No office rate
Use 32486 when the operation includes bronchial sleeve resection and airway reconstruction with the lobectomy. A lobectomy without that reconstruction is represented by 32480.
On this page
CMS RVU26D · Effective 2026-10-01
32486 Sleeve lobectomy Medicare reimbursement rates in Florida
Reports lung resection combining lobectomy with bronchial sleeve reconstruction, typically for a central airway lesion when preserving the remaining lung is feasible. Compare 32486 office and facility rates across CMS payment localities in Florida.
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 32486 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2334.52–$2732.37
3 of 3 localities have a supported rate.
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 32486 pays more and less in Florida
Thoracic surgery
About 32486: Sleeve lobectomy with bronchial reconstruction
Reports lung resection combining lobectomy with bronchial sleeve reconstruction, typically for a central airway lesion when preserving the remaining lung is feasible.
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.
CMS billing rules for 32486
- 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 RVU41.81 · 64%
- Practice expense (office) RVU12.79 · 20%
- Malpractice RVU10.55 · 16%
45
Medicare services in 2024 · #5415 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.
32486 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
32482 represents removal of two lobes. 32486 represents a lobectomy with bronchial sleeve resection and reconstruction, not a bilobectomy.
No office rate
32442 is a sleeve pneumonectomy, involving removal of the entire lung. 32486 preserves the remaining lung after removal of the affected lobe and airway reconstruction.
No office rate
32440 represents removal of an entire lung without the sleeve-pneumonectomy distinction. Choose 32486 for lobectomy with bronchial sleeve reconstruction and lung preservation.
Compare 32486 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$2466.34
Miami →
Office / nonfacility
Unavailable
Facility
$2732.37
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$2334.52
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32486 billing questions
When should 32486 be chosen instead of a conventional lobectomy code?
Choose 32486 when the operation includes resection of the involved bronchus and reconstruction of the airway along with removal of a lung lobe. A lobectomy without that bronchial sleeve work is not this service.
Is bronchial reconstruction separately reported with 32486?
The bronchial sleeve resection and reconstruction are part of the combined service represented by 32486. Do not treat that reconstruction as a separate service from the sleeve lobectomy.
How does 32486 differ from sleeve pneumonectomy 32442?
A sleeve lobectomy removes a lobe and reconstructs the airway while preserving the remaining lung. Sleeve pneumonectomy involves removal of the entire lung with airway reconstruction.
Can modifier 50 be used for a sleeve lobectomy?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What documentation supports reporting 32486?
The operative report should show the lobe removed, the bronchial portion resected, and the airway reconstruction. It should distinguish the operation from a lobectomy without bronchial sleeve work.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. An assistant at surgery may be paid; 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.
3,71532480,,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
3,72132501,,Repair bronchus add-on,A,,4.56,0.90,NA,0.90,,1.15,6.61,6.61,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00