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

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, 2026One payment locality151 Medicare services in 2024

In Minnesota, Medicare pays $1,343.33 for 32440 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)

$1,343.33Hospital or facility

Check a contract rate as a % of Medicare · 32440 nationwide

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 11 sections

Rate in Minnesota
What 32440 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
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.

How Minnesota compares for 32440

Across 109 of 109 payment localities, the facility rate for 32440 runs from $1,319.19 in Wisconsin to $1,858.14 in Alaska. Minnesota pays $1,343.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

32440 in Minnesota vs other payment areas

Minnesota · this page$1,343.33
Los Angeles, CA · California$1,520.16+$176.83
Washington, DC area · District of Columbia$1,630.15+$286.82
Miami, FL · Florida$1,846.83+$503.50
Chicago, IL · Illinois$1,787.16+$443.83
Manhattan, NY · New York$1,738.68+$395.35
Alaska · Alaska$1,858.14+$514.81

Other areas in Minnesota first, then benchmark localities. Bars start at $0.

Every other payment area

32440 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	—	$1,345.48
ArkansasArkansas	—	$1,328.04
ArizonaArizona	—	$1,445.79
Bakersfield, CACalifornia	—	$1,455.46
Chico, CACalifornia	—	$1,437.37
El Centro, CACalifornia	—	$1,438.48
Fresno, CACalifornia	—	$1,437.37
Hanford, CACalifornia	—	$1,437.37
Madera, CACalifornia	—	$1,437.37
Merced, CACalifornia	—	$1,437.37
Modesto, CACalifornia	—	$1,437.37
Napa, CACalifornia	—	$1,555.84
Oxnard, CACalifornia	—	$1,499.07
Redding, CACalifornia	—	$1,437.37
Rest of CaliforniaCalifornia	—	$1,437.37
Riverside, CACalifornia	—	$1,509.09
Sacramento, CACalifornia	—	$1,479.56
Salinas, CACalifornia	—	$1,473.61
San Diego, CACalifornia	—	$1,488.03
Marin County, CACalifornia	—	$1,608.08
San Francisco, CACalifornia	—	$1,600.48
San Benito County, CACalifornia	—	$1,650.70
Santa Clara County, CACalifornia	—	$1,619.64
San Luis Obispo, CACalifornia	—	$1,453.61
Santa Cruz, CACalifornia	—	$1,485.88
Santa Maria, CACalifornia	—	$1,473.58
Santa Rosa, CACalifornia	—	$1,498.78
Stockton, CACalifornia	—	$1,437.37
Vallejo, CACalifornia	—	$1,544.89
Visalia, CACalifornia	—	$1,437.37
Yuba City, CACalifornia	—	$1,437.37
ColoradoColorado	—	$1,475.58
ConnecticutConnecticut	—	$1,583.46
DelawareDelaware	—	$1,467.02
Fort Lauderdale, FLFlorida	—	$1,675.14
Rest of FloridaFlorida	—	$1,585.45
Atlanta, GAGeorgia	—	$1,543.30
Rest of GeorgiaGeorgia	—	$1,491.78
Hawaii, Guam, HIHawaii	—	$1,447.36
IowaIowa	—	$1,322.83
IdahoIdaho	—	$1,341.70
East St. Louis, ILIllinois	—	$1,686.04
Rest of IllinoisIllinois	—	$1,582.62
Suburban Chicago, ILIllinois	—	$1,678.60
IndianaIndiana	—	$1,347.25
KansasKansas	—	$1,342.58
KentuckyKentucky	—	$1,428.75
New Orleans, LALouisiana	—	$1,497.78
Rest of LouisianaLouisiana	—	$1,436.85
Metropolitan Boston, MAMassachusetts	—	$1,574.81
Rest of MassachusettsMassachusetts	—	$1,478.56
Baltimore area, MDMaryland	—	$1,584.43
Rest of MarylandMaryland	—	$1,484.77
Rest of MaineMaine	—	$1,374.99
Southern Maine, MEMaine	—	$1,403.83
Detroit, MIMichigan	—	$1,629.75
Rest of MichiganMichigan	—	$1,485.64
Metropolitan Kansas City, MOMissouri	—	$1,461.50
Metropolitan St. Louis, MOMissouri	—	$1,471.99
Rest of MissouriMissouri	—	$1,431.74
MississippiMississippi	—	$1,378.85
MontanaMontana	—	$1,489.23
North CarolinaNorth Carolina	—	$1,383.70
North DakotaNorth Dakota	—	$1,356.95
NebraskaNebraska	—	$1,321.61
New HampshireNew Hampshire	—	$1,477.24
Northern New JerseyNew Jersey	—	$1,621.29
Rest of New JerseyNew Jersey	—	$1,581.65
New MexicoNew Mexico	—	$1,503.24
NevadaNevada	—	$1,452.74
NYC suburbs and Long Island, NYNew York	—	$1,809.44
Poughkeepsie and northern NYC suburbs, NYNew York	—	$1,612.47
Queens, NYNew York	—	$1,714.06
Rest of New YorkNew York	—	$1,404.43
OhioOhio	—	$1,458.60
OklahomaOklahoma	—	$1,399.43
Portland, OROregon	—	$1,488.62
Rest of OregonOregon	—	$1,421.80
Metropolitan Philadelphia, PAPennsylvania	—	$1,564.29
Rest of PennsylvaniaPennsylvania	—	$1,446.41
Puerto RicoPuerto Rico	—	$1,490.48
Rhode IslandRhode Island	—	$1,494.89
South CarolinaSouth Carolina	—	$1,427.45
South DakotaSouth Dakota	—	$1,341.31
TennesseeTennessee	—	$1,351.85
Austin, TXTexas	—	$1,487.89
Beaumont, TXTexas	—	$1,439.82
Brazoria, TXTexas	—	$1,444.23
Dallas, TXTexas	—	$1,464.44
Fort Worth, TXTexas	—	$1,463.56
Galveston, TXTexas	—	$1,455.71
Houston, TXTexas	—	$1,578.16
Rest of TexasTexas	—	$1,448.74
UtahUtah	—	$1,444.22
VirginiaVirginia	—	$1,417.56
Virgin Islands, VIUnited States Virgin Islands	—	$1,490.48
VermontVermont	—	$1,375.52
Rest of WashingtonWashington	—	$1,467.85
King County, WAWashington	—	$1,578.96
WisconsinWisconsin	—	$1,319.19
West VirginiaWest Virginia	—	$1,536.50
WyomingWyoming	—	$1,431.58

32440 rates by state

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

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

Explore a state

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 / territory	Office rate range	Localities
AK	No published base rate	1
AL	No published base rate	1
AR	No published base rate	1
AZ	No published base rate	1
CA	No published base rate	29
CO	No published base rate	1
CT	No published base rate	1
DC	No published base rate	1
DE	No published base rate	1
FL	No published base rate	3
GA	No published base rate	2
GU	No published base rate	1
HI	No published base rate	1
IA	No published base rate	1
ID	No published base rate	1
IL	No published base rate	4
IN	No published base rate	1
KS	No published base rate	1
KY	No published base rate	1
LA	No published base rate	2
MA	No published base rate	2
MD	No published base rate	3
ME	No published base rate	2
MI	No published base rate	2
MN	No published base rate	1
MO	No published base rate	3
MS	No published base rate	1
MT	No published base rate	1
NC	No published base rate	1
ND	No published base rate	1
NE	No published base rate	1
NH	No published base rate	1
NJ	No published base rate	2
NM	No published base rate	1
NV	No published base rate	1
NY	No published base rate	5
OH	No published base rate	1
OK	No published base rate	1
OR	No published base rate	2
PA	No published base rate	2
PR	No published base rate	1
RI	No published base rate	1
SC	No published base rate	1
SD	No published base rate	1
TN	No published base rate	1
TX	No published base rate	8
UT	No published base rate	1
VA	No published base rate	2
VI	No published base rate	1
VT	No published base rate	1
WA	No published base rate	2
WI	No published base rate	1
WV	No published base rate	1
WY	No published base rate	1

See 32440 in every payment locality

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?

Your ZIP

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.

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,712

Code: 32440
Physician work: 26.60
Practice expense: 11.31
Malpractice: 6.69

GPCI2026.csv

Locality: Minnesota
Physician work: 1.000
Practice expense: 1.029
Malpractice: 0.296

Facility calculation for 32440 in Minnesota
Component	RVU	Locality factor	Adjusted
Physician work	26.60	× 1.000	26.6000
Practice expense	11.31	× 1.029	11.6380
Malpractice	6.69	× 0.296	1.9802
Total RVUs			40.2182
Conversion factor			× 33.4009

Facility rate, Minnesota$1343.33

Facility: (26.6 × 1 + 11.31 × 1.029 + 6.69 × 0.296) × $33.4009 = $1343.33

Open 32440 in the RVU calculator

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

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 · 32440

Pneumonectomy, entire lung removed

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.

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

Codes related to 32440

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

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

How 32440 has changed in Minnesota

32440 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

Compare with release effective

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	Not available in this setting	$1,343.33	RVU26D
2026-07-01	Not available in this setting	$1,343.33	RVU26C
2026-04-01	Not available in this setting	$1,343.33	RVU26B
2026-01-01	Not available in this setting	$1,343.33	RVU26A
2025-10-01	Not available in this setting	$1,368.66	RVU25D
2025-07-01	Not available in this setting	$1,368.66	RVU25C
2025-04-01	Not available in this setting	$1,368.66	RVU25B
2025-01-01	Not available in this setting	$1,368.66	RVU25A
2024-10-01	Not available in this setting	$1,398.76	RVU24D
2024-07-01	Not available in this setting	$1,398.76	RVU24C
2024-04-01	Not available in this setting	$1,398.76	RVU24B
2024-03-09	Not available in this setting	$1,398.76	RVU24AR
2024-01-01	Not available in this setting	$1,375.93	RVU24A
2023-10-01	Not available in this setting	$1,423.05	RVU23D
2023-07-01	Not available in this setting	$1,423.05	RVU23C
2023-04-01	Not available in this setting	$1,423.05	RVU23B
2023-01-01	Not available in this setting	$1,423.05	RVU23A
2022-10-01	Not available in this setting	$1,459.19	RVU22D
2022-07-01	Not available in this setting	$1,459.19	RVU22C
2022-04-01	Not available in this setting	$1,459.19	RVU22B
2022-01-01	Not available in this setting	$1,459.19	RVU22A
2021-10-01	Not available in this setting	$1,466.12	RVU21D
2021-07-01	Not available in this setting	$1,466.12	RVU21C
2021-04-01	Not available in this setting	$1,466.12	RVU21B
2021-01-01	Not available in this setting	$1,466.12	RVU21A
2020-10-01	Not available in this setting	$1,494.51	RVU20D
2020-07-01	Not available in this setting	$1,494.51	RVU20C
2020-04-01	Not available in this setting	$1,494.51	RVU20B
2020-01-01	Not available in this setting	$1,494.51	RVU20A
2019-10-01	Not available in this setting	$1,488.79	RVU19D
2019-07-01	Not available in this setting	$1,488.79	RVU19C
2019-04-01	Not available in this setting	$1,488.79	RVU19B
2019-01-01	Not available in this setting	$1,488.79	RVU19A
2018-10-01	Not available in this setting	$1,488.07	RVU18D
2018-07-01	Not available in this setting	$1,488.07	RVU18C
2018-04-01	Not available in this setting	$1,488.07	RVU18B
2018-01-01	Not available in this setting	$1,488.07	RVU18AR1
2017-10-01	Not available in this setting	$1,484.46	RVU17D
2017-07-01	Not available in this setting	$1,484.46	RVU17C
2017-04-01	Not available in this setting	$1,484.46	RVU17B
2017-01-01	Not available in this setting	$1,484.46	RVU17A
2016-10-01	Not available in this setting	$1,483.29	RVU16D
2016-07-01	Not available in this setting	$1,483.29	RVU16C
2016-04-01	Not available in this setting	$1,483.29	RVU16B
2016-01-01	Not available in this setting	$1,483.29	RVU16A
2015-10-01	Not available in this setting	$1,487.31	RVU15D
2015-07-01	Not available in this setting	$1,487.31	RVU15C
2015-04-01	Not available in this setting	$1,479.91	RVU15B
2015-01-01	Not available in this setting	$1,479.91	RVU15A
2014-10-01	Not available in this setting	$1,478.46	RVU14D
2014-07-01	Not available in this setting	$1,478.46	RVU14C
2014-04-01	Not available in this setting	$1,478.46	RVU14B
2014-01-01	Not available in this setting	$1,478.46	RVU14A
2013-10-01	Not available in this setting	$1,443.32	RVU13D
2013-07-01	Not available in this setting	Rate data unavailable	RVU13C
2013-04-01	Not available in this setting	Rate data unavailable	RVU13B
2013-01-01	Not available in this setting	Rate data unavailable	RVU13AR

Price 32440 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

Ada
Adams
Adrian
Afton
Aitkin
Akeley
Albany
Albert Lea

Browse all communities in Minnesota

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)

3,70932320,,[CPT descriptor omitted],A,,26.57,12.72,NA,12.72,,6.60,45.89,45.89,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,71032400,,[CPT descriptor omitted],A,,1.72,3.08,,0.27,,0.18,4.98,2.17,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,71132408,,[CPT descriptor omitted],A,,3.10,20.64,,0.47,,0.34,24.08,3.91,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,71232440,,[CPT descriptor omitted],A,,26.60,11.31,NA,11.31,,6.69,44.60,44.60,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,71332442,,[CPT descriptor omitted],A,,55.06,15.67,NA,15.67,,13.89,84.62,84.62,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,71432445,,[CPT descriptor omitted],A,,62.24,20.72,NA,20.72,,15.69,98.65,98.65,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

3,71532480,,[CPT descriptor omitted],A,,25.17,10.53,NA,10.53,,6.29,41.99,41.99,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797

6408202,MI,01,DETROIT,1.000,0.965,1.686

6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129

6606202,MN,00,MINNESOTA,1.000,1.029,0.296

6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739

6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977

6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002

Open CMS source How we calculate rates

Fee sheets

Put 32440 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet

What 32440 covers

How Minnesota compares for 32440

Every other payment area

32440 rates by state

How the 32440 rate is calculated

Payment rules and modifiers for 32440

What modifiers do to the payment

Codes related to 32440

How 32440 has changed in Minnesota

Where the Minnesota rate applies

32440 billing questions

How does pneumonectomy differ from lobectomy?

When is a sleeve pneumonectomy coded instead?

Does the global period include postoperative visits?

How are other procedures in the same session paid?

Can an assistant or co-surgeon be reported?

Where these rates come from

Did this answer your question about what 32440 pays in Minnesota?

Put 32440 and the rest of your codes on one sheet