32100 represents open exploration; 32110 is for thoracotomy that includes control of traumatic hemorrhage or repair of a lung tear.
On this page
CMS RVU26D · Effective 2026-10-01
32100 Chest exploration Medicare reimbursement rates in Mississippi
Reports an open chest operation for direct intrathoracic exploration when the operative service is not better represented by a more specific thoracotomy procedure. Compare 32100 office and facility rates across CMS payment localities in Mississippi.
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 32100 in Mississippi?
Mississippi 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
$717.97
1 of 1 localities have a supported rate.
Payment area: Mississippi
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 32100: Open thoracotomy for chest exploration
Reports an open chest operation for direct intrathoracic exploration when the operative service is not better represented by a more specific thoracotomy procedure.
A surgeon opens the chest to inspect the intrathoracic space directly when diagnostic evaluation or operative findings call for exploration. The service is generally performed in a hospital operating room, such as when the surgeon must assess an uncertain chest finding that cannot be resolved through a less invasive approach. The operative report should identify the reason for exploration, the structures examined, and the findings. When the operation instead includes a specific repair, removal, or other defined thoracic procedure, select the code that describes that work.
Report this code for the open exploration itself, with documentation supporting why direct inspection was needed and what was done. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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% multiple-procedure reduction. Do not append modifier 50. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32100
- 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 RVU13.41 · 58%
- Practice expense (office) RVU6.55 · 28%
- Malpractice RVU3.31 · 14%
351
Medicare services in 2024 · #3857 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.
32100 compared with similar codes
Office rates for Mississippi, from the same CMS release.
32120 is for thoracic re-exploration related to a postoperative complication, rather than general open chest exploration.
32124 is directed to thoracotomy for biopsy of lung nodules or masses. Use 32100 when the documented service is exploration rather than that specific biopsy procedure.
Compare 32100 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
Mississippi →
Office / nonfacility
Unavailable
Facility
$717.97
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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 32100 in Mississippi.
PPRRVU2026_Oct_nonQPP.csv
3,689
- Code
- 32100
- Physician work
- 13.41
- Practice expense
- 6.55
- Malpractice
- 3.31
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.41 | × 1.000 | 13.4100 |
| Practice expense | 6.55 | × 0.861 | 5.6395 |
| Malpractice | 3.31 | × 0.739 | 2.4461 |
| Total RVUs | 21.4956 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$717.97
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.41 | 1 |
| Practice expense | 6.55 | 0.861 |
| Malpractice | 3.31 | 0.739 |
(13.41 × 1 + 6.55 × 0.861 + 3.31 × 0.739) × $33.4009 = $717.97
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.
32100 billing questions
When should I report 32100 instead of 32110?
Use 32100 when the documented service is open chest exploration. When the operation includes control of traumatic bleeding or repair of a lung tear, consider 32110.
How does 32100 differ from 32120?
32120 describes thoracotomy for re-exploration related to a postoperative complication. Use 32100 for exploration that is not a postoperative re-exploration.
What documentation supports 32100?
The operative report should explain the need for open exploration, describe the thoracic structures inspected, and record the findings and any definitive work performed.
Should modifier 50 be reported?
No. The descriptor and anatomy are not treated as a bilateral service for Medicare payment.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, with other procedures subject to the standard 50% multiple-procedure reduction. Related postoperative care is included in the 90-day global period.
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.
