CPT code 31254: Ethmoidectomy, partial, anterior ethmoid2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $431.89 for 31254 in the office and $203.86 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 31254 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 31254 covers

An otolaryngologist uses a nasal endoscope and surgical instruments to remove part of the ethmoid air cells, typically the anterior portion, to treat disease such as chronic inflammation or obstructed drainage. The procedure is commonly performed in a hospital outpatient department or ambulatory surgery center. The extent is partial: complete ethmoid cell removal belongs to a different code. The operative report should identify the treated side, the ethmoid work performed, and the extent of tissue or partitions removed.

Report this code when the surgeon performs partial endoscopic ethmoidectomy, not for diagnostic nasal inspection alone. When related nasal or sinus endoscopies are performed together, CMS endoscopy-family pricing applies. For bilateral surgery, modifier 50 is paid at 150%. The 0-day global period includes same-day preoperative and postoperative care. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 31254

Across 109 of 109 payment localities, the office rate for 31254 runs from $387.69 in Arkansas to $565.22 in San Benito County, CA. Delaware pays $431.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

31254 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 31254 in every payment locality

How the 31254 rate is calculated

Each of 31254’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 31254

The CMS indicators that decide how 31254 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 31254

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 31254 has changed in Delaware

Price 31254 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates