CPT code 31536: Laryngeal biopsy, with operating scope2026 Medicare rate & RVUs in New Mexico

An otolaryngologist uses an operating scope during direct laryngoscopy to biopsy a laryngeal lesion, such as a suspicious vocal fold abnormality.

CMS RVU26DEffective Oct 1, 2026One payment locality6.6K Medicare services in 2024

In New Mexico, Medicare pays $178.41 for 31536 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$178.41Hospital or facility

Check a contract rate as a % of Medicare · 31536 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 31536 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 31536 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 31536 covers

An otolaryngologist uses a direct laryngoscope with an operating telescope or microscope to inspect the larynx and take tissue from a lesion for examination. Common indications include a suspicious vocal fold or laryngeal mucosal abnormality, such as a persistent lesion requiring histologic diagnosis. The procedure is commonly performed in an operating room, often under general anesthesia; the specimen is sent for pathology review.

Report this code when the operative scope is used and tissue is sampled for biopsy, rather than when the primary service is diagnostic visualization alone or definitive lesion excision. The operative note should identify the laryngeal site, lesion, biopsy performed, and use of the scope. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. Related endoscopies performed together are subject to endoscopy-family pricing. Modifier 50 is inappropriate. Medicare 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 New Mexico compares for 31536

Across 109 of 109 payment localities, the facility rate for 31536 runs from $164.45 in Arkansas to $232.53 in Alaska. New Mexico pays $178.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

31536 in New Mexico vs other payment areas
  1. New Mexico · this page$178.41
  2. Los Angeles, CA · California$186.89+$8.48
  3. Washington, DC area · District of Columbia$195.50+$17.09
  4. Miami, FL · Florida$205.98+$27.57
  5. Chicago, IL · Illinois$201.27+$22.86
  6. Manhattan, NY · New York$203.65+$25.24
  7. Alaska · Alaska$232.53+$54.12

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

Every other payment area

31536 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$166.04
ArkansasArkansas—$164.45
ArizonaArizona—$175.21
Bakersfield, CACalifornia—$179.35
Chico, CACalifornia—$177.92
El Centro, CACalifornia—$178.00
Fresno, CACalifornia—$177.92
Hanford, CACalifornia—$177.92

31536 rates by state

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

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Local rates. Clear comparisons.

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

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31536 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 31536 in every payment locality

How the 31536 rate is calculated

Each of 31536’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 · 31536

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.46

3.46 RVUs× 1.000 GPCI

Practice expense1.41

1.41 RVUs× 1.000 GPCI

Malpractice0.49

0.49 RVUs× 1.000 GPCI

Adjusted RVUs

5.3600

Conversion factor

$33.4009

Medicare rate

$179.03

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

3,591

Code
31536
Physician work
3.46
Practice expense
1.41
Malpractice
0.49

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 31536 in New Mexico
ComponentRVULocality factorAdjusted
Physician work3.46× 1.0003.4600
Practice expense1.41× 0.9171.2930
Malpractice0.49× 1.2010.5885
Total RVUs5.3415
Conversion factor× 33.4009

Facility rate, New Mexico$178.41

Facility: (3.46 × 1 + 1.41 × 0.917 + 0.49 × 1.201) × $33.4009 = $178.41

Open 31536 in the RVU calculator

Payment rules and modifiers for 31536

The CMS indicators that decide how 31536 is paid alongside other services.

CMS payment indicators · 31536

Laryngeal biopsy, with operating scope

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)1Not paid (statutory restriction).
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

31536 without 51 · national facility

$179.03

Laryngeal biopsy, with operating scope

31536-51 · Second procedure: 50%

$89.52

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 31536 has changed in New Mexico

31536 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$178.41RVU26D
2026-07-01Not available in this setting$178.41RVU26C
2026-04-01Not available in this setting$178.41RVU26B
2026-01-01Not available in this setting$178.41RVU26A
2025-10-01Not available in this setting$199.66RVU25D
2025-07-01Not available in this setting$199.66RVU25C
2025-04-01Not available in this setting$199.66RVU25B
2025-01-01Not available in this setting$199.66RVU25A
2024-10-01Not available in this setting$204.56RVU24D
2024-07-01Not available in this setting$204.56RVU24C
2024-04-01Not available in this setting$204.56RVU24B
2024-03-09Not available in this setting$204.56RVU24AR
2024-01-01Not available in this setting$201.22RVU24A
2023-10-01Not available in this setting$207.44RVU23D
2023-07-01Not available in this setting$207.44RVU23C
2023-04-01Not available in this setting$207.44RVU23B
2023-01-01Not available in this setting$207.44RVU23A
2022-10-01Not available in this setting$208.55RVU22D
2022-07-01Not available in this setting$208.55RVU22C
2022-04-01Not available in this setting$208.55RVU22B
2022-01-01Not available in this setting$208.55RVU22A
2021-10-01Not available in this setting$206.55RVU21D
2021-07-01Not available in this setting$206.55RVU21C
2021-04-01Not available in this setting$206.55RVU21B
2021-01-01Not available in this setting$206.55RVU21A
2020-10-01Not available in this setting$213.69RVU20D
2020-07-01Not available in this setting$213.69RVU20C
2020-04-01Not available in this setting$213.69RVU20B
2020-01-01Not available in this setting$213.69RVU20A
2019-10-01Not available in this setting$216.58RVU19D
2019-07-01Not available in this setting$216.58RVU19C
2019-04-01Not available in this setting$216.58RVU19B
2019-01-01Not available in this setting$216.58RVU19A
2018-10-01Not available in this setting$215.35RVU18D
2018-07-01Not available in this setting$215.35RVU18C
2018-04-01Not available in this setting$215.35RVU18B
2018-01-01Not available in this setting$215.35RVU18AR1
2017-10-01Not available in this setting$216.14RVU17D
2017-07-01Not available in this setting$216.14RVU17C
2017-04-01Not available in this setting$216.14RVU17B
2017-01-01Not available in this setting$216.14RVU17A
2016-10-01Not available in this setting$216.42RVU16D
2016-07-01Not available in this setting$216.42RVU16C
2016-04-01Not available in this setting$216.42RVU16B
2016-01-01Not available in this setting$216.42RVU16A
2015-10-01Not available in this setting$216.95RVU15D
2015-07-01Not available in this setting$216.95RVU15C
2015-04-01Not available in this setting$215.88RVU15B
2015-01-01Not available in this setting$215.88RVU15A
2014-10-01Not available in this setting$213.51RVU14D
2014-07-01Not available in this setting$213.51RVU14C
2014-04-01Not available in this setting$213.51RVU14B
2014-01-01Not available in this setting$213.51RVU14A
2013-10-01Not available in this setting$207.73RVU13D
2013-07-01Not available in this setting$207.73RVU13C
2013-04-01Not available in this setting$207.73RVU13B
2013-01-01Not available in this setting$207.73RVU13AR

Price 31536 for an earlier date of service

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

Browse all communities in New Mexico

31536 billing questions

When should this code be chosen instead of 31535?

Choose this code when the laryngeal biopsy is performed with an operating telescope or microscope. Code 31535 describes the related biopsy service without that scope distinction.

Does taking a biopsy include definitive removal of the lesion?

A biopsy samples tissue for diagnosis. When the operative service is excision of a laryngeal tumor or lesion rather than biopsy, consider the applicable excision code, such as 31541 when an operating scope is used.

Can modifier 50 be reported for biopsies on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50.

What should the operative note document?

Document the laryngeal site and lesion, the tissue sampling, and use of the operating telescope or microscope. The record should make clear that the service was a biopsy rather than diagnostic inspection alone or definitive excision.

How does CMS handle other endoscopies performed in the same session?

When related endoscopies are performed together, CMS applies endoscopy-family pricing. Payment is not determined as though each related endoscopy were an independent procedure.

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 31536PPRRVU2026_Oct_nonQPP.csv, line 3,591 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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