CPT 32442
Global 090 ActiveSleeve pneumonectomy
CPT 32442 Billing & Documentation Guide
CPT code 32442 (Sleeve pneumonectomy) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 55.06, a non-facility practice expense RVU of 15.67, and a malpractice RVU of 13.89, a total non-facility RVU of 84.62 and facility RVU of 84.62. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2819.97, though rates vary from $2483.36 to $3571.62 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 32442, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 32442 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 32442 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 32442
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 55.06 | 55.06 |
| Practice Expense RVU | 15.67 | 15.67 |
| Malpractice RVU | 13.89 | 13.89 |
| Total RVU | 84.62 | 84.62 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 32442
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $2775.88 | $2775.88 | $2692.63 - $3044.75 | 29 |
| Florida | $3267.33 | $3267.33 | $3036.72 - $3557.21 | 3 |
| Georgia | $2896.23 | $2896.23 | $2858.93 - $2933.53 | 2 |
| Illinois | $3237.81 | $3237.81 | $3042.05 - $3442.67 | 4 |
| Michigan | $2983.52 | $2983.52 | $2840.7 - $3126.33 | 2 |
| North Carolina | $2623.84 | $2623.84 | $2623.84 - $2623.84 | 1 |
| New York | $3140.89 | $3140.89 | $2662.42 - $3440.6 | 5 |
| Ohio | $2784.56 | $2784.56 | $2784.56 - $2784.56 | 1 |
| Pennsylvania | $2864.22 | $2864.22 | $2757.95 - $2970.49 | 2 |
| Texas | $2795.39 | $2795.39 | $2734.32 - $3011.87 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 32442
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 32442 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0251T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0253T | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 0276T | Column 1 (primary), can be billed with modifier | No | More extensive procedure |
| 0277T | Column 1 (primary), can be billed with modifier | No | More extensive procedure |
| 0340T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 32442
What does CPT code 32442 mean? +
CPT code 32442 represents: Sleeve pneumonectomy. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 090.
What is the Medicare reimbursement for CPT 32442? +
The 2026 Medicare national average non-facility payment for CPT 32442 is $2819.97. Rates range from $2483.36 to $3571.62 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 32442? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 32442? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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