Both codes describe transplantation of one lung. Use 32852 when the operation uses cardiopulmonary bypass; use 32851 when it does not.
On this page
CMS RVU26D · Effective 2026-10-01
32852 Lung transplant Medicare reimbursement rates in Maine
Reports transplantation of one donor lung when cardiopulmonary bypass supports the recipient during the transplant operation. Compare 32852 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 32852 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
$3079.56–$3132.65
2 of 2 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.
Thoracic surgery
About 32852: Single lung transplant using bypass
Reports transplantation of one donor lung when cardiopulmonary bypass supports the recipient during the transplant operation.
CPT 32852 covers transplanting one donor lung into a recipient while cardiopulmonary bypass supports circulation during the operation. A thoracic transplant surgeon typically performs the procedure in a hospital operating room for a patient with end-stage lung disease. The service concerns the recipient’s transplant operation, not removal of the lung from the donor or preparation of the donor organ for implantation.
Select this code when the operative report supports transplantation of a single lung and use of bypass. Documentation should identify the transplant performed and describe bypass use. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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. Team surgery is permitted.
CMS billing rules for 32852
- 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 permitted.
Where the value comes from
- Work RVU63.86 · 64%
- Practice expense (office) RVU20.44 · 21%
- Malpractice RVU15.33 · 15%
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Medicare services in 2024 · #4864 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.
32852 compared with similar codes
Office rates for Maine, from the same CMS release.
32853 describes transplantation of both lungs without bypass. 32852 is for one lung with bypass.
32854 describes transplantation of both lungs with bypass. 32852 describes transplantation of one lung with bypass.
Prepare donor lung single
32855 covers preparation of a single donor lung for transplantation, not implantation of the lung into the recipient.
Compare 32852 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
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$3079.56
Southern Maine →
Office / nonfacility
Unavailable
Facility
$3132.65
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32852 billing questions
How does 32852 differ from 32851?
Both describe a single-lung transplant. Use 32852 when cardiopulmonary bypass is used; 32851 is for a single-lung transplant without bypass.
When should 32853 or 32854 be considered?
Those codes describe transplantation of both lungs. Choose between them based on whether bypass is used; 32852 describes transplantation of one lung.
What documentation supports reporting 32852?
The operative report should establish that one donor lung was transplanted and document the use of cardiopulmonary bypass.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be available for this procedure. Co-surgeon payment requires supporting documentation.
Is related postoperative care included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 32855 related to 32852?
32855 describes preparation of a single donor lung. It concerns donor-organ preparation rather than implantation into the recipient.
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.
