No office rate
Choose 32480 for removal of one lung lobe. Use 32482 when the operative report documents removal of two right lung lobes.
On this page
CMS RVU26D · Effective 2026-10-01
32482 Bilobectomy Medicare reimbursement rates in Vermont
Reports surgical removal of two right lung lobes, commonly for lung cancer or other disease requiring resection beyond a single lobe. Compare 32482 office and facility rates across CMS payment localities in Vermont.
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 32482 in Vermont?
Vermont 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
$1389.62
1 of 1 localities have a supported rate.
Payment area: Vermont
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 32482: Right lung two-lobe resection
Reports surgical removal of two right lung lobes, commonly for lung cancer or other disease requiring resection beyond a single lobe.
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.
CMS billing rules for 32482
- 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 RVU26.75 · 59%
- Practice expense (office) RVU11.58 · 26%
- Malpractice RVU6.70 · 15%
183
Medicare services in 2024 · #4403 by national volume
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 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
32484 describes resection of a lung segment; 32482 is for removal of two complete lobes.
No office rate
32486 identifies a sleeve lobectomy. Select 32482 for a two-lobe resection without that sleeve-lobectomy procedure.
No office rate
32440 is for removal of an entire lung. 32482 removes two lobes while leaving the remaining lobe.
Compare 32482 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
Vermont →
Office / nonfacility
Unavailable
Facility
$1389.62
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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 32482 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
3,716
- Code
- 32482
- Physician work
- 26.75
- Practice expense
- 11.58
- Malpractice
- 6.70
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.75 | × 1.000 | 26.7500 |
| Practice expense | 11.58 | × 0.990 | 11.4642 |
| Malpractice | 6.70 | × 0.506 | 3.3902 |
| Total RVUs | 41.6044 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1389.62
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 26.75 | 1 |
| Practice expense | 11.58 | 0.99 |
| Malpractice | 6.7 | 0.506 |
(26.75 × 1 + 11.58 × 0.99 + 6.7 × 0.506) × $33.4009 = $1389.62
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.
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 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.
3,71332442,,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
3,71832486,,Sleeve lobectomy,A,,41.81,12.79,NA,12.79,,10.55,65.15,65.15,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,71932488,,Completion pneumonectomy,A,,41.92,14.55,NA,14.55,,10.57,67.04,67.04,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817