Billing code 32440: PneumonectomyMedicare rate & RVUs in Oregon
Report pneumonectomy when a thoracic surgeon removes an entire lung, commonly for lung cancer requiring resection beyond a lobe or segment.
CMS doesn’t publish an office rate for 32440 in Oregon.
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 32440 covers
Pneumonectomy removes an entire lung, commonly to treat lung cancer when the disease’s location or extent calls for more than a lobectomy. A thoracic surgeon performs the operation in an operating room. The operative report should establish that the whole lung was removed, not just a lobe or segment, and describe the surgical work performed.
Choose this code based on the extent and type of resection documented. The Medicare global period includes the day-before preoperative visit and 90 days of related postoperative care. 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 multiple procedure reduction. An assistant at surgery may be paid. 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.
Where 32440 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,488.62 |
| Rest Of Oregon | Unavailable | $1,421.80 |
How the 32440 rate is calculated
Each of 32440’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 · 32440
RVUs × geographic indexes × conversion factor
Work26.60
26.60 RVUs× 1.000 GPCI
Practice expense11.31
11.31 RVUs× 1.000 GPCI
Malpractice6.69
6.69 RVUs× 1.000 GPCI
Adjusted RVUs
44.6000
Conversion factor
$33.4009
Medicare rate
$1,489.68
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 32440
32440 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 32440
Pneumonectomy
| 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 · 32440
Pneumonectomy
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
32440 without 51 · national facility
$1,489.68
Pneumonectomy
32440-51 · Second procedure: 50%
$744.84
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%).
32440 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 32442Pneumonectomy
- 32440 represents pneumonectomy; 32442 is for a sleeve pneumonectomy. Follow the documented procedure rather than treating the terms as interchangeable.
- 32445Pneumonectomy
- 32445 is for extrapleural pneumonectomy, a different extent of resection. Use 32440 when the documented operation is a pneumonectomy without that extrapleural designation.
- 32488Completion pneumonectomy
- 32488 is for completion pneumonectomy after an earlier lung resection. 32440 describes pneumonectomy without that completion circumstance.
- 32480Lung resection
- 32480 covers partial lung removal; 32440 applies when the entire lung is removed.
32440 billing questions
How does pneumonectomy differ from lobectomy?
Pneumonectomy removes the entire lung. A lobectomy removes one lobe, so select the code that matches the extent documented in the operative report.
When is a sleeve pneumonectomy coded instead?
Use 32442 when the documented operation is a sleeve pneumonectomy, rather than a pneumonectomy without that sleeve procedure.
Does the global period include postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and 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 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
Fee sheets
Put 32440 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →