CPT code 32484: Lung resection, anatomic segmentectomy2026 Medicare rate & RVUs in Montana

Open segmentectomy removes one or more defined lung segments while preserving other lung tissue, commonly for a localized lesion requiring anatomic resection.

CMS RVU26DEffective Oct 1, 2026One payment locality370 Medicare services in 2024

In Montana, Medicare pays $1,352.66 for 32484 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,352.66Hospital or facility

Check a contract rate as a % of Medicare · 32484 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 32484 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 32484 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 32484 covers

The surgeon removes one or more anatomically defined portions of a lung while leaving the remaining lung tissue in place. This open operation is commonly performed by a thoracic surgeon for a localized lung lesion, including selected lung cancers when an anatomic resection that preserves more lung than a lobectomy is appropriate. It is performed in a hospital operating room; the operative report should identify the resected segment or segments and the surgical approach.

Report 32484 for the open segmental resection, not for a wedge excision or a thoracoscopic segmentectomy. Documentation should support the anatomic extent of the resection and distinguish it from removal of a lobe or multiple lobes. Medicare assigns a 90-day global period, including 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 50% reduction. 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 Montana compares for 32484

Across 109 of 109 payment localities, the facility rate for 32484 runs from $1,196.14 in Wisconsin to $1,694.01 in Alaska. Montana pays $1,352.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

32484 in Montana vs other payment areas
  1. Montana · this page$1,352.66
  2. Los Angeles, CA · California$1,375.64+$22.98
  3. Washington, DC area · District of Columbia$1,477.93+$125.27
  4. Miami, FL · Florida$1,683.29+$330.63
  5. Chicago, IL · Illinois$1,629.06+$276.40
  6. Manhattan, NY · New York$1,579.20+$226.54
  7. Alaska · Alaska$1,694.01+$341.35

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

Every other payment area

32484 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,223.18
ArkansasArkansas—$1,207.50
ArizonaArizona—$1,313.31
Bakersfield, CACalifornia—$1,318.30
Chico, CACalifornia—$1,301.50
El Centro, CACalifornia—$1,302.54
Fresno, CACalifornia—$1,301.50
Hanford, CACalifornia—$1,301.50

32484 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
32484 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 32484 in every payment locality

How the 32484 rate is calculated

Each of 32484’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 · 32484

RVUs × geographic indexes × conversion factor

Office or facility?

Work24.75

24.75 RVUs× 1.000 GPCI

Practice expense9.55

9.55 RVUs× 1.000 GPCI

Malpractice6.21

6.21 RVUs× 1.000 GPCI

Adjusted RVUs

40.5100

Conversion factor

$33.4009

Medicare rate

$1,353.07

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,717

Code
32484
Physician work
24.75
Practice expense
9.55
Malpractice
6.21

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 32484 in Montana
ComponentRVULocality factorAdjusted
Physician work24.75× 1.00024.7500
Practice expense9.55× 1.0009.5500
Malpractice6.21× 0.9986.1976
Total RVUs40.4976
Conversion factor× 33.4009

Facility rate, Montana$1352.66

Facility: (24.75 × 1 + 9.55 × 1 + 6.21 × 0.998) × $33.4009 = $1352.66

Open 32484 in the RVU calculator

Payment rules and modifiers for 32484

32484 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32484

Lung resection, anatomic segmentectomy

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 · 32484

Lung resection, anatomic segmentectomy

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

32484 without 51 · national facility

$1,353.07

Lung resection, anatomic segmentectomy

32484-51 · Second procedure: 50%

$676.54

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 32484 has changed in Montana

32484 · 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$1,352.66RVU26D
2026-07-01Not available in this setting$1,352.66RVU26C
2026-04-01Not available in this setting$1,352.66RVU26B
2026-01-01Not available in this setting$1,352.66RVU26A
2025-10-01Not available in this setting$1,371.98RVU25D
2025-07-01Not available in this setting$1,371.98RVU25C
2025-04-01Not available in this setting$1,371.98RVU25B
2025-01-01Not available in this setting$1,371.98RVU25A
2024-10-01Not available in this setting$1,404.87RVU24D
2024-07-01Not available in this setting$1,404.87RVU24C
2024-04-01Not available in this setting$1,404.87RVU24B
2024-03-09Not available in this setting$1,404.87RVU24AR
2024-01-01Not available in this setting$1,381.94RVU24A
2023-10-01Not available in this setting$1,423.84RVU23D
2023-07-01Not available in this setting$1,423.84RVU23C
2023-04-01Not available in this setting$1,423.84RVU23B
2023-01-01Not available in this setting$1,423.84RVU23A
2022-10-01Not available in this setting$1,454.89RVU22D
2022-07-01Not available in this setting$1,454.89RVU22C
2022-04-01Not available in this setting$1,454.89RVU22B
2022-01-01Not available in this setting$1,454.89RVU22A
2021-10-01Not available in this setting$1,458.39RVU21D
2021-07-01Not available in this setting$1,458.39RVU21C
2021-04-01Not available in this setting$1,458.39RVU21B
2021-01-01Not available in this setting$1,458.39RVU21A
2020-10-01Not available in this setting$1,558.72RVU20D
2020-07-01Not available in this setting$1,558.72RVU20C
2020-04-01Not available in this setting$1,558.72RVU20B
2020-01-01Not available in this setting$1,558.72RVU20A
2019-10-01Not available in this setting$1,622.79RVU19D
2019-07-01Not available in this setting$1,622.79RVU19C
2019-04-01Not available in this setting$1,622.79RVU19B
2019-01-01Not available in this setting$1,622.79RVU19A
2018-10-01Not available in this setting$1,623.90RVU18D
2018-07-01Not available in this setting$1,623.90RVU18C
2018-04-01Not available in this setting$1,623.90RVU18B
2018-01-01Not available in this setting$1,623.90RVU18AR1
2017-10-01Not available in this setting$1,581.29RVU17D
2017-07-01Not available in this setting$1,581.29RVU17C
2017-04-01Not available in this setting$1,581.29RVU17B
2017-01-01Not available in this setting$1,581.29RVU17A
2016-10-01Not available in this setting$1,542.57RVU16D
2016-07-01Not available in this setting$1,542.57RVU16C
2016-04-01Not available in this setting$1,542.57RVU16B
2016-01-01Not available in this setting$1,542.57RVU16A
2015-10-01Not available in this setting$1,549.30RVU15D
2015-07-01Not available in this setting$1,549.30RVU15C
2015-04-01Not available in this setting$1,541.59RVU15B
2015-01-01Not available in this setting$1,541.59RVU15A
2014-10-01Not available in this setting$1,521.47RVU14D
2014-07-01Not available in this setting$1,521.47RVU14C
2014-04-01Not available in this setting$1,521.47RVU14B
2014-01-01Not available in this setting$1,521.47RVU14A
2013-10-01Not available in this setting$1,482.34RVU13D
2013-07-01Not available in this setting$1,482.34RVU13C
2013-04-01Not available in this setting$1,482.34RVU13B
2013-01-01Not available in this setting$1,482.34RVU13AR

Price 32484 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

32484 billing questions

How is a segmentectomy different from a lobectomy?

A segmentectomy removes one or more defined lung segments while preserving the rest of the lobe. Use a lobectomy code when the operative report documents removal of a whole lobe.

Can 32484 be reported for a thoracoscopic segmentectomy?

No. For a thoracoscopic segmentectomy, consider 32669; 32484 describes the open approach.

What operative details support 32484?

The report should identify the lung segment or segments removed and document that the resection was open. It should also make clear that the surgeon removed an anatomic segment rather than only a wedge of tissue.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Report separate services only when they are distinct and separately reportable under applicable coding rules.

What happens when another procedure is performed in the same session?

Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures. Assistant-at-surgery payment may be available, while co-surgeon payment requires supporting documentation.

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 32484PPRRVU2026_Oct_nonQPP.csv, line 3,717 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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