Billing code 32501: Bronchial repairMedicare rate & RVUs in Oregon

Add-on reporting for bronchial repair or reconstruction performed as part of a larger thoracic operation, rather than as a standalone service.

CMS RVU26DEffective Oct 1, 20262 payment localities29 Medicare services in 2024

CMS doesn’t publish an office rate for 32501 in Oregon.

—Office (non-facility)
$209.25–$216.72Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 32501 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Oregon
  2. What 32501 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 32501 covers

This add-on represents repair or reconstruction of a bronchus performed during a larger thoracic operation. It is typically performed by a thoracic surgeon in the operating room when the operative plan requires bronchial reconstruction in addition to the primary procedure. The work concerns the airway itself, not removal of lung tissue alone; a wedge resection or other lung resection does not by itself support this service.

Report 32501 only with a qualifying primary procedure, and document the bronchial work separately enough to show what was repaired or reconstructed and why it was part of the operation. The operative report should identify the bronchus and describe the reconstruction, along with the primary procedure. CMS classifies this as an add-on code: it is billed only with a primary procedure and payment falls within that procedure’s global period.

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.

Where 32501 pays more and less in Oregon

32501 office and facility rates by payment locality
Payment localityOfficeFacility
PortlandUnavailable$216.72
Rest Of OregonUnavailable$209.25

How the 32501 rate is calculated

Each of 32501’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 · 32501

RVUs × geographic indexes × conversion factor

Work4.56

4.56 RVUs× 1.000 GPCI

Practice expense0.90

0.90 RVUs× 1.000 GPCI

Malpractice1.15

1.15 RVUs× 1.000 GPCI

Adjusted RVUs

6.6100

Conversion factor

$33.4009

Medicare rate

$220.78

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 32501

The CMS indicators that decide how 32501 is paid alongside other services.

CMS payment indicators · 32501

Bronchial repair

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

32501 without 80 · national facility

$220.78

Bronchial repair

32501-80 · Assistant: 16%

$35.32

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

32501 compared with similar codes

Compare codes · National

4 codes, side by side

  • 32501

    Bronchial repair4.56 wRVU

    Not priced

  • 32486

    Sleeve lobectomy41.81 wRVU

    Not priced

  • 32482

    Bilobectomy26.75 wRVU

    Not priced

  • 32505

    Lung wedge resection15.36 wRVU

    Not priced

How to choose

32486Sleeve lobectomy
Use 32486 for a sleeve lobectomy that includes bronchial resection and reconstruction. Code 32501 represents additional bronchial repair or reconstruction reported with a primary procedure.
32482Bilobectomy
32482 reports removal of a lung lobe. It does not by itself describe separate bronchial repair or reconstruction.
32505Lung wedge resection
32505 describes a wedge resection of lung tissue. It is not the code for reconstructing a bronchus.

32501 billing questions

Can 32501 be billed by itself?

No. CMS identifies it as an add-on code, so it must be reported with a primary procedure.

Does a lung resection alone support 32501?

No. The documentation must show bronchial repair or reconstruction in addition to the primary operation; lung tissue removal alone is not this service.

What should the operative note document?

Identify the bronchus and describe the repair or reconstruction, its medical or operative purpose, and the primary procedure performed during the same operation.

How does the global period affect payment?

CMS pays this add-on within the global period of the primary procedure. It is not paid as a standalone 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 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
RVUs for 32501PPRRVU2026_Oct_nonQPP.csv, line 3,721 (RVU26D)

Open CMS sourceHow we calculate rates

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