Billing code 32484: Lung resectionMedicare rate & RVUs in Texas
Open segmentectomy removes one or more defined lung segments while preserving other lung tissue, commonly for a localized lesion requiring anatomic resection.
CMS doesn’t publish an office rate for 32484 in Texas.
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 32484 covers
The surgeon removes one or more anatomically defined portions of a lung while leaving the remaining lung tissue in place. This open operation is commonly performed by a thoracic surgeon for a localized lung lesion, including selected lung cancers when an anatomic resection that preserves more lung than a lobectomy is appropriate. It is performed in a hospital operating room; the operative report should identify the resected segment or segments and the surgical approach.
Report 32484 for the open segmental resection, not for a wedge excision or a thoracoscopic segmentectomy. Documentation should support the anatomic extent of the resection and distinguish it from removal of a lobe or multiple lobes. Medicare assigns a 90-day global period, including 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 50% reduction. 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.
Where 32484 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $1,349.58 |
| Beaumont | Unavailable | $1,309.64 |
| Brazoria | Unavailable | $1,311.18 |
| Dallas | Unavailable | $1,329.78 |
| Fort Worth | Unavailable | $1,329.29 |
| Galveston | Unavailable | $1,321.77 |
| Houston | Unavailable | $1,435.44 |
| Rest Of Texas | Unavailable | $1,316.68 |
How the 32484 rate is calculated
Each of 32484’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 · 32484
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 24.75Practice expense 9.55Malpractice 6.21
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 32484
32484 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 32484
Lung resection
| 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 · 32484
Lung resection
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
32484 without 51 · national facility
$1,353.07
Lung resection
32484-51 · Second procedure: 50%
$676.54
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%).
32484 compared with similar codes
Compare codes
32484 vs 32480 vs 32482 vs 32669: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 32480Lung resection
- Choose 32484 when the surgeon removes defined segmental lung tissue and preserves the rest of the lobe. Choose 32480 when the operative report documents removal of a single lobe.
- 32482Bilobectomy
- 32482 represents removal of two lobes. It is not the segmentectomy code, even when the resection involves more than one segment.
- 32669Lung resection
- Both codes describe segmental lung resection, but 32669 is for the thoracoscopic approach; 32484 is for the open approach.
32484 billing questions
How is a segmentectomy different from a lobectomy?
A segmentectomy removes one or more defined lung segments while preserving the rest of the lobe. Use a lobectomy code when the operative report documents removal of a whole lobe.
Can 32484 be reported for a thoracoscopic segmentectomy?
No. For a thoracoscopic segmentectomy, consider 32669; 32484 describes the open approach.
What operative details support 32484?
The report should identify the lung segment or segments removed and document that the resection was open. It should also make clear that the surgeon removed an anatomic segment rather than only a wedge of tissue.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Report separate services only when they are distinct and separately reportable under applicable coding rules.
What happens when another procedure is performed in the same session?
Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures. Assistant-at-surgery payment may be available, while co-surgeon payment requires supporting documentation.
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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