CPT code 32442: Pneumonectomy, sleeve airway resection2026 Medicare rate & RVUs in North Dakota

Thoracic surgeons report sleeve pneumonectomy when removing an entire lung requires resection and reconstruction of an involved main bronchus.

CMS RVU26DEffective Oct 1, 2026One payment locality

In North Dakota, Medicare pays $2,550.80 for 32442 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,550.80Hospital or facility

Check a contract rate as a % of Medicare · 32442 nationwide

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

We’ll open 32442 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 32442 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 32442 covers

A thoracic surgeon removes an entire lung together with an involved segment of the main bronchus, then reconstructs the airway. The operation is used in selected cases of centrally located lung disease, such as a tumor involving a main bronchus, when the required airway resection goes beyond a standard pneumonectomy. It is a major operation performed in the operating room, generally by a thoracic surgical team.

Choose this code when the operative report supports both removal of the whole lung and sleeve resection with airway reconstruction. Document the disease extent, bronchial resection, and reconstruction; a routine whole-lung removal without sleeve airway work points to a different code. The 90-day global includes the day-before preoperative visit and related postoperative care during the global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Do not report a bilateral adjustment. 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 32442

Across 109 of 109 payment localities, the facility rate for 32442 runs from $2,483.36 in Wisconsin to $3,571.62 in Alaska. North Dakota pays $2,550.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

32442 in North Dakota vs other payment areas
  1. North Dakota · this page$2,550.80
  2. Los Angeles, CA · California$2,841.68+$290.88
  3. Washington, DC area · District of Columbia$3,071.28+$520.48
  4. Miami, FL · Florida$3,557.21+$1,006.41
  5. Chicago, IL · Illinois$3,442.67+$891.87
  6. Manhattan, NY · New York$3,300.74+$749.94
  7. Alaska · Alaska$3,571.62+$1,020.82

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

Every other payment area

32442 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$2,559.61
ArkansasArkansas—$2,527.58
ArizonaArizona—$2,743.35
Bakersfield, CACalifornia—$2,730.17
Chico, CACalifornia—$2,692.63
El Centro, CACalifornia—$2,694.95
Fresno, CACalifornia—$2,692.63
Hanford, CACalifornia—$2,692.63

32442 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
32442 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

See 32442 in every payment locality

How the 32442 rate is calculated

Each of 32442’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 · 32442

RVUs × geographic indexes × conversion factor

Office or facility?

Work55.06

55.06 RVUs× 1.000 GPCI

Practice expense15.67

15.67 RVUs× 1.000 GPCI

Malpractice13.89

13.89 RVUs× 1.000 GPCI

Adjusted RVUs

84.6200

Conversion factor

$33.4009

Medicare rate

$2,826.38

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

3,713

Code
32442
Physician work
55.06
Practice expense
15.67
Malpractice
13.89

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Facility calculation for 32442 in North Dakota
ComponentRVULocality factorAdjusted
Physician work55.06× 1.00055.0600
Practice expense15.67× 1.00015.6700
Malpractice13.89× 0.4065.6393
Total RVUs76.3693
Conversion factor× 33.4009

Facility rate, North Dakota$2550.80

Facility: (55.06 × 1 + 15.67 × 1 + 13.89 × 0.406) × $33.4009 = $2550.80

Open 32442 in the RVU calculator

Payment rules and modifiers for 32442

32442 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32442

Pneumonectomy, sleeve airway resection

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 · 32442

Pneumonectomy, sleeve airway resection

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

32442 without 51 · national facility

$2,826.38

Pneumonectomy, sleeve airway resection

32442-51 · Second procedure: 50%

$1,413.19

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

How 32442 has changed in North Dakota

32442 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

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 fromOfficeFacilityCMS release
2026-10-01Not available in this setting$2,550.80RVU26D
2026-07-01Not available in this setting$2,550.80RVU26C
2026-04-01Not available in this setting$2,550.80RVU26B
2026-01-01Not available in this setting$2,550.80RVU26A
2025-10-01Not available in this setting$2,696.07RVU25D
2025-07-01Not available in this setting$2,696.07RVU25C
2025-04-01Not available in this setting$2,696.07RVU25B
2025-01-01Not available in this setting$2,696.07RVU25A
2024-10-01Not available in this setting$2,765.29RVU24D
2024-07-01Not available in this setting$2,765.29RVU24C
2024-04-01Not available in this setting$2,765.29RVU24B
2024-03-09Not available in this setting$2,765.29RVU24AR
2024-01-01Not available in this setting$2,720.15RVU24A
2023-10-01Not available in this setting$2,791.84RVU23D
2023-07-01Not available in this setting$2,791.84RVU23C
2023-04-01Not available in this setting$2,791.84RVU23B
2023-01-01Not available in this setting$2,791.84RVU23A
2022-10-01Not available in this setting$2,835.62RVU22D
2022-07-01Not available in this setting$2,835.62RVU22C
2022-04-01Not available in this setting$2,835.62RVU22B
2022-01-01Not available in this setting$2,835.62RVU22A
2021-10-01Not available in this setting$2,857.05RVU21D
2021-07-01Not available in this setting$2,857.05RVU21C
2021-04-01Not available in this setting$2,857.05RVU21B
2021-01-01Not available in this setting$2,857.05RVU21A
2020-10-01Not available in this setting$2,957.20RVU20D
2020-07-01Not available in this setting$2,957.20RVU20C
2020-04-01Not available in this setting$2,957.20RVU20B
2020-01-01Not available in this setting$2,957.20RVU20A
2019-10-01Not available in this setting$2,979.91RVU19D
2019-07-01Not available in this setting$2,979.91RVU19C
2019-04-01Not available in this setting$2,979.91RVU19B
2019-01-01Not available in this setting$2,979.91RVU19A
2018-10-01Not available in this setting$2,973.47RVU18D
2018-07-01Not available in this setting$2,973.47RVU18C
2018-04-01Not available in this setting$2,973.47RVU18B
2018-01-01Not available in this setting$2,973.47RVU18AR1
2017-10-01Not available in this setting$2,981.00RVU17D
2017-07-01Not available in this setting$2,981.00RVU17C
2017-04-01Not available in this setting$2,981.00RVU17B
2017-01-01Not available in this setting$2,981.00RVU17A
2016-10-01Not available in this setting$3,115.68RVU16D
2016-07-01Not available in this setting$3,115.68RVU16C
2016-04-01Not available in this setting$3,115.68RVU16B
2016-01-01Not available in this setting$3,115.68RVU16A
2015-10-01Not available in this setting$3,002.89RVU15D
2015-07-01Not available in this setting$3,002.89RVU15C
2015-04-01Not available in this setting$2,987.95RVU15B
2015-01-01Not available in this setting$2,987.95RVU15A
2014-10-01Not available in this setting$3,123.02RVU14D
2014-07-01Not available in this setting$3,123.02RVU14C
2014-04-01Not available in this setting$3,123.02RVU14B
2014-01-01Not available in this setting$3,123.02RVU14A
2013-10-01Not available in this setting$2,885.48RVU13D
2013-07-01Not available in this setting$2,885.48RVU13C
2013-04-01Not available in this setting$2,885.48RVU13B
2013-01-01Not available in this setting$2,885.48RVU13AR

Price 32442 for an earlier date of service

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

Browse all communities in North Dakota

32442 billing questions

How does this differ from a standard pneumonectomy?

This code is for whole-lung removal that also requires sleeve resection and reconstruction of an involved bronchus. A whole-lung removal without that airway work is reported with 32440.

What operative documentation supports this code?

The report should establish that the entire lung was removed and describe the bronchial sleeve resection and airway reconstruction. The documented extent helps distinguish this operation from a lobectomy or standard pneumonectomy.

Is related postoperative care separately reported during the global period?

The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.

Can modifier 50 be used for bilateral surgery?

No bilateral adjustment applies to this code; its descriptor and anatomy make modifier 50 inappropriate.

How are assistant and co-surgeon services handled?

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 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 32442PPRRVU2026_Oct_nonQPP.csv, line 3,713 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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