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CPT code 32440: Pneumonectomy, entire lung removed2026 Medicare rate & RVUs

Report pneumonectomy when a thoracic surgeon removes an entire lung, commonly for lung cancer requiring resection beyond a lobe or segment.

CMS RVU26DEffective Oct 1, 2026109 payment localities151 Medicare services in 2024

Medicare pays $1,489.68 for 32440 nationally in a facility.

Medicare rate · 32440

Pneumonectomy, entire lung removed

Office or facility?

Work RVUs
26.6
Total RVUs
44.60
Global days
090

National rate · 2026

$1,489.68

Facility setting, before claim adjustments.

See every locality for 32440 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 32440 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 32440 covers

Pneumonectomy removes an entire lung, commonly to treat lung cancer when the disease’s location or extent calls for more than a lobectomy. A thoracic surgeon performs the operation in an operating room. The operative report should establish that the whole lung was removed, not just a lobe or segment, and describe the surgical work performed.

Choose this code based on the extent and type of resection documented. The Medicare global period includes 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. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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 32440 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

32440 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,345.48
AlaskaUnavailable$1,858.14
ArizonaUnavailable$1,445.79
ArkansasUnavailable$1,328.04
Atlanta, GAUnavailable$1,543.30
Austin, TXUnavailable$1,487.89
Bakersfield, CAUnavailable$1,455.46
Baltimore area, MDUnavailable$1,584.43
Beaumont, TXUnavailable$1,439.82
Brazoria, TXUnavailable$1,444.23

32440 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
32440 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 32440 rate is calculated

Each of 32440’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 · 32440

RVUs × geographic indexes × conversion factor

Office or facility?

Work26.60

26.60 RVUs× 1.000 GPCI

Practice expense11.31

11.31 RVUs× 1.000 GPCI

Malpractice6.69

6.69 RVUs× 1.000 GPCI

Adjusted RVUs

44.6000

Conversion factor

$33.4009

Medicare rate

$1,489.68

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

Payment rules and modifiers for 32440

32440 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32440

Pneumonectomy, entire lung removed

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.10/0.76/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 32440

Pneumonectomy, entire lung removed

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned 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

32440 without 51 · national facility

$1,489.68

Pneumonectomy, entire lung removed

32440-51 · Second procedure: 50%

$744.84

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

32440 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 32440

    Pneumonectomy, entire lung removed26.6 wRVU

    Not priced

  • 32442

    Pneumonectomy, sleeve airway resection55.06 wRVU

    Not priced

  • 32445

    Pneumonectomy, extrapleural approach62.24 wRVU

    Not priced

  • 32488

    Completion pneumonectomy, after prior lung resection41.92 wRVU

    Not priced

  • 32480

    Lung resection, single-lobe lobectomy25.17 wRVU

    Not priced

How to choose

32442PneumonectomySleeve airway resection
32440 represents pneumonectomy; 32442 is for a sleeve pneumonectomy. Follow the documented procedure rather than treating the terms as interchangeable.
32445PneumonectomyExtrapleural approach
32445 is for extrapleural pneumonectomy, a different extent of resection. Use 32440 when the documented operation is a pneumonectomy without that extrapleural designation.
32488Completion pneumonectomyAfter prior lung resection
32488 is for completion pneumonectomy after an earlier lung resection. 32440 describes pneumonectomy without that completion circumstance.
32480Lung resectionSingle-lobe lobectomy
32480 covers partial lung removal; 32440 applies when the entire lung is removed.

Codes related to 32440

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 32440
CodeHow it relatesNational office range
Same family
32442Pneumonectomy, sleeve airway resectionSleeve pneumonectomy is a distinct pneumonectomy procedure.No office rate
32445Pneumonectomy, extrapleural approachExtrapleural pneumonectomy involves a different extent of resection.No office rate
32488Completion pneumonectomy, after prior lung resectionCompletion pneumonectomy removes remaining lung tissue after an earlier resection.No office rate
Used instead
32480Lung resection, single-lobe lobectomyUse for partial lung removal rather than removal of the entire lung.No office rate
32482Bilobectomy, two right lung lobesBilobectomy removes two lobes rather than the entire lung.No office rate
32484Lung resection, anatomic segmentectomySegmentectomy removes a lung segment rather than the entire lung.No office rate

32440 billing questions

How does pneumonectomy differ from lobectomy?

Pneumonectomy removes the entire lung. A lobectomy removes one lobe, so select the code that matches the extent documented in the operative report.

When is a sleeve pneumonectomy coded instead?

Use 32442 when the documented operation is a sleeve pneumonectomy, rather than a pneumonectomy without that sleeve procedure.

Does the global period include postoperative visits?

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

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple procedure reduction.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and 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 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 32440PPRRVU2026_Oct_nonQPP.csv, line 3,712 (RVU26D)

Open CMS sourceHow we calculate rates

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