$2,656.60
Choose 32994 for cryoablation and 32998 for radiofrequency ablation; both describe percutaneous pulmonary tumor treatment with imaging guidance.
On this page
CMS RVU26D · Effective 2026-10-01
32994 Lung tumor ablation Medicare reimbursement rates in Kansas
Report percutaneous cryoablation to reduce or eradicate one or more pulmonary tumors, including involved pleura or chest wall, with imaging guidance. Compare 32994 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 32994 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
$4123.11
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$359.07
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.
Pulmonary procedures
About 32994: Percutaneous pulmonary tumor cryoablation
Report percutaneous cryoablation to reduce or eradicate one or more pulmonary tumors, including involved pleura or chest wall, with imaging guidance.
This service uses image-guided probes inserted through the skin to freeze and destroy one or more pulmonary tumors. It may include tumors involving the pleura or chest wall. Interventional radiologists commonly perform it in a hospital or other facility setting, often using CT to guide probe placement and monitor treatment. The code identifies cryoablation, not radiofrequency or microwave ablation.
Report the code when the documented treatment is percutaneous cryoablation; the code includes imaging guidance and covers one or more tumors. The record should support the tumor site, percutaneous approach, cryoablation method, and image-guided treatment. It has a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same session, Medicare pays the highest-valued procedure in full and other procedures at 50%. For bilateral reporting with modifier 50, payment is 150%. Assistant-at-surgery payment may be allowed; co-surgeons and team surgery are not permitted.
CMS billing rules for 32994
- 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 · 6%
- Practice expense (office) RVU126.26 · 93%
- Malpractice RVU1.00 · 1%
352
Medicare services in 2024 · #3852 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.
32994 compared with similar codes
Office rates for Kansas, from the same CMS release.
32999
No office rateUnlisted px lungs & pleura
Use 32999 for an unlisted lung or pleura procedure when a specific code does not describe the service; use 32994 for percutaneous cryoablation.
Compare 32994 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
$4123.11
Facility
$359.07
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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 32994 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
3,809
- Code
- 32994
- Physician work
- 8.80
- Practice expense
- 126.26
- Malpractice
- 1.00
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.80 | × 1.000 | 8.8000 |
| Practice expense | 126.26 | × 0.904 | 114.1390 |
| Malpractice | 1.00 | × 0.504 | 0.5040 |
| Total RVUs | 123.4430 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$4123.11
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.8 | 1 |
| Practice expense | 126.26 | 0.904 |
| Malpractice | 1 | 0.504 |
(8.8 × 1 + 126.26 × 0.904 + 1 × 0.504) × $33.4009 = $4123.11
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.8 | 1 |
| Practice expense | 1.6 | 0.904 |
| Malpractice | 1 | 0.504 |
(8.8 × 1 + 1.6 × 0.904 + 1 × 0.504) × $33.4009 = $359.07
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.
32994 billing questions
How does this differ from 32998?
32994 is for percutaneous cryoablation. Use 32998 when the pulmonary tumor is treated with radiofrequency ablation.
Is imaging guidance separately reportable?
No. Imaging guidance is included in 32994.
Does the code cover treatment of multiple tumors?
Yes. The code covers treatment of one or more pulmonary tumors in the described percutaneous cryoablation service.
What happens when another procedure is performed in the same session?
Medicare applies the standard multiple procedure reduction: the highest-valued procedure is paid in full, and other procedures are paid at 50%.
Can modifier 50 be used for bilateral treatment?
The CMS facts identify 32994 as bilateral; modifier 50 is paid at 150%. Document the bilateral service.
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.
3,80632940,,Revision of lung,A,,20.81,9.14,NA,9.14,,5.23,35.18,35.18,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,8073294F,,Grp b strep screening 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
3,80832960,,Therapeutic pneumothorax,A,,1.79,2.08,,0.52,,0.15,4.02,2.46,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,80932994,,Ablate pulm tumor perq crybl,A,,8.80,126.26,,1.60,,1.00,136.06,11.40,0,000,0.00,0.00,0.00,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,81032997,,Total lung lavage,A,,7.13,1.27,NA,1.27,,0.59,8.99,8.99,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,81132998,,Ablate pulm tumor perq rf,A,,8.80,77.68,,1.58,,1.02,87.50,11.40,0,000,0.00,0.00,0.00,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,81232999,,Unlisted px lungs & pleura,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,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