CPT code 32440: Pneumonectomy, entire lung removed2026 Medicare rate & RVUs in North Dakota
Report pneumonectomy when a thoracic surgeon removes an entire lung, commonly for lung cancer requiring resection beyond a lobe or segment.
In North Dakota, Medicare pays $1,356.95 for 32440 in a facility. There’s no office rate.
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
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 North Dakota 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. North Dakota pays $1,356.95. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$1,356.95
- Los Angeles, CA · California$1,520.16+$163.21
- Washington, DC area · District of Columbia$1,630.15+$273.20
- Miami, FL · Florida$1,846.83+$489.88
- Chicago, IL · Illinois$1,787.16+$430.21
- Manhattan, NY · New York$1,738.68+$381.73
- Alaska · Alaska$1,858.14+$501.19
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| 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 |
| MinnesotaMinnesota | — | $1,343.33 |
| 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 |
| 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.
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
| 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 |
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
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 North Dakota 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
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.60 | × 1.000 | 26.6000 |
| Practice expense | 11.31 | × 1.000 | 11.3100 |
| Malpractice | 6.69 | × 0.406 | 2.7161 |
| Total RVUs | 40.6261 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Dakota$1356.95
Facility: (26.6 × 1 + 11.31 × 1 + 6.69 × 0.406) × $33.4009 = $1356.95
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
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.
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%).
How 32440 has changed in North Dakota
32440 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,356.95 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,356.95 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,356.95 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,356.95 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,404.55 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,404.55 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,404.55 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,404.55 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,436.82 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,436.82 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,436.82 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,436.82 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,413.37 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,447.70 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,447.70 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,447.70 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,447.70 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,471.06 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,471.06 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,471.06 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,471.06 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,477.61 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,477.61 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,477.61 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,477.61 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,518.01 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,518.01 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,518.01 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,518.01 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,524.27 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,524.27 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,524.27 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,524.27 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,523.04 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,523.04 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,523.04 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,523.04 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,523.76 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,523.76 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,523.76 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,523.76 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,527.78 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,527.78 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,527.78 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,527.78 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,531.81 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,531.81 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,524.19 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,524.19 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,522.79 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,522.79 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,522.79 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,522.79 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,488.78 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,488.78 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,488.78 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,488.78 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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
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