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CMS RVU26D · Effective 2026-10-01

32482 Bilobectomy Medicare reimbursement rates in Maine

Reports surgical removal of two right lung lobes, commonly for lung cancer or other disease requiring resection beyond a single lobe. Compare 32482 office and facility rates across CMS payment localities in Maine.

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 32482 in Maine?

Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$1388.51–$1417.98

2 of 2 localities have a supported rate.

Lowest: Rest Of Maine

Highest: Southern Maine

A spread of $29.47 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.

Find 32482 in your payment locality →

Thoracic surgery

About 32482: Right lung two-lobe resection

Reports surgical removal of two right lung lobes, commonly for lung cancer or other disease requiring resection beyond a single lobe.

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.

CMS billing rules for 32482

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 RVU26.75 · 59%
  • Practice expense (office) RVU11.58 · 26%
  • Malpractice RVU6.70 · 15%

183

Medicare services in 2024 · #4403 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.

32482 compared with similar codes

Office rates for Maine, from the same CMS release.

32480

Lung resection

Single-lobe lobectomy

No office rate

Choose 32480 for removal of one lung lobe. Use 32482 when the operative report documents removal of two right lung lobes.

32484

Lung resection

Anatomic segmentectomy

No office rate

32484 describes resection of a lung segment; 32482 is for removal of two complete lobes.

32486

Sleeve lobectomy

Lobe resection with airway reconstruction

No office rate

32486 identifies a sleeve lobectomy. Select 32482 for a two-lobe resection without that sleeve-lobectomy procedure.

32440

Pneumonectomy

Entire lung removed

No office rate

32440 is for removal of an entire lung. 32482 removes two lobes while leaving the remaining lobe.

Compare 32482 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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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 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.

RVUs for 32482PPRRVU2026_Oct_nonQPP.csv, line 3,716 (RVU26D)