Billing code 32905: Chest wall repairMedicare rate & RVUs in Leander, Texas

Compare Medicare physician payments in Leander, TX. Census city boundaries cover Travis County, Williamson County. Use the service ZIP to confirm the payment locality for a specific address.

CMS RVU26DEffective Oct 1, 20262 payment localities

CMS doesn’t publish an office rate for 32905 in Leander, Texas.

—Office (non-facility)

$1,232.82–$1,265.74Hospital 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.

On this page 6 sections

Rate in Leander, Texas
By payment locality
City and payment areas
How it’s calculated
Payment rules
Sources

Where 32905 pays more and less in Leander, Texas

Leander, Texas maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

32905 office and facility rates by payment locality
Payment locality	Office	Facility
Austin	Unavailable	$1,265.74
Rest Of Texas	Unavailable	$1,232.82

How payment areas work in Leander

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

Austin · Travis County
Rest Of State · Williamson County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the 32905 rate is calculated

Each of 32905’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 · 32905

RVUs × geographic indexes × conversion factor

Your ZIP (optional)

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Work 22.71Practice expense 9.52Malpractice 5.72

Work GPCI: 1.000

Practice expense GPCI: 1.000

Malpractice GPCI: 1.000

37.9500 adjusted RVUs×$33.4009 conversion factor=$1,267.56

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 32905

32905 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32905

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 · 32905

Chest wall repair

Date of surgery

Date of a later visit

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.

24 Unrelated E/M visit by the same physician
79 Unrelated procedure (starts its own global period)
58 Staged, more extensive, or therapy procedure that was planned
78 Unplanned return to the operating room for a related complication

SurgeryVisit

Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

32905 without 51 · national facility

$1,267.56

Chest wall repair

32905-51 · Second procedure: 50%

$633.78

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%).

When to use modifier 51

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 32905PPRRVU2026_Oct_nonQPP.csv, line 3,800 (RVU26D)

3,7973285F,,Iop down <15% of pre-svc lvl,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00

3,7983288F,,Fall risk assessment docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00

3,79932900,,Removal of rib(s),A,,23.21,9.62,NA,9.62,,5.85,38.68,38.68,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,80032905,,Revise & repair chest wall,A,,22.71,9.52,NA,9.52,,5.72,37.95,37.95,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,80132906,,Revise & repair chest wall,A,,28.57,10.67,NA,10.67,,7.21,46.45,46.45,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,8023290F,,Pt=d(rh)- and unsensitized,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00

3,8033291F,,Pt=d(rh)+ or sensitized,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00

Open CMS source How we calculate rates

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