# CPT 32486: Rmvl Lung Xcp Tot Pneumonectomy Sleeve Lobectomy

Medicare CPT 32486 pays $2,176.07 in a non-facility setting and $2,176.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,914.28 in Wisconsin to $2,743.86 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/32486-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,176.07 |
| National facility | $2,176.07 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $2,743.86 | $2,743.86 |
| Florida | $2,511.08 | $2,511.08 |
| Illinois | $2,487.56 | $2,487.56 |
| New York | $2,418.36 | $2,418.36 |
| District of Columbia | $2,367.34 | $2,367.34 |
| New Jersey | $2,330.89 | $2,330.89 |
| Connecticut | $2,310.89 | $2,310.89 |
| Michigan | $2,293.61 | $2,293.61 |
| West Virginia | $2,271.98 | $2,271.98 |
| Maryland | $2,239.69 | $2,239.69 |
| Georgia | $2,227.76 | $2,227.76 |
| Massachusetts | $2,213.48 | $2,213.48 |
| New Mexico | $2,211.44 | $2,211.44 |
| Washington | $2,205.52 | $2,205.52 |
| Pennsylvania | $2,204.19 | $2,204.19 |
| Rhode Island | $2,178.64 | $2,178.64 |
| Puerto Rico | $2,175.48 | $2,175.48 |
| Virgin Islands | $2,175.48 | $2,175.48 |
| Montana | $2,175.36 | $2,175.36 |
| Louisiana | $2,155.47 | $2,155.47 |
| Texas | $2,152.06 | $2,152.06 |
| New Hampshire | $2,149.54 | $2,149.54 |
| California | $2,143.13 | $2,143.13 |
| Colorado | $2,143.00 | $2,143.00 |
| Delaware | $2,142.33 | $2,142.33 |
| Ohio | $2,141.72 | $2,141.72 |
| Missouri | $2,135.37 | $2,135.37 |
| Nevada | $2,117.65 | $2,117.65 |
| Utah | $2,114.49 | $2,114.49 |
| Oregon | $2,112.66 | $2,112.66 |
| Arizona | $2,112.08 | $2,112.08 |
| Kentucky | $2,098.70 | $2,098.70 |
| South Carolina | $2,090.74 | $2,090.74 |
| Hawaii | $2,086.24 | $2,086.24 |
| Wyoming | $2,084.45 | $2,084.45 |
| Virginia | $2,065.21 | $2,065.21 |
| Oklahoma | $2,051.78 | $2,051.78 |
| Maine | $2,025.45 | $2,025.45 |
| Mississippi | $2,024.72 | $2,024.72 |
| North Carolina | $2,020.24 | $2,020.24 |
| Vermont | $1,997.72 | $1,997.72 |
| Tennessee | $1,974.04 | $1,974.04 |
| Alabama | $1,969.74 | $1,969.74 |
| North Dakota | $1,966.76 | $1,966.76 |
| Indiana | $1,963.76 | $1,963.76 |
| Kansas | $1,960.28 | $1,960.28 |
| Idaho | $1,956.19 | $1,956.19 |
| Arkansas | $1,944.93 | $1,944.93 |
| South Dakota | $1,942.09 | $1,942.09 |
| Minnesota | $1,940.38 | $1,940.38 |
| Iowa | $1,927.27 | $1,927.27 |
| Nebraska | $1,923.99 | $1,923.99 |
| Wisconsin | $1,914.28 | $1,914.28 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 32486 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules