Billing code 32482: BilobectomyMedicare rate & RVUs in Ohio
Reports surgical removal of two right lung lobes, commonly for lung cancer or other disease requiring resection beyond a single lobe.
CMS doesn’t publish an office rate for 32482 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 32482 covers
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.
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 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,472.18 |
How the 32482 rate is calculated
Each of 32482’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 32482
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 26.75Practice expense 11.58Malpractice 6.70
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 32482
32482 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 32482
Bilobectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 32482
Bilobectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
32482 without 51 · national facility
$1,504.04
Bilobectomy
32482-51 · Second procedure: 50%
$752.02
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
32482 compared with similar codes
Compare codes
32482 vs 32480 vs 32484 vs 32486 vs 32440: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 32480Lung resection
- Choose 32480 for removal of one lung lobe. Use 32482 when the operative report documents removal of two right lung lobes.
- 32484Lung resection
- 32484 describes resection of a lung segment; 32482 is for removal of two complete lobes.
- 32486Sleeve lobectomy
- 32486 identifies a sleeve lobectomy. Select 32482 for a two-lobe resection without that sleeve-lobectomy procedure.
- 32440Pneumonectomy
- 32440 is for removal of an entire lung. 32482 removes two lobes while leaving the remaining lobe.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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