Billing code 32852: Lung transplantMedicare rate & RVUs in Ohio

Reports transplantation of one donor lung when cardiopulmonary bypass supports the recipient during the transplant operation.

CMS RVU26DEffective Oct 1, 20261 payment locality102 Medicare services in 2024

CMS doesn’t publish an office rate for 32852 in Ohio.

—Office (non-facility)
$3,272.43Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 32852 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Ohio
  2. What 32852 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 32852 covers

billing code 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.

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 in Ohio

32852 office and facility rates by payment locality
Payment localityOfficeFacility
OhioUnavailable$3,272.43

How the 32852 rate is calculated

Each of 32852’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 · 32852

RVUs × geographic indexes × conversion factor

Work63.86

63.86 RVUs× 1.000 GPCI

Practice expense20.44

20.44 RVUs× 1.000 GPCI

Malpractice15.33

15.33 RVUs× 1.000 GPCI

Adjusted RVUs

99.6300

Conversion factor

$33.4009

Medicare rate

$3,327.73

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 32852

32852 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 32852

Lung transplant

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)2Permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.76/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 32852

Lung transplant

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

32852 without 51 · national facility

$3,327.73

Lung transplant

32852-51 · Second procedure: 50%

$1,663.87

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%).

When to use modifier 51

32852 compared with similar codes

Compare codes · National

5 codes, side by side

  • 32852

    Lung transplant63.86 wRVU

    Not priced

  • 32851

    Lung transplant58.15 wRVU

    Not priced

  • 32853

    Lung transplant82.37 wRVU

    Not priced

  • 32854

    Lung transplant87.75 wRVU

    Not priced

  • 32855

    Not on the physician fee schedule0 wRVU

    Not priced

How to choose

32851Lung transplant
Both codes describe transplantation of one lung. Use 32852 when the operation uses cardiopulmonary bypass; use 32851 when it does not.
32853Lung transplant
32853 describes transplantation of both lungs without bypass. 32852 is for one lung with bypass.
32854Lung transplant
32854 describes transplantation of both lungs with bypass. 32852 describes transplantation of one lung with bypass.
32855Prepare donor lung single
32855 covers preparation of a single donor lung for transplantation, not implantation of the lung into the recipient.

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 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
RVUs for 32852PPRRVU2026_Oct_nonQPP.csv, line 3,792 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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