

    $129.78

    $5.95 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 32408

    Office

    $822.43

    Facility

    $139.98

    $21.09 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 32408

    Office

    $779.67

    Facility

    $135.62

    $21.67 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 32408

    Office

    $817.92

    Facility

    $133.44

    $16.58 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 32408

    Office

    $732.02

    Facility

    $131.08

    $69.32 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 32408

    Office

    $893.96

    Facility

    $127.97

    $92.62 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 32408

    Office

    $738.85

    Facility

    $122.42

    $62.49 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 32408

    Office

    $743.16

    Facility

    $123.36

    $58.18 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 32408

    Office

    $760.66

    Facility

    $140.86

    $40.68 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 32408

    Office

    $750.71

    Facility

    $135.63

    $50.63 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 32408

    Office

    $832.40

    Facility

    $140.51

    $31.06 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 32408

    Office

    $748.13

    Facility

    $123.61

    $53.21 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 32408

    Office

    $732.48

    Facility

    $123.46

    $68.86 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 32408

    Office

    $726.81

    Facility

    $127.89

    $74.53 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 32408

    Office

    $765.16

    Facility

    $131.22

    $36.18 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 32408

    Office

    $724.54

    Facility

    $128.32

    $76.80 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 32408

    Office

    $941.03

    Facility

    $136.64

    $139.69 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 32408

    Office

    $840.18

    Facility

    $130.78

    $38.84 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 32408

    Office

    $858.97

    Facility

    $136.09

    $57.63 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 32408

    Office

    $812.67

    Facility

    $130.89

    $11.33 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 32408

    Office

    $744.85

    Facility

    $125.05

    $56.49 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 32408

    Office

    $793.90

    Facility

    $126.27

    $7.44 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 32408

    Office

    $787.96

    Facility

    $137.84

    $13.38 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 32408

    Office

    $745.78

    Facility

    $130.70

    $55.56 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 32408

    Office

    $816.29

    Facility

    $123.06

    $14.95 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 32408

    Office

    $761.98

    Facility

    $129.38

    $39.36 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 32408

    Office

    $771.23

    Facility

    $129.87

    $30.11 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 32408

    Office

    $708.86

    Facility

    $128.14

    $92.48 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 32408

    Office

    $705.50

    Facility

    $125.45

    $95.84 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 32408

    Office

    $804.27

    Facility

    $130.57

    $2.93 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 32408

    Office

    $754.00

    Facility

    $125.45

    $47.34 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 32408

    Office

    $797.55

    Facility

    $123.85

    $3.79 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 32408

    Office

    $744.15

    Facility

    $122.33

    $57.19 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 32408

    Office

    $831.14

    Facility

    $129.82

    $29.80 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 32408

    Office

    $921.89

    Facility

    $140.40

    $120.55 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 32408

    Office

    $872.96

    Facility

    $137.29

    $71.62 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 32408

    Office

    $749.36

    Facility

    $131.58

    $51.98 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 32408

    Office

    $803.09

    Facility

    $128.72

    $1.75 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 32408

    Office

    $950.95

    Facility

    $149.92

    $149.61 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 32408

    Office

    $876.83

    Facility

    $139.13

    $75.49 higher than Wyoming** for the office setting.

  • Queens

    New York · 32408

    Office

    $941.41

    Facility

    $145.10

    $140.07 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 32408

    Office

    $766.45

    Facility

    $126.44

    $34.89 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 32408

    Office

    $744.41

    Facility

    $129.32

    $56.93 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 32408

    Office

    $728.00

    Facility

    $126.39

    $73.34 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 32408

    Office

    $879.57

    Facility

    $131.09

    $78.23 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 32408

    Office

    $798.16

    Facility

    $127.16

    $3.18 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 32408

    Office

    $836.61

    Facility

    $135.30

    $35.27 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 32408

    Office

    $747.14

    Facility

    $128.69

    $54.20 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 32408

    Office

    $811.71

    Facility

    $130.60

    $10.37 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 32408

    Office

    $827.78

    Facility

    $131.86

    $26.44 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 32408

    Office

    $750.20

    Facility

    $127.70

    $51.14 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 32408

    Office

    $796.75

    Facility

    $123.06

    $4.59 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 32408

    Office

    $736.30

    Facility

    $123.91

    $65.04 lower than Wyoming** for the office setting.

  • Austin

    Texas · 32408

    Office

    $843.19

    Facility

    $130.42

    $41.85 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 32408

    Office

    $741.44

    Facility

    $128.38

    $59.90 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 32408

    Office

    $796.42

    Facility

    $128.79

    $4.92 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 32408

    Office

    $800.86

    Facility

    $129.85

    $0.48 lower than Wyoming** for the office setting.

  • Fort Worth

    Texas · 32408

    Office

    $794.11

    Facility

    $129.84

    $7.23 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 32408

    Office

    $798.34

    Facility

    $129.36

    $3.00 lower than Wyoming** for the office setting.

  • Houston

    Texas · 32408

    Office

    $804.57

    Facility

    $135.59

    $3.23 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 32408

    Office

    $768.03

    Facility

    $128.70

    $33.31 lower than Wyoming** for the office setting.

  • Utah

    Utah · 32408

    Office

    $761.77

    Facility

    $128.50

    $39.57 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 32408

    Office

    $789.24

    Facility

    $126.99

    $12.10 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 32408

    Office

    $811.71

    Facility

    $130.60

    $10.37 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 32408

    Office

    $791.79

    Facility

    $124.83

    $9.55 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 32408

    Office

    $839.46

    Facility

    $130.06

    $38.12 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 32408

    Office

    $963.89

    Facility

    $137.26

    $162.55 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 32408

    Office

    $767.48

    Facility

    $122.08

    $33.86 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 32408

    Office

    $718.88

    Facility

    $133.44

    $82.46 lower than Wyoming** for the office setting.

See how rates vary across the country

32408 · 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.

$701.58

$991.05

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$895.781
AL$713.191
AR$701.581
AZ$781.291
CA$866.97–$1,115.1329
CO$847.171
CT$861.831
DC$933.881
DE$795.391
FL$779.67–$849.923
GA$732.02–$817.922
GU$893.961
HI$893.961
IA$738.851
ID$743.161
IL$750.71–$832.404
IN$748.131
KS$732.481
KY$726.811
LA$724.54–$765.162
MA$840.18–$941.032
MD$812.67–$933.883
ME$744.85–$793.902
MI$745.78–$787.962
MN$816.291
MO$708.86–$771.233
MS$705.501
MT$804.271
NC$754.001
ND$797.551
NE$744.151
NH$831.141
NJ$872.96–$921.892
NM$749.361
NV$803.091
NY$766.45–$950.955
OH$744.411
OK$728.001
OR$798.16–$879.572
PA$747.14–$836.612
PR$811.711
RI$827.781
SC$750.201
SD$796.751
TN$736.301
TX$741.44–$843.198
UT$761.771
VA$789.24–$933.882
VI$811.711
VT$791.791
WA$839.46–$963.892
WI$767.481
WV$718.881
WY$801.341

Explore 32408 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 32408 in Wyoming**, the physician’s office rate is $801.34 and the facility-setting rate is $127.64: a difference of $673.70.

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 32408 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$881.47

$801.34 × 110% = $881.47

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 32408 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

3,711

Code
32408
Physician work
3.10
Practice expense
20.64
Malpractice
0.34

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 32408 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work3.10× 1.0003.1000
Practice expense20.64× 1.00020.6400
Malpractice0.34× 0.7400.2516
Total RVUs23.9916
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$801.34

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

Open 32408 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.11
Practice expense20.641
Malpractice0.340.74

(3.1 × 1 + 20.64 × 1 + 0.34 × 0.74) × $33.4009 = $801.34

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.11
Practice expense0.471
Malpractice0.340.74

(3.1 × 1 + 0.47 × 1 + 0.34 × 0.74) × $33.4009 = $127.64

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

32408 · Office / nonfacility

$801.34

Effective 2026-10-01

The base rate is $11.38 higher than on 2025-10-01, moving from $789.96 to $801.34 (1.4%).

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

    $789.96changed to$801.34

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.18 changed to 3.10
    • Practice expense RVU 21.02 changed to 20.64
    • Malpractice RVU 0.30 changed to 0.34
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $789.96

    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$801.34$127.64RVU26D
2026-07-01$801.34$127.64RVU26C
2026-04-01$801.34$127.64RVU26B
2026-01-01$801.34$127.64RVU26A
2025-10-01$789.96$142.06RVU25D
2025-07-01$789.96$142.06RVU25C
2025-04-01$789.96$142.06RVU25B
2025-01-01$789.96$142.06RVU25A

32408 billing questions

Does this code include imaging guidance?

Yes. Imaging guidance is included when performed to guide the percutaneous core biopsy, so do not separately report guidance for that biopsy service.

How does this differ from a pleural biopsy?

Use this code for a percutaneous core sample of lung or mediastinum. Code 32400 describes a needle biopsy of the chest lining, or pleura.

Can this be reported with a bronchoscopic biopsy code?

The approach distinguishes the services: this code is for a percutaneous chest-wall route, while codes such as 31628 or 31629 describe bronchoscopic sampling. If multiple procedures are performed in one session, the standard multiple-procedure reduction applies.

What should the procedure note document?

Document the lung or mediastinal target, the percutaneous route, and that a core tissue sample was obtained. Record imaging guidance when it was used.

Can modifier 50 or an assistant-at-surgery claim be used?

Modifier 50 is inappropriate for this code. Assistant-at-surgery payment is statutorily restricted; co-surgeon and team-surgery reporting are 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.

RVUs for 32408PPRRVU2026_Oct_nonQPP.csv, line 3,711 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet