CPT code 31512: Laryngeal lesion removal, indirect laryngoscopy2026 Medicare rate & RVUs in Vermont

Report 31512 when a clinician uses indirect laryngoscopic visualization to remove a lesion from the larynx, rather than only examining or biopsying it.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Vermont, Medicare pays $210.59 for 31512 in the office and $107.42 when it’s performed in a hospital or facility.

$210.59Office (non-facility)
$107.42Hospital or facility
−2.9%vs the national office rate ($216.77)

Check a contract rate as a % of Medicare · 31512 nationwide

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

We’ll open 31512 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 31512 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 31512 covers

An otolaryngologist typically performs this service when an identified laryngeal lesion can be reached and removed under indirect visualization. The clinician views the larynx indirectly and uses an instrument to remove the lesion; this differs from a diagnostic examination alone or a procedure performed with direct operative laryngoscopy. The service may be provided in an office or another setting appropriate to the patient and procedure.

Choose the code for removal, not for inspection alone, biopsy alone, or removal of a foreign body. The operative note should identify the laryngeal lesion, document its removal, and support the indirect approach. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; 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 Vermont compares for 31512

Across 109 of 109 payment localities, the office rate for 31512 runs from $192.39 in Arkansas to $281.41 in San Benito County, CA. Vermont pays $210.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

31512 in Vermont vs other payment areas
  1. Vermont · this page$210.59
  2. Los Angeles, CA · California$241.83+$31.24
  3. Washington, DC area · District of Columbia$246.36+$35.77
  4. Miami, FL · Florida$237.31+$26.72
  5. Chicago, IL · Illinois$230.49+$19.90
  6. Manhattan, NY · New York$249.38+$38.79
  7. Alaska · Alaska$255.23+$44.64

Other areas in Vermont first, then benchmark localities. Bars start at $0.

Every other payment area

31512 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$195.12$103.93
ArkansasArkansas$192.39$102.87
ArizonaArizona$211.05$110.07
Bakersfield, CACalifornia$227.67$113.45
Chico, CACalifornia$226.83$112.61
El Centro, CACalifornia$226.88$112.66
Fresno, CACalifornia$226.83$112.61
Hanford, CACalifornia$226.83$112.61

31512 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$192.39

$255.23

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
31512 office rate range by state
State / territoryOffice rate rangeLocalities
AK$255.231
AL$195.121
AR$192.391
AZ$211.051
CA$226.83–$281.4129
CO$224.401
CT$230.911
DC$246.361
DE$214.461
FL$215.50–$237.313
GA$203.55–$221.162
GU$231.821
HI$231.821
IA$199.061
ID$200.501
IL$210.08–$230.494
IN$201.601
KS$198.561
KY$200.451
LA$200.31–$209.852
MA$223.28–$245.562
MD$218.33–$246.363
ME$201.94–$211.942
MI$205.87–$218.532
MN$214.001
MO$197.25–$210.093
MS$194.841
MT$216.751
NC$203.921
ND$211.021
NE$200.001
NH$221.291
NJ$233.25–$244.022
NM$207.131
NV$215.291
NY$206.91–$255.785
OH$204.701
OK$199.671
OR$213.34–$230.872
PA$204.79–$225.582
PR$218.161
RI$221.611
SC$204.711
SD$210.341
TN$199.581
TX$203.52–$223.908
UT$207.411
VA$211.55–$246.362
VI$218.161
VT$210.591
WA$222.73–$250.072
WI$204.211
WV$202.661
WY$214.251

See 31512 in every payment locality

How the 31512 rate is calculated

Each of 31512’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.

How the rate is built · 31512

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.02

2.02 RVUs× 1.000 GPCI

Practice expense4.18

4.18 RVUs× 1.000 GPCI

Malpractice0.29

0.29 RVUs× 1.000 GPCI

Adjusted RVUs

6.4900

Conversion factor

$33.4009

Medicare rate

$216.77

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,579

Code
31512
Physician work
2.02
Practice expense
4.18
Malpractice
0.29

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 31512 in Vermont
ComponentRVULocality factorAdjusted
Physician work2.02× 1.0002.0200
Practice expense4.18× 0.9904.1382
Malpractice0.29× 0.5060.1467
Total RVUs6.3049
Conversion factor× 33.4009

Office rate, Vermont$210.59

Office: (2.02 × 1 + 4.18 × 0.99 + 0.29 × 0.506) × $33.4009 = $210.59

Facility: (2.02 × 1 + 1.06 × 0.99 + 0.29 × 0.506) × $33.4009 = $107.42

Open 31512 in the RVU calculator

Payment rules and modifiers for 31512

The CMS indicators that decide how 31512 is paid alongside other services.

CMS payment indicators · 31512

Laryngeal lesion removal, indirect laryngoscopy

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

31512 without 51 · national office

$216.77

Laryngeal lesion removal, indirect laryngoscopy

31512-51 · Second procedure: 50%

$108.39

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 31512 has changed in Vermont

31512 · Office / nonfacility

$210.59

Effective 2026-10-01

The base rate is $6.44 higher than on 2025-10-01, moving from $204.15 to $210.59 (3.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $204.15changed to$210.59

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.07 changed to 2.02
    • Practice expense RVU 4.12 changed to 4.18
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $211.92changed to$204.15

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.17 changed to 4.12
    • Malpractice RVU 0.30 changed to 0.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $208.46changed to$211.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $216.37changed to$208.46

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.29 changed to 0.30
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518
  5. January 1, 2023

    RVU23A

    $218.83changed to$216.37

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.09 changed to 4.17
    • Malpractice RVU 0.28 changed to 0.29
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $215.90changed to$218.83

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.96 changed to 4.09
    • Malpractice RVU 0.27 changed to 0.28

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $213.00changed to$215.90

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.64 changed to 3.96
    • Malpractice RVU 0.28 changed to 0.27
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $210.89changed to$213.00

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.55 changed to 3.64
    • Malpractice RVU 0.30 changed to 0.28
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $206.06changed to$210.89

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.43 changed to 3.55
    • Malpractice RVU 0.29 changed to 0.30

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $208.17changed to$206.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.51 changed to 3.43
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $207.37changed to$208.17

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $209.69changed to$207.37

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.54 changed to 3.51
    • Malpractice RVU 0.31 changed to 0.29

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $208.65changed to$209.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $208.92changed to$208.65

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.58 changed to 3.54
    • Malpractice RVU 0.26 changed to 0.31
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$208.92

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$210.59$107.42RVU26D
2026-07-01$210.59$107.42RVU26C
2026-04-01$210.59$107.42RVU26B
2026-01-01$210.59$107.42RVU26A
2025-10-01$204.15$120.96RVU25D
2025-07-01$204.15$120.96RVU25C
2025-04-01$204.15$120.96RVU25B
2025-01-01$204.15$120.96RVU25A
2024-10-01$211.92$123.99RVU24D
2024-07-01$211.92$123.99RVU24C
2024-04-01$211.92$123.99RVU24B
2024-03-09$211.92$123.99RVU24AR
2024-01-01$208.46$121.97RVU24A
2023-10-01$216.37$125.82RVU23D
2023-07-01$216.37$125.82RVU23C
2023-04-01$216.37$125.82RVU23B
2023-01-01$216.37$125.82RVU23A
2022-10-01$218.83$126.34RVU22D
2022-07-01$218.83$126.34RVU22C
2022-04-01$218.83$126.34RVU22B
2022-01-01$218.83$126.34RVU22A
2021-10-01$215.90$125.44RVU21D
2021-07-01$215.90$125.44RVU21C
2021-04-01$215.90$125.44RVU21B
2021-01-01$215.90$125.44RVU21A
2020-10-01$213.00$128.61RVU20D
2020-07-01$213.00$128.61RVU20C
2020-04-01$213.00$128.61RVU20B
2020-01-01$213.00$128.61RVU20A
2019-10-01$210.89$129.68RVU19D
2019-07-01$210.89$129.68RVU19C
2019-04-01$210.89$129.68RVU19B
2019-01-01$210.89$129.68RVU19A
2018-10-01$206.06$128.96RVU18D
2018-07-01$206.06$128.96RVU18C
2018-04-01$206.06$128.96RVU18B
2018-01-01$206.06$128.96RVU18AR1
2017-10-01$208.17$130.96RVU17D
2017-07-01$208.17$130.96RVU17C
2017-04-01$208.17$130.96RVU17B
2017-01-01$208.17$130.96RVU17A
2016-10-01$207.37$130.80RVU16D
2016-07-01$207.37$130.80RVU16C
2016-04-01$207.37$130.80RVU16B
2016-01-01$207.37$130.80RVU16A
2015-10-01$209.69$132.13RVU15D
2015-07-01$209.69$132.13RVU15C
2015-04-01$208.65$131.47RVU15B
2015-01-01$208.65$131.47RVU15A
2014-10-01$208.92$131.44RVU14D
2014-07-01$208.92$131.44RVU14C
2014-04-01$208.92$131.44RVU14B
2014-01-01$208.92$131.44RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 31512 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

31512 billing questions

How does 31512 differ from 31505?

31505 is for diagnostic indirect laryngoscopy. Report 31512 when the clinician removes a laryngeal lesion during the indirect examination.

When is 31510 a better choice?

Use 31510 for indirect laryngoscopy with biopsy when tissue is sampled for diagnosis, rather than a lesion being removed as the service.

Can 31512 be reported with another endoscopy on the same date?

Related endoscopies performed together are subject to CMS endoscopy-family pricing. Document the distinct procedures performed; payment follows the applicable family pricing.

Should modifier 50 be used for lesions on both sides?

No. The CMS bilateral adjustment does not apply to 31512, and modifier 50 is inappropriate.

What documentation supports reporting 31512?

Document the laryngeal lesion, the indirect visualization approach, and that the lesion was removed. An assistant-at-surgery claim also requires documentation of medical necessity.

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

Show the CMS file lines behind this rate
RVUs for 31512PPRRVU2026_Oct_nonQPP.csv, line 3,579 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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