CPT code 31545: Vocal cord excision, with operating microscope or telescope2026 Medicare rate & RVUs in Mississippi

Reports operative removal of vocal fold lesion(s) through direct laryngoscopy using an operating microscope or telescope, such as excision of a polyp or cyst.

CMS RVU26DEffective Oct 1, 2026One payment locality965 Medicare services in 2024

In Mississippi, Medicare pays $287.98 for 31545 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$287.98Hospital or facility

Check a contract rate as a % of Medicare · 31545 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 31545 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 31545 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 31545 covers

An otolaryngologist performs this operative laryngoscopy to remove lesion(s) from a vocal fold while viewing the larynx through an operating microscope or telescope. Typical cases include microlaryngeal excision of a vocal fold polyp or cyst in a patient with persistent hoarseness. The service is commonly performed in an operating room, often in a hospital or ambulatory surgery center, rather than as an office examination.

Report the code when the documented service includes operative excision of vocal cord lesion(s) with the specified magnified endoscopic visualization. The operative report should identify the lesion and vocal fold site, describe the excision, and document use of the microscope or telescope; a biopsy-only service or destruction rather than excision points to a different code. Medicare assigns 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. For a bilateral procedure, modifier 50 is paid at 150%. 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 Mississippi compares for 31545

Across 109 of 109 payment localities, the facility rate for 31545 runs from $281.10 in Arkansas to $399.24 in Alaska. Mississippi pays $287.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

31545 in Mississippi vs other payment areas
  1. Mississippi · this page$287.98
  2. Los Angeles, CA · California$316.82+$28.84
  3. Washington, DC area · District of Columbia$332.63+$44.65
  4. Miami, FL · Florida$354.47+$66.49
  5. Chicago, IL · Illinois$346.33+$58.35
  6. Manhattan, NY · New York$347.78+$59.80
  7. Alaska · Alaska$399.24+$111.26

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

Every other payment area

31545 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$283.76
ArkansasArkansas—$281.10
ArizonaArizona—$299.10
Bakersfield, CACalifornia—$304.53
Chico, CACalifornia—$301.92
El Centro, CACalifornia—$302.07
Fresno, CACalifornia—$301.92
Hanford, CACalifornia—$301.92

31545 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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31545 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 31545 in every payment locality

How the 31545 rate is calculated

Each of 31545’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 · 31545

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.14

6.14 RVUs× 1.000 GPCI

Practice expense2.11

2.11 RVUs× 1.000 GPCI

Malpractice0.90

0.90 RVUs× 1.000 GPCI

Adjusted RVUs

9.1500

Conversion factor

$33.4009

Medicare rate

$305.62

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,594

Code
31545
Physician work
6.14
Practice expense
2.11
Malpractice
0.90

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 31545 in Mississippi
ComponentRVULocality factorAdjusted
Physician work6.14× 1.0006.1400
Practice expense2.11× 0.8611.8167
Malpractice0.90× 0.7390.6651
Total RVUs8.6218
Conversion factor× 33.4009

Facility rate, Mississippi$287.98

Facility: (6.14 × 1 + 2.11 × 0.861 + 0.9 × 0.739) × $33.4009 = $287.98

Open 31545 in the RVU calculator

Payment rules and modifiers for 31545

The CMS indicators that decide how 31545 is paid alongside other services.

CMS payment indicators · 31545

Vocal cord excision, with operating microscope or telescope

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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 50 · payment effect

With and without the modifier

31545 without 50 · national facility

$305.62

Vocal cord excision, with operating microscope or telescope

31545-50 · Bilateral: 150%

$458.43

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 31545 has changed in Mississippi

31545 · 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$287.98RVU26D
2026-07-01Not available in this setting$287.98RVU26C
2026-04-01Not available in this setting$287.98RVU26B
2026-01-01Not available in this setting$287.98RVU26A
2025-10-01Not available in this setting$324.80RVU25D
2025-07-01Not available in this setting$324.80RVU25C
2025-04-01Not available in this setting$324.80RVU25B
2025-01-01Not available in this setting$324.80RVU25A
2024-10-01Not available in this setting$333.63RVU24D
2024-07-01Not available in this setting$333.63RVU24C
2024-04-01Not available in this setting$333.63RVU24B
2024-03-09Not available in this setting$333.63RVU24AR
2024-01-01Not available in this setting$328.18RVU24A
2023-10-01Not available in this setting$336.48RVU23D
2023-07-01Not available in this setting$336.48RVU23C
2023-04-01Not available in this setting$336.48RVU23B
2023-01-01Not available in this setting$336.48RVU23A
2022-10-01Not available in this setting$337.70RVU22D
2022-07-01Not available in this setting$337.70RVU22C
2022-04-01Not available in this setting$337.70RVU22B
2022-01-01Not available in this setting$337.70RVU22A
2021-10-01Not available in this setting$336.03RVU21D
2021-07-01Not available in this setting$336.03RVU21C
2021-04-01Not available in this setting$336.03RVU21B
2021-01-01Not available in this setting$336.03RVU21A
2020-10-01Not available in this setting$341.59RVU20D
2020-07-01Not available in this setting$341.59RVU20C
2020-04-01Not available in this setting$341.59RVU20B
2020-01-01Not available in this setting$341.59RVU20A
2019-10-01Not available in this setting$339.07RVU19D
2019-07-01Not available in this setting$339.07RVU19C
2019-04-01Not available in this setting$339.07RVU19B
2019-01-01Not available in this setting$339.07RVU19A
2018-10-01Not available in this setting$337.00RVU18D
2018-07-01Not available in this setting$337.00RVU18C
2018-04-01Not available in this setting$337.00RVU18B
2018-01-01Not available in this setting$337.00RVU18AR1
2017-10-01Not available in this setting$343.25RVU17D
2017-07-01Not available in this setting$343.25RVU17C
2017-04-01Not available in this setting$343.25RVU17B
2017-01-01Not available in this setting$343.25RVU17A
2016-10-01Not available in this setting$348.64RVU16D
2016-07-01Not available in this setting$348.64RVU16C
2016-04-01Not available in this setting$348.64RVU16B
2016-01-01Not available in this setting$348.64RVU16A
2015-10-01Not available in this setting$348.79RVU15D
2015-07-01Not available in this setting$348.79RVU15C
2015-04-01Not available in this setting$347.05RVU15B
2015-01-01Not available in this setting$347.05RVU15A
2014-10-01Not available in this setting$351.54RVU14D
2014-07-01Not available in this setting$351.54RVU14C
2014-04-01Not available in this setting$351.54RVU14B
2014-01-01Not available in this setting$351.54RVU14A
2013-10-01Not available in this setting$344.66RVU13D
2013-07-01Not available in this setting$344.66RVU13C
2013-04-01Not available in this setting$344.66RVU13B
2013-01-01Not available in this setting$344.66RVU13AR

Price 31545 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

31545 billing questions

When should this code be chosen instead of a laryngoscopy biopsy code?

Use this code when the surgeon excises a vocal fold lesion under an operating microscope or telescope. A service limited to obtaining tissue for diagnosis is a biopsy service.

How does this differ from laser destruction of a vocal fold lesion?

This code represents excision of lesion tissue under magnified operative visualization. A service that destroys a lesion with laser rather than excising it is represented by the laser-destruction code.

What should the operative note support?

Document the vocal fold site and lesion, the operative excision performed, and use of an operating microscope or telescope. State whether the procedure was unilateral or bilateral.

How is a bilateral procedure reported?

CMS pays a bilateral procedure reported with modifier 50 at 150%. The documentation should support treatment on both sides.

Can an assistant surgeon or co-surgeon be paid for this procedure?

CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What happens when another related endoscopy is performed at the same session?

CMS endoscopy-family pricing applies when related endoscopies are performed together. Report the services performed, with documentation distinguishing each 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 31545PPRRVU2026_Oct_nonQPP.csv, line 3,594 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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