No office rate
Choose 32906 when prosthetic material is used in the post-surgical chest wall revision; 32905 is the related code when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
32906 Chest wall repair Medicare reimbursement rates in Vermont
Reports revision and repair of the chest wall after prior surgery when prosthetic material is used to reconstruct or reinforce the defect. Compare 32906 office and facility rates across CMS payment localities in Vermont.
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 32906 in Vermont?
Vermont 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
$1428.94
1 of 1 localities have a supported rate.
Payment area: Vermont
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 32906: Chest wall revision with prosthetic material
Reports revision and repair of the chest wall after prior surgery when prosthetic material is used to reconstruct or reinforce the defect.
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.
CMS billing rules for 32906
- 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 RVU28.57 · 62%
- Practice expense (office) RVU10.67 · 23%
- Malpractice RVU7.21 · 16%
16
Medicare services in 2024 · #6033 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.
32906 compared with similar codes
Office rates for Vermont, from the same CMS release.
32800
No office rateLung hernia repair
32800 describes chest wall repair outside the specific post-surgical revision context addressed by 32906.
32999
No office rateUnlisted 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.
Compare 32906 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
Vermont →
Office / nonfacility
Unavailable
Facility
$1428.94
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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 32906 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
3,801
- Code
- 32906
- Physician work
- 28.57
- Practice expense
- 10.67
- Malpractice
- 7.21
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.57 | × 1.000 | 28.5700 |
| Practice expense | 10.67 | × 0.990 | 10.5633 |
| Malpractice | 7.21 | × 0.506 | 3.6483 |
| Total RVUs | 42.7816 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1428.94
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 28.57 | 1 |
| Practice expense | 10.67 | 0.99 |
| Malpractice | 7.21 | 0.506 |
(28.57 × 1 + 10.67 × 0.99 + 7.21 × 0.506) × $33.4009 = $1428.94
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.
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 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.
3,7983288F,,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
3,8043292F,,Hiv tstng asked/docd/revwd,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
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817