CPT code 32442: Pneumonectomy, sleeve airway resection2026 Medicare rate & RVUs in Vermont
Thoracic surgeons report sleeve pneumonectomy when removing an entire lung requires resection and reconstruction of an involved main bronchus.
In Vermont, Medicare pays $2,591.96 for 32442 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Vermont 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. Vermont pays $2,591.96. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$2,591.96
- Los Angeles, CA · California$2,841.68+$249.72
- Washington, DC area · District of Columbia$3,071.28+$479.32
- Miami, FL · Florida$3,557.21+$965.25
- Chicago, IL · Illinois$3,442.67+$850.71
- Manhattan, NY · New York$3,300.74+$708.78
- Alaska · Alaska$3,571.62+$979.66
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $2,692.63 |
| Merced, CACalifornia | — | $2,692.63 |
| Modesto, CACalifornia | — | $2,692.63 |
| Napa, CACalifornia | — | $2,880.43 |
| Oxnard, CACalifornia | — | $2,798.23 |
| Redding, CACalifornia | — | $2,692.63 |
| Rest of CaliforniaCalifornia | — | $2,692.63 |
| Riverside, CACalifornia | — | $2,841.53 |
| Sacramento, CACalifornia | — | $2,762.64 |
| Salinas, CACalifornia | — | $2,751.35 |
| San Diego, CACalifornia | — | $2,771.66 |
| Marin County, CACalifornia | — | $2,964.69 |
| San Francisco, CACalifornia | — | $2,948.92 |
| San Benito County, CACalifornia | — | $3,044.75 |
| Santa Clara County, CACalifornia | — | $2,980.26 |
| San Luis Obispo, CACalifornia | — | $2,715.13 |
| Santa Cruz, CACalifornia | — | $2,762.27 |
| Santa Maria, CACalifornia | — | $2,749.49 |
| Santa Rosa, CACalifornia | — | $2,785.62 |
| Stockton, CACalifornia | — | $2,692.63 |
| Vallejo, CACalifornia | — | $2,857.69 |
| Visalia, CACalifornia | — | $2,692.63 |
| Yuba City, CACalifornia | — | $2,692.63 |
| ColoradoColorado | — | $2,780.35 |
| ConnecticutConnecticut | — | $3,000.89 |
| DelawareDelaware | — | $2,782.44 |
| Fort Lauderdale, FLFlorida | — | $3,208.05 |
| Rest of FloridaFlorida | — | $3,036.72 |
| Atlanta, GAGeorgia | — | $2,933.53 |
| Rest of GeorgiaGeorgia | — | $2,858.93 |
| Hawaii, Guam, HIHawaii | — | $2,702.77 |
| IowaIowa | — | $2,502.14 |
| IdahoIdaho | — | $2,540.02 |
| East St. Louis, ILIllinois | — | $3,254.95 |
| Rest of IllinoisIllinois | — | $3,042.05 |
| Suburban Chicago, ILIllinois | — | $3,211.55 |
| IndianaIndiana | — | $2,549.71 |
| KansasKansas | — | $2,546.03 |
| KentuckyKentucky | — | $2,728.85 |
| New Orleans, LALouisiana | — | $2,858.60 |
| Rest of LouisianaLouisiana | — | $2,746.71 |
| Metropolitan Boston, MAMassachusetts | — | $2,952.29 |
| Rest of MassachusettsMassachusetts | — | $2,789.37 |
| Baltimore area, MDMaryland | — | $3,003.97 |
| Rest of MarylandMaryland | — | $2,813.01 |
| Rest of MaineMaine | — | $2,609.14 |
| Southern Maine, MEMaine | — | $2,650.48 |
| Detroit, MIMichigan | — | $3,126.33 |
| Rest of MichiganMichigan | — | $2,840.70 |
| MinnesotaMinnesota | — | $2,514.95 |
| Metropolitan Kansas City, MOMissouri | — | $2,783.79 |
| Metropolitan St. Louis, MOMissouri | — | $2,802.19 |
| Rest of MissouriMissouri | — | $2,742.09 |
| MississippiMississippi | — | $2,632.54 |
| MontanaMontana | — | $2,825.46 |
| North CarolinaNorth Carolina | — | $2,623.84 |
| North DakotaNorth Dakota | — | $2,550.80 |
| NebraskaNebraska | — | $2,497.51 |
| New HampshireNew Hampshire | — | $2,789.85 |
| Northern New JerseyNew Jersey | — | $3,057.54 |
| Rest of New JerseyNew Jersey | — | $2,993.10 |
| New MexicoNew Mexico | — | $2,876.19 |
| NevadaNevada | — | $2,749.43 |
| NYC suburbs and Long Island, NYNew York | — | $3,440.60 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $3,056.29 |
| Queens, NYNew York | — | $3,244.40 |
| Rest of New YorkNew York | — | $2,662.42 |
| OhioOhio | — | $2,784.56 |
| OklahomaOklahoma | — | $2,666.92 |
| Portland, OROregon | — | $2,795.14 |
| Rest of OregonOregon | — | $2,686.50 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,970.49 |
| Rest of PennsylvaniaPennsylvania | — | $2,757.95 |
| Puerto RicoPuerto Rico | — | $2,825.18 |
| Rhode IslandRhode Island | — | $2,828.49 |
| South CarolinaSouth Carolina | — | $2,717.02 |
| South DakotaSouth Dakota | — | $2,518.33 |
| TennesseeTennessee | — | $2,563.95 |
| Austin, TXTexas | — | $2,807.53 |
| Beaumont, TXTexas | — | $2,746.34 |
| Brazoria, TXTexas | — | $2,734.32 |
| Dallas, TXTexas | — | $2,774.96 |
| Fort Worth, TXTexas | — | $2,775.76 |
| Galveston, TXTexas | — | $2,757.64 |
| Houston, TXTexas | — | $3,011.87 |
| Rest of TexasTexas | — | $2,754.69 |
| UtahUtah | — | $2,747.66 |
| VirginiaVirginia | — | $2,681.09 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,825.18 |
| Rest of WashingtonWashington | — | $2,767.15 |
| King County, WAWashington | — | $2,952.25 |
| WisconsinWisconsin | — | $2,483.36 |
| West VirginiaWest Virginia | — | $2,957.78 |
| WyomingWyoming | — | $2,705.76 |
32442 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 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
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 Vermont 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
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 55.06 | × 1.000 | 55.0600 |
| Practice expense | 15.67 | × 0.990 | 15.5133 |
| Malpractice | 13.89 | × 0.506 | 7.0283 |
| Total RVUs | 77.6016 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$2591.96
Facility: (55.06 × 1 + 15.67 × 0.99 + 13.89 × 0.506) × $33.4009 = $2591.96
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
| 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 · 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.
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%).
How 32442 has changed in Vermont
32442 · 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 | $2,591.96 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,591.96 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,591.96 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,591.96 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,692.05 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,692.05 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,692.05 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,692.05 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,761.24 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,761.24 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,761.24 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,761.24 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,716.17 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,821.66 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,821.66 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,821.66 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,821.66 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,900.34 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,900.34 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,900.34 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,900.34 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,920.19 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,920.19 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,920.19 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,920.19 | RVU21A |
| 2020-10-01 | Not available in this setting | $3,008.14 | RVU20D |
| 2020-07-01 | Not available in this setting | $3,008.14 | RVU20C |
| 2020-04-01 | Not available in this setting | $3,008.14 | RVU20B |
| 2020-01-01 | Not available in this setting | $3,008.14 | RVU20A |
| 2019-10-01 | Not available in this setting | $3,016.91 | RVU19D |
| 2019-07-01 | Not available in this setting | $3,016.91 | RVU19C |
| 2019-04-01 | Not available in this setting | $3,016.91 | RVU19B |
| 2019-01-01 | Not available in this setting | $3,016.91 | RVU19A |
| 2018-10-01 | Not available in this setting | $3,009.83 | RVU18D |
| 2018-07-01 | Not available in this setting | $3,009.83 | RVU18C |
| 2018-04-01 | Not available in this setting | $3,009.83 | RVU18B |
| 2018-01-01 | Not available in this setting | $3,009.83 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $3,032.00 | RVU17D |
| 2017-07-01 | Not available in this setting | $3,032.00 | RVU17C |
| 2017-04-01 | Not available in this setting | $3,032.00 | RVU17B |
| 2017-01-01 | Not available in this setting | $3,032.00 | RVU17A |
| 2016-10-01 | Not available in this setting | $3,181.76 | RVU16D |
| 2016-07-01 | Not available in this setting | $3,181.76 | RVU16C |
| 2016-04-01 | Not available in this setting | $3,181.76 | RVU16B |
| 2016-01-01 | Not available in this setting | $3,181.76 | RVU16A |
| 2015-10-01 | Not available in this setting | $3,067.71 | RVU15D |
| 2015-07-01 | Not available in this setting | $3,067.71 | RVU15C |
| 2015-04-01 | Not available in this setting | $3,052.45 | RVU15B |
| 2015-01-01 | Not available in this setting | $3,052.45 | RVU15A |
| 2014-10-01 | Not available in this setting | $3,165.27 | RVU14D |
| 2014-07-01 | Not available in this setting | $3,165.27 | RVU14C |
| 2014-04-01 | Not available in this setting | $3,165.27 | RVU14B |
| 2014-01-01 | Not available in this setting | $3,165.27 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | 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 |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
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
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