# CPT 32491: Rmvl Lung Oth/thn Pnumec Resxn-plctj Emphy Lung

Medicare CPT 32491 pays $1,407.51 in a non-facility setting and $1,407.51 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,248.32 in Wisconsin to $1,750.13 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/32491-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,407.51 |
| National facility | $1,407.51 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,750.13 | $1,750.13 |
| Florida | $1,604.82 | $1,604.82 |
| Illinois | $1,586.28 | $1,586.28 |
| New York | $1,564.69 | $1,564.69 |
| District of Columbia | $1,542.66 | $1,542.66 |
| New Jersey | $1,514.62 | $1,514.62 |
| Connecticut | $1,496.58 | $1,496.58 |
| Michigan | $1,468.82 | $1,468.82 |
| Maryland | $1,450.33 | $1,450.33 |
| West Virginia | $1,447.19 | $1,447.19 |
| Massachusetts | $1,445.27 | $1,445.27 |
| Washington | $1,442.69 | $1,442.69 |
| Georgia | $1,432.03 | $1,432.03 |
| Pennsylvania | $1,421.44 | $1,421.44 |
| New Mexico | $1,417.73 | $1,417.73 |
| Rhode Island | $1,413.25 | $1,413.25 |
| California | $1,411.55 | $1,411.55 |
| Puerto Rico | $1,408.57 | $1,408.57 |
| Virgin Islands | $1,408.57 | $1,408.57 |
| Montana | $1,407.10 | $1,407.10 |
| New Hampshire | $1,397.14 | $1,397.14 |
| Colorado | $1,396.25 | $1,396.25 |
| Texas | $1,391.44 | $1,391.44 |
| Delaware | $1,386.17 | $1,386.17 |
| Louisiana | $1,384.32 | $1,384.32 |
| Oregon | $1,377.08 | $1,377.08 |
| Ohio | $1,376.25 | $1,376.25 |
| Nevada | $1,373.31 | $1,373.31 |
| Missouri | $1,373.11 | $1,373.11 |
| Hawaii | $1,372.18 | $1,372.18 |
| Arizona | $1,365.96 | $1,365.96 |
| Utah | $1,363.69 | $1,363.69 |
| Wyoming | $1,353.67 | $1,353.67 |
| Kentucky | $1,347.91 | $1,347.91 |
| South Carolina | $1,347.69 | $1,347.69 |
| Virginia | $1,340.20 | $1,340.20 |
| Oklahoma | $1,320.84 | $1,320.84 |
| Maine | $1,313.33 | $1,313.33 |
| North Carolina | $1,307.40 | $1,307.40 |
| Vermont | $1,301.43 | $1,301.43 |
| Mississippi | $1,300.86 | $1,300.86 |
| North Dakota | $1,284.51 | $1,284.51 |
| Tennessee | $1,277.20 | $1,277.20 |
| Indiana | $1,273.45 | $1,273.45 |
| Minnesota | $1,272.70 | $1,272.70 |
| Alabama | $1,270.33 | $1,270.33 |
| South Dakota | $1,270.01 | $1,270.01 |
| Kansas | $1,268.47 | $1,268.47 |
| Idaho | $1,268.11 | $1,268.11 |
| Arkansas | $1,253.72 | $1,253.72 |
| Iowa | $1,250.47 | $1,250.47 |
| Nebraska | $1,249.57 | $1,249.57 |
| Wisconsin | $1,248.32 | $1,248.32 |

## 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 32491 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