CPT code 32482: Bilobectomy, two right lung lobes2026 Medicare rate & RVUs in South Dakota
Reports surgical removal of two right lung lobes, commonly for lung cancer or other disease requiring resection beyond a single lobe.
In South Dakota, Medicare pays $1,355.45 for 32482 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 32482 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 32482 covers
A bilobectomy removes two of the right lung’s three lobes, such as the upper and middle lobes or the middle and lower lobes. A thoracic surgeon typically performs the operation in a hospital operating room when disease requires removal of both lobes; lung cancer is a common indication. The operative report should identify the lobes removed and the reason for the extent of resection.
Report this code for the two-lobe resection, rather than a single-lobe lobectomy, segmentectomy, or removal of the entire lung. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate for this anatomically defined resection. Assistant-at-surgery payment may be available; 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 South Dakota compares for 32482
Across 109 of 109 payment localities, the facility rate for 32482 runs from $1,332.94 in Wisconsin to $1,875.44 in Alaska. South Dakota pays $1,355.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$1,355.45
- Los Angeles, CA · California$1,536.26+$180.81
- Washington, DC area · District of Columbia$1,646.43+$290.98
- Miami, FL · Florida$1,862.07+$506.62
- Chicago, IL · Illinois$1,802.03+$446.58
- Manhattan, NY · New York$1,755.02+$399.57
- Alaska · Alaska$1,875.44+$519.99
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,358.57 |
| ArkansasArkansas | — | $1,340.97 |
| ArizonaArizona | — | $1,459.83 |
| Bakersfield, CACalifornia | — | $1,470.65 |
| Chico, CACalifornia | — | $1,452.53 |
| El Centro, CACalifornia | — | $1,453.64 |
| Fresno, CACalifornia | — | $1,452.53 |
| Hanford, CACalifornia | — | $1,452.53 |
| Madera, CACalifornia | — | $1,452.53 |
| Merced, CACalifornia | — | $1,452.53 |
| Modesto, CACalifornia | — | $1,452.53 |
| Napa, CACalifornia | — | $1,573.23 |
| Oxnard, CACalifornia | — | $1,515.09 |
| Redding, CACalifornia | — | $1,452.53 |
| Rest of CaliforniaCalifornia | — | $1,452.53 |
| Riverside, CACalifornia | — | $1,524.36 |
| Sacramento, CACalifornia | — | $1,495.42 |
| Salinas, CACalifornia | — | $1,489.40 |
| San Diego, CACalifornia | — | $1,504.16 |
| Marin County, CACalifornia | — | $1,626.44 |
| San Francisco, CACalifornia | — | $1,618.83 |
| San Benito County, CACalifornia | — | $1,669.45 |
| Santa Clara County, CACalifornia | — | $1,638.34 |
| San Luis Obispo, CACalifornia | — | $1,469.16 |
| Santa Cruz, CACalifornia | — | $1,502.13 |
| Santa Maria, CACalifornia | — | $1,489.43 |
| Santa Rosa, CACalifornia | — | $1,515.20 |
| Stockton, CACalifornia | — | $1,452.53 |
| Vallejo, CACalifornia | — | $1,562.26 |
| Visalia, CACalifornia | — | $1,452.53 |
| Yuba City, CACalifornia | — | $1,452.53 |
| ColoradoColorado | — | $1,490.51 |
| ConnecticutConnecticut | — | $1,598.69 |
| DelawareDelaware | — | $1,481.27 |
| Fort Lauderdale, FLFlorida | — | $1,689.89 |
| Rest of FloridaFlorida | — | $1,599.59 |
| Atlanta, GAGeorgia | — | $1,557.89 |
| Rest of GeorgiaGeorgia | — | $1,505.24 |
| Hawaii, Guam, HIHawaii | — | $1,462.82 |
| IowaIowa | — | $1,336.22 |
| IdahoIdaho | — | $1,355.16 |
| East St. Louis, ILIllinois | — | $1,700.02 |
| Rest of IllinoisIllinois | — | $1,596.38 |
| Suburban Chicago, ILIllinois | — | $1,693.50 |
| IndianaIndiana | — | $1,360.78 |
| KansasKansas | — | $1,355.91 |
| KentuckyKentucky | — | $1,442.09 |
| New Orleans, LALouisiana | — | $1,511.66 |
| Rest of LouisianaLouisiana | — | $1,450.16 |
| Metropolitan Boston, MAMassachusetts | — | $1,591.09 |
| Rest of MassachusettsMassachusetts | — | $1,493.41 |
| Baltimore area, MDMaryland | — | $1,599.61 |
| Rest of MarylandMaryland | — | $1,499.27 |
| Rest of MaineMaine | — | $1,388.51 |
| Southern Maine, MEMaine | — | $1,417.98 |
| Detroit, MIMichigan | — | $1,644.02 |
| Rest of MichiganMichigan | — | $1,499.26 |
| MinnesotaMinnesota | — | $1,357.71 |
| Metropolitan Kansas City, MOMissouri | — | $1,475.30 |
| Metropolitan St. Louis, MOMissouri | — | $1,485.92 |
| Rest of MissouriMissouri | — | $1,444.85 |
| MississippiMississippi | — | $1,391.87 |
| MontanaMontana | — | $1,503.59 |
| North CarolinaNorth Carolina | — | $1,397.34 |
| North DakotaNorth Dakota | — | $1,371.11 |
| NebraskaNebraska | — | $1,335.07 |
| New HampshireNew Hampshire | — | $1,491.93 |
| Northern New JerseyNew Jersey | — | $1,637.43 |
| Rest of New JerseyNew Jersey | — | $1,597.07 |
| New MexicoNew Mexico | — | $1,516.92 |
| NevadaNevada | — | $1,467.06 |
| NYC suburbs and Long Island, NYNew York | — | $1,826.11 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,627.99 |
| Queens, NYNew York | — | $1,730.53 |
| Rest of New YorkNew York | — | $1,418.24 |
| OhioOhio | — | $1,472.18 |
| OklahomaOklahoma | — | $1,412.75 |
| Portland, OROregon | — | $1,503.98 |
| Rest of OregonOregon | — | $1,436.03 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,579.17 |
| Rest of PennsylvaniaPennsylvania | — | $1,460.02 |
| Puerto RicoPuerto Rico | — | $1,504.94 |
| Rhode IslandRhode Island | — | $1,509.61 |
| South CarolinaSouth Carolina | — | $1,441.08 |
| TennesseeTennessee | — | $1,365.23 |
| Austin, TXTexas | — | $1,502.75 |
| Beaumont, TXTexas | — | $1,453.34 |
| Brazoria, TXTexas | — | $1,458.48 |
| Dallas, TXTexas | — | $1,478.76 |
| Fort Worth, TXTexas | — | $1,477.80 |
| Galveston, TXTexas | — | $1,469.99 |
| Houston, TXTexas | — | $1,592.63 |
| Rest of TexasTexas | — | $1,462.61 |
| UtahUtah | — | $1,458.01 |
| VirginiaVirginia | — | $1,431.67 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,504.94 |
| VermontVermont | — | $1,389.62 |
| Rest of WashingtonWashington | — | $1,482.67 |
| King County, WAWashington | — | $1,595.56 |
| WisconsinWisconsin | — | $1,332.94 |
| West VirginiaWest Virginia | — | $1,549.83 |
| WyomingWyoming | — | $1,445.86 |
32482 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 32482 rate is calculated
Each of 32482’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 · 32482
RVUs × geographic indexes × conversion factor
Work26.75
26.75 RVUs× 1.000 GPCI
Practice expense11.58
11.58 RVUs× 1.000 GPCI
Malpractice6.70
6.70 RVUs× 1.000 GPCI
Adjusted RVUs
45.0300
Conversion factor
$33.4009
Medicare rate
$1,504.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,716
- Code
- 32482
- Physician work
- 26.75
- Practice expense
- 11.58
- Malpractice
- 6.70
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.75 | × 1.000 | 26.7500 |
| Practice expense | 11.58 | × 1.000 | 11.5800 |
| Malpractice | 6.70 | × 0.336 | 2.2512 |
| Total RVUs | 40.5812 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Dakota$1355.45
Facility: (26.75 × 1 + 11.58 × 1 + 6.7 × 0.336) × $33.4009 = $1355.45
Payment rules and modifiers for 32482
32482 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 32482
Bilobectomy, two right lung lobes
| 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 · 32482
Bilobectomy, two right lung lobes
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
32482 without 51 · national facility
$1,504.04
Bilobectomy, two right lung lobes
32482-51 · Second procedure: 50%
$752.02
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 32482 has changed in South Dakota
32482 · 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 | $1,355.45 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,355.45 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,355.45 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,355.45 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,387.67 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,387.67 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,387.67 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,387.67 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,418.57 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,418.57 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,418.57 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,418.57 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,395.41 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,436.68 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,436.68 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,436.68 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,436.68 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,465.54 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,465.54 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,465.54 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,465.54 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,473.06 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,473.06 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,473.06 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,473.06 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,510.48 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,510.48 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,510.48 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,510.48 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,506.18 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,506.18 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,506.18 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,506.18 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,506.13 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,506.13 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,506.13 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,506.13 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,507.06 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,507.06 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,507.06 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,507.06 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,510.23 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,510.23 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,510.23 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,510.23 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,517.54 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,517.54 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,509.99 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,509.99 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,514.38 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,514.38 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,514.38 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,514.38 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,489.30 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,489.30 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,489.30 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,489.30 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
32482 billing questions
When is 32482 appropriate instead of a single-lobe resection?
Use 32482 when the operation removes two right lung lobes. A resection limited to one lobe is reported with 32480.
How does bilobectomy differ from pneumonectomy?
A bilobectomy removes two lobes of the right lung; pneumonectomy removes the entire lung and is reported with 32440.
Should modifier 50 be appended?
No. The two-lobe right-lung anatomy makes a bilateral adjustment inappropriate for 32482.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; Medicare does not permit team-surgery payment for this code.
How are other procedures in the same session paid?
Medicare pays the highest-valued procedure in full and reduces other procedures in the session to 50% under the standard multiple-procedure rule.
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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