No office rate
21600 describes a partial-rib excision service. Use 32900 for the documented rib-removal service when that separate code better represents the operation.
On this page
CMS RVU26D · Effective 2026-10-01
32900 Rib removal Medicare reimbursement rates in Kansas
Reports operative removal of one or more ribs during thoracic or chest-wall surgery, with payment subject to the major-surgery global period and multiple-procedure reduction. Compare 32900 office and facility rates across CMS payment localities in Kansas.
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.
What does Medicare pay for 32900 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1164.18
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Thoracic surgery
About 32900: Surgical removal of one or more ribs
Reports operative removal of one or more ribs during thoracic or chest-wall surgery, with payment subject to the major-surgery global period and multiple-procedure reduction.
This service covers operative removal of one or more ribs. A thoracic surgeon or another surgeon performing chest-wall or intrathoracic surgery may remove rib tissue to address a chest-wall or pleural operative problem or to provide access for the planned procedure. The operative report should identify the ribs removed and explain the surgical purpose; the code is not supported by a mention of rib removal without documentation of the work performed.
Report the service when rib removal is the documented procedure, and distinguish it from a procedure directed at revising or repairing the chest wall. CMS assigns a 90-day global period, including 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 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32900
- 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 RVU23.21 · 60%
- Practice expense (office) RVU9.62 · 25%
- Malpractice RVU5.85 · 15%
81
Medicare services in 2024 · #5038 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.
32900 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
32905 is a chest-wall revision or repair service. 32900 represents removal of one or more ribs, not repair or revision of the chest wall.
No office rate
32906 also concerns chest-wall revision or repair. Choose 32900 when the documented operative service is rib removal rather than chest-wall repair.
Compare 32900 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kansas →
Office / nonfacility
Unavailable
Facility
$1164.18
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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 32900 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
3,799
- Code
- 32900
- Physician work
- 23.21
- Practice expense
- 9.62
- Malpractice
- 5.85
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.21 | × 1.000 | 23.2100 |
| Practice expense | 9.62 | × 0.904 | 8.6965 |
| Malpractice | 5.85 | × 0.504 | 2.9484 |
| Total RVUs | 34.8549 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1164.18
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.21 | 1 |
| Practice expense | 9.62 | 0.904 |
| Malpractice | 5.85 | 0.504 |
(23.21 × 1 + 9.62 × 0.904 + 5.85 × 0.504) × $33.4009 = $1164.18
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.
32900 billing questions
How does 32900 differ from a partial-rib excision code?
Use 32900 for the documented rib-removal service. Compare the operative work with the separate partial-rib excision code, 21600, and select the code whose service matches the procedure performed.
Can modifier 50 be used when ribs on both sides are removed?
No. CMS identifies bilateral adjustment as inappropriate for this code, even when the operative documentation describes work on both sides.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 32900 affected when other procedures are performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What should the operative report document?
Identify the rib or ribs removed and describe the operative work and purpose. Documentation should make clear that rib removal was performed, rather than only mentioning a rib in the context of another procedure.
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.
3,79632856,,Prepare donor lung double,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,7973285F,,Iop down <15% of pre-svc lvl,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,7983288F,,Fall risk assessment docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,79932900,,Removal of rib(s),A,,23.21,9.62,NA,9.62,,5.85,38.68,38.68,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,80032905,,Revise & repair chest wall,A,,22.71,9.52,NA,9.52,,5.72,37.95,37.95,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,80132906,,Revise & repair chest wall,A,,28.57,10.67,NA,10.67,,7.21,46.45,46.45,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,8023290F,,Pt=d(rh)- and unsensitized,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958