No office rate
Use 32442 when the whole-lung removal includes sleeve resection and airway reconstruction. Use 32440 for pneumonectomy without that sleeve airway work.
On this page
CMS RVU26D · Effective 2026-10-01
32442 Pneumonectomy Medicare reimbursement rates in Minnesota
Thoracic surgeons report sleeve pneumonectomy when removing an entire lung requires resection and reconstruction of an involved main bronchus. Compare 32442 office and facility rates across CMS payment localities in Minnesota.
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 32442 in Minnesota?
Minnesota has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2514.95
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
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 32442: Sleeve pneumonectomy with airway reconstruction
Thoracic surgeons report sleeve pneumonectomy when removing an entire lung requires resection and reconstruction of an involved main bronchus.
A thoracic surgeon removes an entire lung together with an involved segment of the main bronchus, then reconstructs the airway. The operation is used in selected cases of centrally located lung disease, such as a tumor involving a main bronchus, when the required airway resection goes beyond a standard pneumonectomy. It is a major operation performed in the operating room, generally by a thoracic surgical team.
Choose this code when the operative report supports both removal of the whole lung and sleeve resection with airway reconstruction. Document the disease extent, bronchial resection, and reconstruction; a routine whole-lung removal without sleeve airway work points to a different code. The 90-day global includes the day-before preoperative visit and related postoperative care during the global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Do not report a bilateral adjustment. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32442
- 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 RVU55.06 · 65%
- Practice expense (office) RVU15.67 · 19%
- Malpractice RVU13.89 · 16%
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.
32442 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
Both involve sleeve airway resection, but 32486 removes a lobe; 32442 involves removal of the entire lung.
No office rate
32488 describes completion pneumonectomy after a prior lung resection. 32442 is selected for the sleeve pneumonectomy procedure, not simply because a pneumonectomy is being completed.
Compare 32442 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.
1 of 1 payment localities
Minnesota →
Office / nonfacility
Unavailable
Facility
$2514.95
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 32442 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
3,713
- Code
- 32442
- Physician work
- 55.06
- Practice expense
- 15.67
- Malpractice
- 13.89
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 55.06 | × 1.000 | 55.0600 |
| Practice expense | 15.67 | × 1.029 | 16.1244 |
| Malpractice | 13.89 | × 0.296 | 4.1114 |
| Total RVUs | 75.2959 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$2514.95
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 55.06 | 1 |
| Practice expense | 15.67 | 1.029 |
| Malpractice | 13.89 | 0.296 |
(55.06 × 1 + 15.67 × 1.029 + 13.89 × 0.296) × $33.4009 = $2514.95
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
32442 billing questions
How does this differ from a standard pneumonectomy?
This code is for whole-lung removal that also requires sleeve resection and reconstruction of an involved bronchus. A whole-lung removal without that airway work is reported with 32440.
What operative documentation supports this code?
The report should establish that the entire lung was removed and describe the bronchial sleeve resection and airway reconstruction. The documented extent helps distinguish this operation from a lobectomy or standard pneumonectomy.
Is related postoperative care separately reported during the global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
Can modifier 50 be used for bilateral surgery?
No bilateral adjustment applies to this code; its descriptor and anatomy make modifier 50 inappropriate.
How are assistant and co-surgeon services handled?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
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.
3,71032400,,Needle biopsy chest lining,A,,1.72,3.08,,0.27,,0.18,4.98,2.17,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,71132408,,Core ndl bx lng/med perq,A,,3.10,20.64,,0.47,,0.34,24.08,3.91,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,71232440,,Remove lung pneumonectomy,A,,26.60,11.31,NA,11.31,,6.69,44.60,44.60,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,71332442,,Sleeve pneumonectomy,A,,55.06,15.67,NA,15.67,,13.89,84.62,84.62,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,71432445,,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002