No office rate
This code describes pulmonary decortication, which removes a fibrous peel restricting lung expansion. Code 32200 is for open drainage of a lung abscess.
On this page
CMS RVU26D · Effective 2026-10-01
32200 Lung abscess drainage Medicare reimbursement rates in Utah
Reports open surgical drainage of a lung abscess, typically performed by a thoracic surgeon when operative access is required. Compare 32200 office and facility rates across CMS payment localities in Utah.
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 32200 in Utah?
Utah 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
$1072.44
1 of 1 localities have a supported rate.
Payment area: Utah
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 32200: Open drainage of lung abscess
Reports open surgical drainage of a lung abscess, typically performed by a thoracic surgeon when operative access is required.
A thoracic surgeon uses an open approach to reach and drain an abscess within the lung, evacuating infected material and addressing the cavity as needed. The service is generally performed in a hospital operating room when the abscess requires surgical drainage rather than a less invasive approach. The operative report should identify the lung site and abscess, document the open approach, and describe the drainage performed.
Report this code for the open drainage service, not for decortication or diagnostic biopsy alone. It has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. 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 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 32200
- 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 RVU18.21 · 55%
- Practice expense (office) RVU10.41 · 31%
- Malpractice RVU4.58 · 14%
36
Medicare services in 2024 · #5549 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.
32200 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
This code reports additional decortication work after the primary decortication service. It does not represent additional abscess drainage.
No office rate
This code describes thoracotomy with lung biopsy. Choose 32200 when the operative purpose is open drainage of a lung abscess rather than tissue sampling.
Compare 32200 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
Utah →
Office / nonfacility
Unavailable
Facility
$1072.44
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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 32200 in Utah.
PPRRVU2026_Oct_nonQPP.csv
3,702
- Code
- 32200
- Physician work
- 18.21
- Practice expense
- 10.41
- Malpractice
- 4.58
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.21 | × 1.000 | 18.2100 |
| Practice expense | 10.41 | × 0.940 | 9.7854 |
| Malpractice | 4.58 | × 0.898 | 4.1128 |
| Total RVUs | 32.1082 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$1072.44
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.21 | 1 |
| Practice expense | 10.41 | 0.94 |
| Malpractice | 4.58 | 0.898 |
(18.21 × 1 + 10.41 × 0.94 + 4.58 × 0.898) × $33.4009 = $1072.44
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.
32200 billing questions
When should this code be chosen instead of a decortication code?
Use this code when the operative service is open drainage of a lung abscess. Decortication codes describe removal of a fibrous peel from the lung, not drainage of an abscess.
Can the thoracotomy or open access be billed separately?
The open approach is part of the drainage service described by this code. Do not report a separate access procedure solely for reaching the abscess.
Should modifier 50 be appended for abscesses in both lungs?
No. Modifier 50 is inappropriate for this code. Document the operative site and service performed.
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?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while 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.
3,69932160,,Open chest heart massage,A,,12.77,7.25,NA,7.25,,3.10,23.12,23.12,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,7003216F,,Pt immunity to hep b 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
3,7013218F,,Rna tstng hep c docd done,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
3,70232200,,Drain open lung lesion,A,,18.21,10.41,NA,10.41,,4.58,33.20,33.20,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,7033220F,,Hep c quant rna tstng 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
3,70432215,,Treat chest lining,A,,12.72,7.55,NA,7.55,,3.19,23.46,23.46,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,70532220,,Release of lung,A,,25.98,13.61,NA,13.61,,6.47,46.06,46.06,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985