32854 Lung transplant with bypass
Also known as: double lung transplant with bypass, bilateral lung transplant with CPB, DLTx variant
Double lung transplantation with cardiopulmonary bypass support, alternative code for specific donor-recipient scenarios. Surgical placement of bilateral lungs using extracorporeal circulation.
In Plain Language
transplant of two new lungs with machine support
Clinical Context
Used for double lung recipients requiring hemodynamic support due to pulmonary hypertension, right heart failure, or hemodynamic instability during transplantation.
RVU Breakdown
| Work RVU | 87.75 |
| Total RVU | 87.75 |
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 87.75, this code ranks in the 100th percentile among Surgery codes — 11.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 32854?
CPT 32854 (Lung transplant with bypass) is a Surgery code. Double lung transplantation with cardiopulmonary bypass support, alternative code for specific donor-recipient scenarios. Surgical placement of bilateral lungs using extracorporeal circulation.
What is the wRVU value for CPT 32854?
The work RVU for CPT 32854 is 87.75. This code is primarily used by Thoracic Surgery, Transplant Surgery, Cardiothoracic Surgery. It has a 90-day global period.
When is CPT 32854 used?
Used for double lung recipients requiring hemodynamic support due to pulmonary hypertension, right heart failure, or hemodynamic instability during transplantation.
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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.