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CMS RVU26D · Effective 2026-10-01

39220 Mediastinal resection Medicare reimbursement rates in Tennessee

Reports surgical removal of a mediastinal tumor, distinct from cyst excision or thoracoscopic removal, with a 90-day global period. Compare 39220 office and facility rates across CMS payment localities in Tennessee.

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 39220 in Tennessee?

Tennessee 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

$973.42

1 of 1 localities have a supported rate.

Payment area: Tennessee

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.

Find 39220 in your payment locality →

Thoracic surgery

About 39220: Mediastinal tumor resection

Reports surgical removal of a mediastinal tumor, distinct from cyst excision or thoracoscopic removal, with a 90-day global period.

This code represents surgical removal of a tumor in the mediastinum, the central chest compartment between the lungs. Thoracic or cardiothoracic surgeons typically perform the operation in a hospital facility. The operative report should identify the tumor’s mediastinal location and describe its removal; a mediastinal cyst is classified separately.

Report the code when the documented procedure removes a mediastinal tumor, rather than sampling it or removing a cyst. The record should support the diagnosis, site, and extent of resection. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the major-surgery global period. For other procedures 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. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 39220

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 RVU19.06 · 60%
  • Practice expense (office) RVU8.47 · 26%
  • Malpractice RVU4.44 · 14%

500

Medicare services in 2024 · #3562 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.

39220 compared with similar codes

Office rates for Tennessee, from the same CMS release.

39200

Mediastinal cyst

Open surgical resection

No office rate

Choose 39220 for a mediastinal tumor and 39200 for a mediastinal cyst; the documented lesion type distinguishes the services.

32662

Mediastinal excision

Thoracoscopic cyst, tumor, or mass

No office rate

Code 32662 describes thoracoscopic excision of a mediastinal cyst, tumor, or mass. Code 39220 is the relevant resection code when the service is not reported as thoracoscopic.

39401

Mediastinoscopy

Mediastinal tissue biopsy

No office rate

Code 39401 covers mediastinoscopy with biopsy for diagnostic tissue sampling. Code 39220 represents surgical removal of a mediastinal tumor.

Compare 39220 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

Office and facility base rates · shared scale starting at $0

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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 39220 in Tennessee.

PPRRVU2026_Oct_nonQPP.csv

4,777

Code
39220
Physician work
19.06
Practice expense
8.47
Malpractice
4.44

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Facility calculation for 39220 in Tennessee
ComponentRVULocality factorAdjusted
Physician work19.06× 1.00019.0600
Practice expense8.47× 0.9097.6992
Malpractice4.44× 0.5372.3843
Total RVUs29.1435
Conversion factor× 33.4009

Facility rate, Tennessee$973.42

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work19.061
Practice expense8.470.909
Malpractice4.440.537

(19.06 × 1 + 8.47 × 0.909 + 4.44 × 0.537) × $33.4009 = $973.42

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.

39220 billing questions

How is this distinguished from 39200?

Use 39220 for removal of a mediastinal tumor. Code 39200 is for removal of a mediastinal cyst.

When would 32662 be reported instead?

Code 32662 describes thoracoscopic removal of a mediastinal cyst, tumor, or mass. Use it when the documented removal is performed thoracoscopically rather than reported under 39220.

Is a diagnostic biopsy reported as 39220?

No. This code represents removal of a mediastinal tumor, not diagnostic sampling alone. Mediastinoscopy with biopsy is described by 39401.

What postoperative care is included?

The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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.

RVUs for 39220PPRRVU2026_Oct_nonQPP.csv, line 4,777 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet