No office rate
The operative work is in the same family, but 39010 uses a transthoracic approach. Choose 39000 when the surgeon enters the mediastinum through the neck.
On this page
CMS RVU26D · Effective 2026-10-01
39000 Mediastinal exploration Medicare reimbursement rates in New Mexico
Reports open access to the mediastinum through the neck for surgical exploration, drainage, foreign-body removal, or biopsy. Compare 39000 office and facility rates across CMS payment localities in New Mexico.
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 39000 in New Mexico?
New Mexico 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
$487.65
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 39000: Cervical mediastinal exploration or biopsy
Reports open access to the mediastinum through the neck for surgical exploration, drainage, foreign-body removal, or biopsy.
This code covers an open cervical approach into the mediastinum for exploration, drainage, removal of a foreign body, or biopsy. A thoracic surgeon or another surgeon qualified to perform mediastinal procedures may use it when operative access through the neck is selected, such as to investigate or treat a mediastinal abnormality. The defining feature is the cervical route, not a particular tissue sampled or diagnosis.
Select this code when the documented operation uses a cervical mediastinotomy; use the transthoracic sibling when the surgeon enters through the chest. The operative report should identify the approach and the work performed, such as exploration, drainage, removal, or biopsy. 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 one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 39000
- 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 RVU7.38 · 50%
- Practice expense (office) RVU5.66 · 38%
- Malpractice RVU1.69 · 11%
125
Medicare services in 2024 · #4701 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.
39000 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
Code 32606 is for diagnostic thoracoscopy of the mediastinal space. Code 39000 is selected for open access through a cervical incision.
Compare 39000 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$487.65
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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 39000 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
4,774
- Code
- 39000
- Physician work
- 7.38
- Practice expense
- 5.66
- Malpractice
- 1.69
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.38 | × 1.000 | 7.3800 |
| Practice expense | 5.66 | × 0.917 | 5.1902 |
| Malpractice | 1.69 | × 1.201 | 2.0297 |
| Total RVUs | 14.5999 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$487.65
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.38 | 1 |
| Practice expense | 5.66 | 0.917 |
| Malpractice | 1.69 | 1.201 |
(7.38 × 1 + 5.66 × 0.917 + 1.69 × 1.201) × $33.4009 = $487.65
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.
39000 billing questions
How is this code distinguished from 39010?
Use 39000 for the cervical approach into the mediastinum. Code 39010 is the same general operative service through a transthoracic approach.
Does the code include biopsy or drainage?
Yes. The service includes the listed mediastinal work when performed through the cervical approach, including exploration, drainage, foreign-body removal, or biopsy.
Is the preoperative visit or postoperative care separately included?
CMS assigns a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be available for this procedure. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
4,77138794,,Access thoracic lymph duct,A,,4.50,2.71,NA,2.71,,0.53,7.74,7.74,0,090,0.11,0.73,0.16,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77238900,,Io map of sent lymph node,A,,2.44,1.31,,0.65,,0.59,4.34,3.68,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77338999,,Unlistd px hemic/lymphtc sys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77439000,,Exploration of chest,A,,7.38,5.66,NA,5.66,,1.69,14.73,14.73,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77539010,,Exploration of chest,A,,12.86,6.82,NA,6.82,,3.14,22.82,22.82,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77639200,,Resect mediastinal cyst,A,,14.71,6.49,NA,6.49,,3.70,24.90,24.90,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77739220,,Resect mediastinal tumor,A,,19.06,8.47,NA,8.47,,4.44,31.97,31.97,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210