CPT code 31540: Laryngeal excision, without operating scope2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $203.51 for 31540 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 31540 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 31540 covers

An otolaryngologist performs this direct operative laryngoscopy to reach and excise a tumor in the larynx. The procedure is commonly performed in a facility operating room, with the patient under anesthesia. The surgeon may remove a visible mass from a vocal cord or epiglottis and submit the excised tissue for examination. The code distinguishes tumor excision from a laryngoscopy performed only to obtain a biopsy.

Report the service when the operative record supports excision of a laryngeal tumor, rather than sampling alone. Document the lesion’s location, the direct laryngoscopic approach, and the work performed; use the related code for the operating-microscope or telescope version when that technique is documented. 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. CMS does not apply a bilateral adjustment, and modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; 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 31540

Across 109 of 109 payment localities, the facility rate for 31540 runs from $188.72 in Arkansas to $267.22 in Alaska. Delaware pays $203.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

31540 rates by state

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

See 31540 in every payment locality

How the 31540 rate is calculated

Each of 31540’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 31540

The CMS indicators that decide how 31540 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 31540

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

How 31540 has changed in Delaware

Price 31540 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