No office rate
Choose 32484 when the surgeon removes defined segmental lung tissue and preserves the rest of the lobe. Choose 32480 when the operative report documents removal of a single lobe.
On this page
CMS RVU26D · Effective 2026-10-01
32484 Lung resection Medicare reimbursement rates in California
Open segmentectomy removes one or more defined lung segments while preserving other lung tissue, commonly for a localized lesion requiring anatomic resection. Compare 32484 office and facility rates across CMS payment localities in California.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 32484 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1301.50–$1488.75
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $187.25 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 32484 pays more and less in California
Thoracic surgery
About 32484: Open lung segment resection
Open segmentectomy removes one or more defined lung segments while preserving other lung tissue, commonly for a localized lesion requiring anatomic resection.
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.
CMS billing rules for 32484
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU24.75 · 61%
- Practice expense (office) RVU9.55 · 24%
- Malpractice RVU6.21 · 15%
370
Medicare services in 2024 · #3798 by national volume
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.
32484 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
32482 represents removal of two lobes. It is not the segmentectomy code, even when the resection involves more than one segment.
No office rate
Both codes describe segmental lung resection, but 32669 is for the thoracoscopic approach; 32484 is for the open approach.
Compare 32484 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $1318.30 |
| Chico | Office Unavailable | Facility $1301.50 |
| El Centro | Office Unavailable | Facility $1302.54 |
| Fresno | Office Unavailable | Facility $1301.50 |
| Hanford-Corcoran | Office Unavailable | Facility $1301.50 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1375.64 |
| Madera | Office Unavailable | Facility $1301.50 |
| Merced | Office Unavailable | Facility $1301.50 |
| Modesto | Office Unavailable | Facility $1301.50 |
| Napa | Office Unavailable | Facility $1404.54 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1356.07 |
| Redding | Office Unavailable | Facility $1301.50 |
| Rest Of California | Office Unavailable | Facility $1301.50 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1368.08 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1338.58 |
| Salinas | Office Unavailable | Facility $1333.17 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1345.39 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1450.17 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1443.12 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1488.75 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1459.92 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1315.22 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1342.77 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1332.93 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1354.36 |
| Stockton | Office Unavailable | Facility $1301.50 |
| Vallejo | Office Unavailable | Facility $1394.37 |
| Visalia | Office Unavailable | Facility $1301.50 |
| Yuba City | Office Unavailable | Facility $1301.50 |
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,71432445,,Removal of lung extrapleural,A,,62.24,20.72,NA,20.72,,15.69,98.65,98.65,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,71532480,,Partial removal of lung,A,,25.17,10.53,NA,10.53,,6.29,41.99,41.99,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,71632482,,Bilobectomy,A,,26.75,11.58,NA,11.58,,6.70,45.03,45.03,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,71732484,,Segmentectomy,A,,24.75,9.55,NA,9.55,,6.21,40.51,40.51,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,71832486,,Sleeve lobectomy,A,,41.81,12.79,NA,12.79,,10.55,65.15,65.15,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,71932488,,Completion pneumonectomy,A,,41.92,14.55,NA,14.55,,10.57,67.04,67.04,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72032491,,Lung volume reduction,R,,24.61,11.33,NA,11.33,,6.20,42.14,42.14,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00