No office rate
Code 32440 describes pneumonectomy; 32488 is distinguished by removal of the residual lung after an earlier partial lung resection.
On this page
CMS RVU26D · Effective 2026-10-01
32488 Completion pneumonectomy Medicare reimbursement rates in Vermont
Reports removal of the remaining lung after an earlier partial lung resection, such as when disease requires removal of the residual lung. Compare 32488 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 32488 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
$2059.93
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 32488: Completion pneumonectomy after prior lung resection
Reports removal of the remaining lung after an earlier partial lung resection, such as when disease requires removal of the residual lung.
A completion pneumonectomy removes the remaining lung tissue on the previously operated side after an earlier partial lung resection. Thoracic surgeons typically perform it in a hospital operating room when disease in the residual lung requires removal of the rest of that lung. It is distinct from an initial pneumonectomy, which removes an entire lung without the defining history of a prior partial resection.
Report the code when the operative record supports removal of the residual lung following the earlier resection. Document the prior lung operation, side, indication, and extent of the current procedure. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this procedure. Assistant-at-surgery payment may be available; co-surgeon claims require supporting documentation, and team-surgery billing is not permitted.
CMS billing rules for 32488
- 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 RVU41.92 · 63%
- Practice expense (office) RVU14.55 · 22%
- Malpractice RVU10.57 · 16%
25
Medicare services in 2024 · #5784 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.
32488 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Code 32442 is a sleeve pneumonectomy involving sleeve resection. Choose 32488 for completion removal after a prior partial lung resection when the procedure is not the sleeve operation described by 32442.
No office rate
Code 32480 describes removal of a lung lobe. Code 32488 is for removal of the remaining lung following an earlier partial resection.
No office rate
Code 32486 describes sleeve lobectomy. It is a lobe-level sleeve procedure, unlike completion removal of the remaining lung reported with 32488.
Compare 32488 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
$2059.93
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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 32488 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
3,719
- Code
- 32488
- Physician work
- 41.92
- Practice expense
- 14.55
- Malpractice
- 10.57
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 41.92 | × 1.000 | 41.9200 |
| Practice expense | 14.55 | × 0.990 | 14.4045 |
| Malpractice | 10.57 | × 0.506 | 5.3484 |
| Total RVUs | 61.6729 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$2059.93
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 41.92 | 1 |
| Practice expense | 14.55 | 0.99 |
| Malpractice | 10.57 | 0.506 |
(41.92 × 1 + 14.55 × 0.99 + 10.57 × 0.506) × $33.4009 = $2059.93
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.
32488 billing questions
How is this different from code 32440?
Use 32488 when the entire remaining lung is removed after a prior partial lung resection. Code 32440 describes pneumonectomy without that completion-surgery circumstance.
What documentation supports reporting 32488?
The operative report should identify the prior partial lung resection, the side, and removal of the remaining lung tissue. Include the indication and the extent of the current operation.
Can modifier 50 be reported?
No. Modifier 50 is not appropriate because this procedure removes the remaining lung on the previously operated side.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
How does the global period affect postoperative care?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only with supporting documentation; team-surgery billing 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 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.
3,71632482,,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
3,72032491,,Lung volume reduction,R,,24.61,11.33,NA,11.33,,6.20,42.14,42.14,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72132501,,Repair bronchus add-on,A,,4.56,0.90,NA,0.90,,1.15,6.61,6.61,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,72232503,,Resect apical lung tumor,A,,30.95,11.93,NA,11.93,,7.81,50.69,50.69,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,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