CPT code 31526: Diagnostic laryngoscopy, operating microscope or telescope2026 Medicare rate & RVUs in New Mexico
Reports direct examination of the larynx using an operating microscope or telescope when magnified visualization is needed for diagnostic evaluation.
In New Mexico, Medicare pays $134.51 for 31526 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 31526 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 31526 covers
An otolaryngologist passes a laryngoscope through the mouth to examine the larynx directly, using an operating microscope or telescope for magnified visualization. The examination may help evaluate persistent hoarseness, a suspected vocal fold abnormality, or another laryngeal finding. It is commonly performed in an operating room, often under general anesthesia, when an office examination cannot provide the needed view or assessment.
Report 31526 when the service is diagnostic and the documented technique uses the operating microscope or telescope. Documentation should identify the reason for the examination, the structures assessed, and the findings. When tissue sampling or treatment is performed, select the applicable operative laryngoscopy code rather than reporting this diagnostic service separately. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery payment 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 New Mexico compares for 31526
Across 109 of 109 payment localities, the facility rate for 31526 runs from $123.77 in Arkansas to $174.18 in Alaska. New Mexico pays $134.51. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$134.51
- Los Angeles, CA · California$141.71+$7.20
- Washington, DC area · District of Columbia$148.15+$13.64
- Miami, FL · Florida$155.77+$21.26
- Chicago, IL · Illinois$152.06+$17.55
- Manhattan, NY · New York$154.21+$19.70
- Alaska · Alaska$174.18+$39.67
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $125.03 |
| ArkansasArkansas | — | $123.77 |
| ArizonaArizona | — | $132.28 |
| Bakersfield, CACalifornia | — | $135.79 |
| Chico, CACalifornia | — | $134.72 |
| El Centro, CACalifornia | — | $134.78 |
| Fresno, CACalifornia | — | $134.72 |
| Hanford, CACalifornia | — | $134.72 |
| Madera, CACalifornia | — | $134.72 |
| Merced, CACalifornia | — | $134.72 |
| Modesto, CACalifornia | — | $134.72 |
| Napa, CACalifornia | — | $146.90 |
| Oxnard, CACalifornia | — | $140.07 |
| Redding, CACalifornia | — | $134.72 |
| Rest of CaliforniaCalifornia | — | $134.72 |
| Riverside, CACalifornia | — | $138.72 |
| Sacramento, CACalifornia | — | $138.93 |
| Salinas, CACalifornia | — | $138.35 |
| San Diego, CACalifornia | — | $139.79 |
| Marin County, CACalifornia | — | $152.57 |
| San Francisco, CACalifornia | — | $152.15 |
| San Benito County, CACalifornia | — | $156.03 |
| Santa Clara County, CACalifornia | — | $154.32 |
| San Luis Obispo, CACalifornia | — | $136.40 |
| Santa Cruz, CACalifornia | — | $139.70 |
| Santa Maria, CACalifornia | — | $138.37 |
| Santa Rosa, CACalifornia | — | $140.96 |
| Stockton, CACalifornia | — | $134.72 |
| Vallejo, CACalifornia | — | $146.30 |
| Visalia, CACalifornia | — | $134.72 |
| Yuba City, CACalifornia | — | $134.72 |
| ColoradoColorado | — | $136.07 |
| ConnecticutConnecticut | — | $142.55 |
| DelawareDelaware | — | $133.98 |
| Fort Lauderdale, FLFlorida | — | $145.77 |
| Rest of FloridaFlorida | — | $139.77 |
| Atlanta, GAGeorgia | — | $138.63 |
| Rest of GeorgiaGeorgia | — | $133.43 |
| Hawaii, Guam, HIHawaii | — | $135.42 |
| IowaIowa | — | $124.50 |
| IdahoIdaho | — | $125.63 |
| East St. Louis, ILIllinois | — | $144.68 |
| Rest of IllinoisIllinois | — | $138.83 |
| Suburban Chicago, ILIllinois | — | $146.46 |
| IndianaIndiana | — | $126.07 |
| KansasKansas | — | $125.39 |
| KentuckyKentucky | — | $129.89 |
| New Orleans, LALouisiana | — | $134.65 |
| Rest of LouisianaLouisiana | — | $130.26 |
| Metropolitan Boston, MAMassachusetts | — | $144.93 |
| Rest of MassachusettsMassachusetts | — | $136.18 |
| Baltimore area, MDMaryland | — | $142.40 |
| Rest of MarylandMaryland | — | $135.57 |
| Rest of MaineMaine | — | $127.48 |
| Southern Maine, MEMaine | — | $130.36 |
| Detroit, MIMichigan | — | $142.38 |
| Rest of MichiganMichigan | — | $133.47 |
| MinnesotaMinnesota | — | $127.71 |
| Metropolitan Kansas City, MOMissouri | — | $132.61 |
| Metropolitan St. Louis, MOMissouri | — | $133.42 |
| Rest of MissouriMissouri | — | $129.56 |
| MississippiMississippi | — | $126.62 |
| MontanaMontana | — | $135.25 |
| North CarolinaNorth Carolina | — | $128.19 |
| North DakotaNorth Dakota | — | $127.93 |
| NebraskaNebraska | — | $124.58 |
| New HampshireNew Hampshire | — | $135.33 |
| Northern New JerseyNew Jersey | — | $147.65 |
| Rest of New JerseyNew Jersey | — | $143.42 |
| NevadaNevada | — | $133.25 |
| NYC suburbs and Long Island, NYNew York | — | $158.62 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $145.35 |
| Queens, NYNew York | — | $153.21 |
| Rest of New YorkNew York | — | $129.65 |
| OhioOhio | — | $131.97 |
| OklahomaOklahoma | — | $128.34 |
| Portland, OROregon | — | $137.79 |
| Rest of OregonOregon | — | $131.45 |
| Metropolitan Philadelphia, PAPennsylvania | — | $140.77 |
| Rest of PennsylvaniaPennsylvania | — | $131.39 |
| Puerto RicoPuerto Rico | — | $135.52 |
| Rhode IslandRhode Island | — | $136.82 |
| South CarolinaSouth Carolina | — | $130.45 |
| South DakotaSouth Dakota | — | $127.07 |
| TennesseeTennessee | — | $126.00 |
| Austin, TXTexas | — | $136.30 |
| Beaumont, TXTexas | — | $130.88 |
| Brazoria, TXTexas | — | $132.87 |
| Dallas, TXTexas | — | $134.12 |
| Fort Worth, TXTexas | — | $133.89 |
| Galveston, TXTexas | — | $133.55 |
| Houston, TXTexas | — | $140.32 |
| Rest of TexasTexas | — | $132.08 |
| UtahUtah | — | $131.67 |
| VirginiaVirginia | — | $130.98 |
| Virgin Islands, VIUnited States Virgin Islands | — | $135.52 |
| VermontVermont | — | $128.78 |
| Rest of WashingtonWashington | — | $135.48 |
| King County, WAWashington | — | $146.07 |
| WisconsinWisconsin | — | $125.08 |
| West VirginiaWest Virginia | — | $135.48 |
| WyomingWyoming | — | $132.06 |
31526 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 31526 rate is calculated
Each of 31526’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 · 31526
RVUs × geographic indexes × conversion factor
Work2.51
2.51 RVUs× 1.000 GPCI
Practice expense1.17
1.17 RVUs× 1.000 GPCI
Malpractice0.37
0.37 RVUs× 1.000 GPCI
Adjusted RVUs
4.0500
Conversion factor
$33.4009
Medicare rate
$135.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,584
- Code
- 31526
- Physician work
- 2.51
- Practice expense
- 1.17
- Malpractice
- 0.37
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.51 | × 1.000 | 2.5100 |
| Practice expense | 1.17 | × 0.917 | 1.0729 |
| Malpractice | 0.37 | × 1.201 | 0.4444 |
| Total RVUs | 4.0273 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$134.51
Facility: (2.51 × 1 + 1.17 × 0.917 + 0.37 × 1.201) × $33.4009 = $134.51
Payment rules and modifiers for 31526
The CMS indicators that decide how 31526 is paid alongside other services.
CMS payment indicators · 31526
Diagnostic laryngoscopy, operating microscope or telescope
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
31526 without 51 · national facility
$135.27
Diagnostic laryngoscopy, operating microscope or telescope
31526-51 · Second procedure: 50%
$67.64
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%).
How 31526 has changed in New Mexico
31526 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $134.51 | RVU26D |
| 2026-07-01 | Not available in this setting | $134.51 | RVU26C |
| 2026-04-01 | Not available in this setting | $134.51 | RVU26B |
| 2026-01-01 | Not available in this setting | $134.51 | RVU26A |
| 2025-10-01 | Not available in this setting | $149.90 | RVU25D |
| 2025-07-01 | Not available in this setting | $149.90 | RVU25C |
| 2025-04-01 | Not available in this setting | $149.90 | RVU25B |
| 2025-01-01 | Not available in this setting | $149.90 | RVU25A |
| 2024-10-01 | Not available in this setting | $152.97 | RVU24D |
| 2024-07-01 | Not available in this setting | $152.97 | RVU24C |
| 2024-04-01 | Not available in this setting | $152.97 | RVU24B |
| 2024-03-09 | Not available in this setting | $152.97 | RVU24AR |
| 2024-01-01 | Not available in this setting | $150.47 | RVU24A |
| 2023-10-01 | Not available in this setting | $154.32 | RVU23D |
| 2023-07-01 | Not available in this setting | $154.32 | RVU23C |
| 2023-04-01 | Not available in this setting | $154.32 | RVU23B |
| 2023-01-01 | Not available in this setting | $154.32 | RVU23A |
| 2022-10-01 | Not available in this setting | $155.03 | RVU22D |
| 2022-07-01 | Not available in this setting | $155.03 | RVU22C |
| 2022-04-01 | Not available in this setting | $155.03 | RVU22B |
| 2022-01-01 | Not available in this setting | $155.03 | RVU22A |
| 2021-10-01 | Not available in this setting | $154.34 | RVU21D |
| 2021-07-01 | Not available in this setting | $154.34 | RVU21C |
| 2021-04-01 | Not available in this setting | $154.34 | RVU21B |
| 2021-01-01 | Not available in this setting | $154.34 | RVU21A |
| 2020-10-01 | Not available in this setting | $158.46 | RVU20D |
| 2020-07-01 | Not available in this setting | $158.46 | RVU20C |
| 2020-04-01 | Not available in this setting | $158.46 | RVU20B |
| 2020-01-01 | Not available in this setting | $158.46 | RVU20A |
| 2019-10-01 | Not available in this setting | $160.70 | RVU19D |
| 2019-07-01 | Not available in this setting | $160.70 | RVU19C |
| 2019-04-01 | Not available in this setting | $160.70 | RVU19B |
| 2019-01-01 | Not available in this setting | $160.70 | RVU19A |
| 2018-10-01 | Not available in this setting | $159.74 | RVU18D |
| 2018-07-01 | Not available in this setting | $159.74 | RVU18C |
| 2018-04-01 | Not available in this setting | $159.74 | RVU18B |
| 2018-01-01 | Not available in this setting | $159.74 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $160.72 | RVU17D |
| 2017-07-01 | Not available in this setting | $160.72 | RVU17C |
| 2017-04-01 | Not available in this setting | $160.72 | RVU17B |
| 2017-01-01 | Not available in this setting | $160.72 | RVU17A |
| 2016-10-01 | Not available in this setting | $161.03 | RVU16D |
| 2016-07-01 | Not available in this setting | $161.03 | RVU16C |
| 2016-04-01 | Not available in this setting | $161.03 | RVU16B |
| 2016-01-01 | Not available in this setting | $161.03 | RVU16A |
| 2015-10-01 | Not available in this setting | $160.95 | RVU15D |
| 2015-07-01 | Not available in this setting | $160.95 | RVU15C |
| 2015-04-01 | Not available in this setting | $160.15 | RVU15B |
| 2015-01-01 | Not available in this setting | $160.15 | RVU15A |
| 2014-10-01 | Not available in this setting | $159.35 | RVU14D |
| 2014-07-01 | Not available in this setting | $159.35 | RVU14C |
| 2014-04-01 | Not available in this setting | $159.35 | RVU14B |
| 2014-01-01 | Not available in this setting | $159.35 | RVU14A |
| 2013-10-01 | Not available in this setting | $155.04 | RVU13D |
| 2013-07-01 | Not available in this setting | $155.04 | RVU13C |
| 2013-04-01 | Not available in this setting | $155.04 | RVU13B |
| 2013-01-01 | Not available in this setting | $155.04 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
31526 billing questions
How does 31526 differ from 31525?
Both describe direct diagnostic laryngoscopy, but 31526 specifies use of an operating microscope or telescope. Use 31525 when that magnified optical technique is not documented.
Can 31526 be reported with a laryngeal biopsy?
When biopsy is performed during the laryngoscopy, report the applicable biopsy code, such as 31536 when an operating microscope or telescope is used. Do not separately report the diagnostic examination for the same operative work.
What documentation supports 31526?
Document the diagnostic reason, direct examination of the larynx, use of an operating microscope or telescope, and relevant findings. The record should distinguish the examination from any biopsy or treatment performed.
Does modifier 50 apply when both sides of the larynx are examined?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used for examining both vocal folds.
How are same-day services and surgical assistance handled?
The code has a 0-day global period, which includes same-day preoperative and postoperative care. CMS does not pay for an assistant at surgery, co-surgeons, or team surgery for this service.
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
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