CPT code 31541: Tumor excision, with operating scope2026 Medicare rate & RVUs in New Mexico
Reports operative direct laryngoscopy to excise a laryngeal tumor using an operating microscope or telescope, rather than biopsy alone.
In New Mexico, Medicare pays $223.20 for 31541 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 31541 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 31541 covers
An otolaryngologist performs direct operative laryngoscopy to expose and remove a tumor in the larynx, using an operating microscope or telescope for visualization. The service is typically performed in an operating room, often under general anesthesia, for a lesion that requires excision rather than tissue sampling alone. The excised tissue may be sent for pathology; the pathology examination is a separate service when performed by a laboratory.
Select this code when the operative report supports tumor excision during direct laryngoscopy and documents use of the operating microscope or telescope. Excision without that operating scope is reported with 31540; biopsy alone is a different service. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate for this code. 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 New Mexico compares for 31541
Across 109 of 109 payment localities, the facility rate for 31541 runs from $205.36 in Arkansas to $291.06 in Alaska. New Mexico pays $223.20. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$223.20
- Los Angeles, CA · California$232.33+$9.13
- Washington, DC area · District of Columbia$243.57+$20.37
- Miami, FL · Florida$258.38+$35.18
- Chicago, IL · Illinois$252.44+$29.24
- Manhattan, NY · New York$254.28+$31.08
- Alaska · Alaska$291.06+$67.86
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $207.33 |
| ArkansasArkansas | — | $205.36 |
| ArizonaArizona | — | $218.68 |
| Bakersfield, CACalifornia | — | $223.15 |
| Chico, CACalifornia | — | $221.30 |
| El Centro, CACalifornia | — | $221.40 |
| Fresno, CACalifornia | — | $221.30 |
| Hanford, CACalifornia | — | $221.30 |
| Madera, CACalifornia | — | $221.30 |
| Merced, CACalifornia | — | $221.30 |
| Modesto, CACalifornia | — | $221.30 |
| Napa, CACalifornia | — | $239.63 |
| Oxnard, CACalifornia | — | $229.49 |
| Redding, CACalifornia | — | $221.30 |
| Rest of CaliforniaCalifornia | — | $221.30 |
| Riverside, CACalifornia | — | $228.22 |
| Sacramento, CACalifornia | — | $227.76 |
| Salinas, CACalifornia | — | $226.81 |
| San Diego, CACalifornia | — | $228.82 |
| Marin County, CACalifornia | — | $248.34 |
| San Francisco, CACalifornia | — | $247.61 |
| San Benito County, CACalifornia | — | $253.95 |
| Santa Clara County, CACalifornia | — | $250.98 |
| San Luis Obispo, CACalifornia | — | $223.65 |
| Santa Cruz, CACalifornia | — | $228.40 |
| Santa Maria, CACalifornia | — | $226.75 |
| Santa Rosa, CACalifornia | — | $230.44 |
| Stockton, CACalifornia | — | $221.30 |
| Vallejo, CACalifornia | — | $238.59 |
| Visalia, CACalifornia | — | $221.30 |
| Yuba City, CACalifornia | — | $221.30 |
| ColoradoColorado | — | $224.04 |
| ConnecticutConnecticut | — | $235.10 |
| DelawareDelaware | — | $221.37 |
| Fort Lauderdale, FLFlorida | — | $241.44 |
| Rest of FloridaFlorida | — | $231.79 |
| Atlanta, GAGeorgia | — | $229.07 |
| Rest of GeorgiaGeorgia | — | $221.64 |
| Hawaii, Guam, HIHawaii | — | $221.96 |
| IowaIowa | — | $205.91 |
| IdahoIdaho | — | $207.80 |
| East St. Louis, ILIllinois | — | $240.75 |
| Rest of IllinoisIllinois | — | $230.72 |
| Suburban Chicago, ILIllinois | — | $242.46 |
| IndianaIndiana | — | $208.47 |
| KansasKansas | — | $207.59 |
| KentuckyKentucky | — | $215.55 |
| New Orleans, LALouisiana | — | $223.13 |
| Rest of LouisianaLouisiana | — | $216.25 |
| Metropolitan Boston, MAMassachusetts | — | $237.77 |
| Rest of MassachusettsMassachusetts | — | $224.37 |
| Baltimore area, MDMaryland | — | $234.87 |
| Rest of MarylandMaryland | — | $223.83 |
| Rest of MaineMaine | — | $210.99 |
| Southern Maine, MEMaine | — | $215.07 |
| Detroit, MIMichigan | — | $236.20 |
| Rest of MichiganMichigan | — | $221.44 |
| MinnesotaMinnesota | — | $209.99 |
| Metropolitan Kansas City, MOMissouri | — | $219.62 |
| Metropolitan St. Louis, MOMissouri | — | $220.87 |
| Rest of MissouriMissouri | — | $215.34 |
| MississippiMississippi | — | $210.26 |
| MontanaMontana | — | $223.41 |
| North CarolinaNorth Carolina | — | $212.06 |
| North DakotaNorth Dakota | — | $210.75 |
| NebraskaNebraska | — | $205.94 |
| New HampshireNew Hampshire | — | $223.03 |
| Northern New JerseyNew Jersey | — | $242.95 |
| Rest of New JerseyNew Jersey | — | $236.46 |
| NevadaNevada | — | $219.94 |
| NYC suburbs and Long Island, NYNew York | — | $261.55 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $239.77 |
| Queens, NYNew York | — | $252.30 |
| Rest of New YorkNew York | — | $214.36 |
| OhioOhio | — | $218.86 |
| OklahomaOklahoma | — | $212.82 |
| Portland, OROregon | — | $226.42 |
| Rest of OregonOregon | — | $216.88 |
| Metropolitan Philadelphia, PAPennsylvania | — | $232.47 |
| Rest of PennsylvaniaPennsylvania | — | $217.78 |
| Puerto RicoPuerto Rico | — | $223.73 |
| Rhode IslandRhode Island | — | $225.75 |
| South CarolinaSouth Carolina | — | $216.08 |
| South DakotaSouth Dakota | — | $209.26 |
| TennesseeTennessee | — | $208.57 |
| Austin, TXTexas | — | $224.49 |
| Beaumont, TXTexas | — | $217.00 |
| Brazoria, TXTexas | — | $219.43 |
| Dallas, TXTexas | — | $221.52 |
| Fort Worth, TXTexas | — | $221.25 |
| Galveston, TXTexas | — | $220.57 |
| Houston, TXTexas | — | $232.28 |
| Rest of TexasTexas | — | $218.58 |
| UtahUtah | — | $217.98 |
| VirginiaVirginia | — | $216.24 |
| Virgin Islands, VIUnited States Virgin Islands | — | $223.73 |
| VermontVermont | — | $212.34 |
| Rest of WashingtonWashington | — | $223.16 |
| King County, WAWashington | — | $239.34 |
| WisconsinWisconsin | — | $206.36 |
| West VirginiaWest Virginia | — | $225.49 |
| WyomingWyoming | — | $217.89 |
31541 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 31541 rate is calculated
Each of 31541’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 · 31541
RVUs × geographic indexes × conversion factor
Work4.41
4.41 RVUs× 1.000 GPCI
Practice expense1.64
1.64 RVUs× 1.000 GPCI
Malpractice0.64
0.64 RVUs× 1.000 GPCI
Adjusted RVUs
6.6900
Conversion factor
$33.4009
Medicare rate
$223.45
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
3,593
- Code
- 31541
- Physician work
- 4.41
- Practice expense
- 1.64
- Malpractice
- 0.64
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.41 | × 1.000 | 4.4100 |
| Practice expense | 1.64 | × 0.917 | 1.5039 |
| Malpractice | 0.64 | × 1.201 | 0.7686 |
| Total RVUs | 6.6825 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$223.20
Facility: (4.41 × 1 + 1.64 × 0.917 + 0.64 × 1.201) × $33.4009 = $223.20
Payment rules and modifiers for 31541
The CMS indicators that decide how 31541 is paid alongside other services.
CMS payment indicators · 31541
Tumor excision, with operating scope
| 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 | 3 | Endoscopy family rules apply. |
| 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
31541 without 51 · national facility
$223.45
Tumor excision, with operating scope
31541-51 · Second procedure: 50%
$111.73
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 31541 has changed in New Mexico
31541 · 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 | $223.20 | RVU26D |
| 2026-07-01 | Not available in this setting | $223.20 | RVU26C |
| 2026-04-01 | Not available in this setting | $223.20 | RVU26B |
| 2026-01-01 | Not available in this setting | $223.20 | RVU26A |
| 2025-10-01 | Not available in this setting | $249.85 | RVU25D |
| 2025-07-01 | Not available in this setting | $249.85 | RVU25C |
| 2025-04-01 | Not available in this setting | $249.85 | RVU25B |
| 2025-01-01 | Not available in this setting | $249.85 | RVU25A |
| 2024-10-01 | Not available in this setting | $256.30 | RVU24D |
| 2024-07-01 | Not available in this setting | $256.30 | RVU24C |
| 2024-04-01 | Not available in this setting | $256.30 | RVU24B |
| 2024-03-09 | Not available in this setting | $256.30 | RVU24AR |
| 2024-01-01 | Not available in this setting | $252.12 | RVU24A |
| 2023-10-01 | Not available in this setting | $259.92 | RVU23D |
| 2023-07-01 | Not available in this setting | $259.92 | RVU23C |
| 2023-04-01 | Not available in this setting | $259.92 | RVU23B |
| 2023-01-01 | Not available in this setting | $259.92 | RVU23A |
| 2022-10-01 | Not available in this setting | $261.00 | RVU22D |
| 2022-07-01 | Not available in this setting | $261.00 | RVU22C |
| 2022-04-01 | Not available in this setting | $261.00 | RVU22B |
| 2022-01-01 | Not available in this setting | $261.00 | RVU22A |
| 2021-10-01 | Not available in this setting | $259.63 | RVU21D |
| 2021-07-01 | Not available in this setting | $259.63 | RVU21C |
| 2021-04-01 | Not available in this setting | $259.63 | RVU21B |
| 2021-01-01 | Not available in this setting | $259.63 | RVU21A |
| 2020-10-01 | Not available in this setting | $268.12 | RVU20D |
| 2020-07-01 | Not available in this setting | $268.12 | RVU20C |
| 2020-04-01 | Not available in this setting | $268.12 | RVU20B |
| 2020-01-01 | Not available in this setting | $268.12 | RVU20A |
| 2019-10-01 | Not available in this setting | $271.11 | RVU19D |
| 2019-07-01 | Not available in this setting | $271.11 | RVU19C |
| 2019-04-01 | Not available in this setting | $271.11 | RVU19B |
| 2019-01-01 | Not available in this setting | $271.11 | RVU19A |
| 2018-10-01 | Not available in this setting | $269.81 | RVU18D |
| 2018-07-01 | Not available in this setting | $269.81 | RVU18C |
| 2018-04-01 | Not available in this setting | $269.81 | RVU18B |
| 2018-01-01 | Not available in this setting | $269.81 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $270.87 | RVU17D |
| 2017-07-01 | Not available in this setting | $270.87 | RVU17C |
| 2017-04-01 | Not available in this setting | $270.87 | RVU17B |
| 2017-01-01 | Not available in this setting | $270.87 | RVU17A |
| 2016-10-01 | Not available in this setting | $271.44 | RVU16D |
| 2016-07-01 | Not available in this setting | $271.44 | RVU16C |
| 2016-04-01 | Not available in this setting | $271.44 | RVU16B |
| 2016-01-01 | Not available in this setting | $271.44 | RVU16A |
| 2015-10-01 | Not available in this setting | $272.60 | RVU15D |
| 2015-07-01 | Not available in this setting | $272.60 | RVU15C |
| 2015-04-01 | Not available in this setting | $271.24 | RVU15B |
| 2015-01-01 | Not available in this setting | $271.24 | RVU15A |
| 2014-10-01 | Not available in this setting | $268.08 | RVU14D |
| 2014-07-01 | Not available in this setting | $268.08 | RVU14C |
| 2014-04-01 | Not available in this setting | $268.08 | RVU14B |
| 2014-01-01 | Not available in this setting | $268.08 | RVU14A |
| 2013-10-01 | Not available in this setting | $260.44 | RVU13D |
| 2013-07-01 | Not available in this setting | $260.44 | RVU13C |
| 2013-04-01 | Not available in this setting | $260.44 | RVU13B |
| 2013-01-01 | Not available in this setting | $260.44 | 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
31541 billing questions
How does this differ from 31540?
Both report operative direct laryngoscopy with tumor excision. Report 31541 when the operative documentation supports use of an operating microscope or telescope; 31540 is the corresponding service without that scope.
Can this be reported for a biopsy without tumor removal?
No. For laryngeal tissue sampling without excision of the tumor, consider the laryngoscopy-with-biopsy code that matches whether an operating microscope or telescope was used.
Is the pathology examination included?
The surgical code reports the laryngoscopic excision, not the laboratory's examination of the removed tissue. The pathology service may be reported separately by the laboratory when performed.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. CMS does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
What happens when another related endoscopy is performed in the same session?
CMS endoscopy family pricing applies when related endoscopies are performed together; the services are not priced as unrelated procedures.
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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