No office rate
Use 32445 for an extrapleural pneumonectomy. Use 32440 for pneumonectomy when the operative documentation does not establish the extrapleural procedure.
On this page
CMS RVU26D · Effective 2026-10-01
32445 Pneumonectomy Medicare reimbursement rates in Ohio
Reports an extrapleural pneumonectomy, an extensive operation removing a lung with extrapleural dissection, most often for diffuse malignant pleural disease. Compare 32445 office and facility rates across CMS payment localities in Ohio.
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 32445 in Ohio?
Ohio 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
$3238.98
1 of 1 localities have a supported rate.
Payment area: Ohio
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 32445: Extrapleural pneumonectomy
Reports an extrapleural pneumonectomy, an extensive operation removing a lung with extrapleural dissection, most often for diffuse malignant pleural disease.
This code describes an extrapleural pneumonectomy: removal of an entire lung through dissection outside the pleural lining. Thoracic surgeons most often perform it in a hospital operating room for extensive pleural malignancy, particularly diffuse malignant pleural mesothelioma. The operative report should establish that the surgeon performed an extrapleural pneumonectomy, not simply a conventional pneumonectomy with pleural dissection.
Select the code from the documented operation and extent of resection; a complete lung removal alone is not enough to establish the extrapleural approach. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 32445
- 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 RVU62.24 · 63%
- Practice expense (office) RVU20.72 · 21%
- Malpractice RVU15.69 · 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.
32445 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
Code 32442 describes sleeve pneumonectomy, distinguished by the sleeve resection technique. Code 32445 identifies the extrapleural pneumonectomy.
No office rate
Code 32480 is for partial lung removal. Code 32445 is for an extrapleural operation removing an entire lung.
Compare 32445 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
Ohio →
Office / nonfacility
Unavailable
Facility
$3238.98
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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 32445 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
3,714
- Code
- 32445
- Physician work
- 62.24
- Practice expense
- 20.72
- Malpractice
- 15.69
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 62.24 | × 1.000 | 62.2400 |
| Practice expense | 20.72 | × 0.913 | 18.9174 |
| Malpractice | 15.69 | × 1.008 | 15.8155 |
| Total RVUs | 96.9729 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$3238.98
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 62.24 | 1 |
| Practice expense | 20.72 | 0.913 |
| Malpractice | 15.69 | 1.008 |
(62.24 × 1 + 20.72 × 0.913 + 15.69 × 1.008) × $33.4009 = $3238.98
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.
32445 billing questions
How does this differ from 32440?
Report 32445 when the operative documentation supports an extrapleural pneumonectomy. Code 32440 describes pneumonectomy without that extrapleural distinction.
What documentation supports 32445?
The operative report should identify the extrapleural pneumonectomy and describe the dissection and lung removal. A diagnosis of pleural malignancy alone does not establish the procedure performed.
Can modifier 50 be used for bilateral surgery?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
3,71132408,,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
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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703