32442 Sleeve pneumonectomy
Also known as: sleeve pneumonectomy, bronchial sleeve resection
Sleeve pneumonectomy combining pulmonary resection with reconstruction of the main bronchus and/or pulmonary vessels, preserving the distal lung while removing proximal disease.
In Plain Language
lung removal with airway repair
Clinical Context
Used for centrally located lung cancers involving the mainstem bronchus, allowing preservation of remaining lung function while removing central tumor.
RVU Breakdown
| Work RVU | 55.06 |
| Total RVU | 55.06 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 55.06, this code ranks in the 99th percentile among Surgery codes — 6.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 32442?
CPT 32442 (Sleeve pneumonectomy) is a Surgery code. Sleeve pneumonectomy combining pulmonary resection with reconstruction of the main bronchus and/or pulmonary vessels, preserving the distal lung while removing proximal disease.
What is the wRVU value for CPT 32442?
The work RVU for CPT 32442 is 55.06. This code is primarily used by Thoracic Surgery, Oncology. It has a 90-day global period.
When is CPT 32442 used?
Used for centrally located lung cancers involving the mainstem bronchus, allowing preservation of remaining lung function while removing central tumor.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.