CPT code 31267: Sinus endoscopy, maxillary tissue removal2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $243.69 for 31267 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 31267 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 31267 covers

An otolaryngologist or rhinologist performs this endoscopic operation to access the maxillary sinus, enlarge its opening, and remove tissue from inside the sinus. Typical clinical situations include chronic maxillary sinus disease with polyps or other obstructive tissue. The operative report should establish that tissue was removed from the maxillary sinus, not merely from the nasal cavity or the sinus opening. The service is performed in an office or facility setting, depending on the case and where the surgery takes place.

Report the code when the operative work includes both maxillary sinus access and tissue removal from that sinus; an opening without tissue removal is a different service. Document the side, endoscopic work, tissue removed, and any other sinus procedures performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral surgery, modifier 50 is paid at 150%. When related endoscopies are performed together, endoscopy family pricing applies. CMS does not pay an assistant at surgery, and 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 Washington, DC area compares for 31267

Across 109 of 109 payment localities, the facility rate for 31267 runs from $206.41 in Arkansas to $293.61 in Alaska. Washington, DC area pays $243.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

31267 rates by state

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

See 31267 in every payment locality

How the 31267 rate is calculated

Each of 31267’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 31267

The CMS indicators that decide how 31267 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 31267

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

How 31267 has changed in Washington, DC area

Price 31267 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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