CPT code 32486: Sleeve lobectomy, lobe resection with airway reconstruction2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $2,114.49 for 32486 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 32486 nationwide

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

What 32486 covers

A sleeve lobectomy removes an affected lung lobe together with the involved portion of bronchus, then reconnects the airway to preserve the remaining lung. Thoracic surgeons most often perform it in an operating room for a central lung lesion involving a lobar bronchus when resection with airway reconstruction is appropriate. The operation combines the lung resection and bronchial reconstruction in one service; it is distinct from removing an entire lung.

Report 32486 when the operative record supports both lobectomy and bronchial sleeve resection with airway reconstruction, rather than a conventional lobectomy alone. Documentation should identify the lobe removed, the bronchial resection and reconstruction, and the operative findings supporting the approach. The 90-day 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 50% 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 Utah compares for 32486

Across 109 of 109 payment localities, the facility rate for 32486 runs from $1,914.28 in Wisconsin to $2,743.86 in Alaska. Utah pays $2,114.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

32486 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 32486 in every payment locality

How the 32486 rate is calculated

Each of 32486’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.

Payment rules and modifiers for 32486

32486 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 32486

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 32486 has changed in Utah

Price 32486 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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

Open CMS sourceHow we calculate rates