Billing code 32906: Chest wall repairMedicare rate & RVUs in Ohio
Reports revision and repair of the chest wall after prior surgery when prosthetic material is used to reconstruct or reinforce the defect.
CMS doesn’t publish an office rate for 32906 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 32906 covers
This code describes operative revision of a chest wall defect after earlier surgery, with prosthetic material used in the repair. A thoracic or general surgeon may perform the reconstruction in a hospital operating room, such as when a prior chest operation has left a defect requiring repair or reinforcement. The operative work is more than routine closure: the record should establish the prior surgery, the chest wall problem being corrected, and the prosthetic material used.
Select this code when the repair follows previous surgery and uses prosthetic material; code 32905 is the related option when prosthetic material is not used. The operative report should describe the defect, revision performed, and material implanted. Medicare 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 multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
32906 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,522.39 |
How the 32906 rate is calculated
Each of 32906’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 32906
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 28.57Practice expense 10.67Malpractice 7.21
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 32906
32906 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 32906
Chest wall repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 32906
Chest wall repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
32906 without 51 · national facility
$1,551.47
Chest wall repair
32906-51 · Second procedure: 50%
$775.74
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
32906 compared with similar codes
Compare codes
32906 vs 32905 vs 32800 vs 32999: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 32905Chest wall repair
- Choose 32906 when prosthetic material is used in the post-surgical chest wall revision; 32905 is the related code when it is not.
- 32800Lung hernia repair
- 32800 describes chest wall repair outside the specific post-surgical revision context addressed by 32906.
- 32999Unlisted px lungs & pleura
- 32999 is an unlisted lung or pleura procedure code; use 32906 when the documented service matches its specific chest wall revision and prosthetic-material criteria.
32906 billing questions
How does 32906 differ from 32905?
Both concern revision and repair of the chest wall after prior surgery. Use 32906 when prosthetic material is used; 32905 is the related code when it is not.
Can the prosthetic material be billed separately?
The code describes the repair that uses prosthetic material. The operative record should identify the material and how it was used; separate reporting depends on the applicable coding and payment rules for the item.
Should modifier 50 be appended for a bilateral repair?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How is 32906 affected when other procedures are 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% when performed in the same session.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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