No office rate
Choose 32854 for a bilateral transplant with cardiopulmonary bypass; 32853 is the bilateral transplant option without bypass.
On this page
CMS RVU26D · Effective 2026-10-01
32854 Lung transplant Medicare reimbursement rates in Virginia
Reports transplantation of both lungs when cardiopulmonary bypass supports the recipient operation, typically during complex end-stage lung disease treatment. Compare 32854 office and facility rates across CMS payment localities in Virginia.
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 32854 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$4264.63–$4883.63
2 of 2 localities have a supported rate.
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 32854: Bilateral lung transplant with bypass
Reports transplantation of both lungs when cardiopulmonary bypass supports the recipient operation, typically during complex end-stage lung disease treatment.
A thoracic transplant surgeon replaces the recipient’s two lungs with donor lungs while cardiopulmonary bypass supports the operation. This major procedure is performed in a hospital operating room, commonly for patients with end-stage conditions such as pulmonary fibrosis, cystic fibrosis, or advanced obstructive lung disease. The code identifies the recipient’s bilateral transplant with bypass, not donor-lung removal or preparation.
The operative report should support transplantation of both lungs and use of cardiopulmonary bypass; do not select this code based on transplant complexity alone. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. 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. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is permitted.
CMS billing rules for 32854
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery permitted.
Where the value comes from
- Work RVU87.75 · 65%
- Practice expense (office) RVU24.82 · 18%
- Malpractice RVU22.00 · 16%
614
Medicare services in 2024 · #3373 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.
32854 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Both codes include cardiopulmonary bypass, but 32852 is for a single-lung transplant rather than transplantation of both lungs.
No office rate
32851 describes a single-lung transplant without bypass; 32854 is bilateral and includes bypass.
Compare 32854 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$4883.63
Virginia →
Office / nonfacility
Unavailable
Facility
$4264.63
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32854 billing questions
How is this code distinguished from 32853?
Use 32854 when the bilateral lung transplant is performed with cardiopulmonary bypass. Code 32853 describes the bilateral transplant without bypass.
Should modifier 50 be appended?
The code is already priced as bilateral, and modifier 50 does not increase payment.
What postoperative care is included?
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-surgeon payment requires supporting documentation; team surgery is permitted.
How are other procedures performed 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%.
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.
3,79132851,,Lung transplant single,A,,58.15,18.51,NA,18.51,,14.61,91.27,91.27,0,090,0.10,0.76,0.14,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
3,79232852,,Lung transplant with bypass,A,,63.86,20.44,NA,20.44,,15.33,99.63,99.63,0,090,0.10,0.76,0.14,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
3,79332853,,Lung transplant double,A,,82.37,23.94,NA,23.94,,20.60,126.91,126.91,0,090,0.10,0.76,0.14,2,2,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
3,79432854,,Lung transplant with bypass,A,,87.75,24.82,NA,24.82,,22.00,134.57,134.57,0,090,0.10,0.76,0.14,2,2,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
3,79532855,,Prepare donor lung single,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,79632856,,Prepare donor lung double,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,7973285F,,Iop down <15% of pre-svc lvl,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00