CPT code 31572: Laser laryngoscopy, flexible scope, lesion destruction2026 Medicare rate & RVUs in Connecticut
Flexible laryngoscopic laser ablation treats visible laryngeal lesions, often recurrent vocal fold papillomas, when the clinician destroys tissue through an endoscope rather than excising it.
In Connecticut, Medicare pays $547.43 for 31572 in the office and $163.25 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 31572 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 31572 covers
An otolaryngologist advances a flexible endoscope to view the larynx and directs laser energy to ablate a lesion rather than remove it as an excisional specimen. A common setting is office-based treatment of recurrent respiratory papillomatosis affecting the vocal folds; selected laryngeal lesions may also be treated this way. The procedure differs from diagnostic flexible examination, tissue biopsy, injection, or non-laser lesion removal.
Report 31572 for the flexible endoscopic laser treatment, with the operative note identifying the lesion and site, the laser destruction performed, and any treated side. 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. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Connecticut compares for 31572
Across 109 of 109 payment localities, the office rate for 31572 runs from $448.41 in Arkansas to $692.37 in San Benito County, CA. Connecticut pays $547.43. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Connecticut · this page$547.43
- Los Angeles, CA · California$583.99+$36.56
- Washington, DC area · District of Columbia$589.72+$42.29
- Miami, FL · Florida$550.04+$2.61
- Chicago, IL · Illinois$532.98−$14.45
- Manhattan, NY · New York$591.10+$43.67
- Alaska · Alaska$580.15+$32.72
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $455.53 | $143.40 |
| ArkansasArkansas | $448.41 | $141.99 |
| ArizonaArizona | $497.25 | $151.59 |
| Bakersfield, CACalifornia | $546.30 | $155.33 |
| Chico, CACalifornia | $545.05 | $154.08 |
| El Centro, CACalifornia | $545.12 | $154.16 |
| Fresno, CACalifornia | $545.05 | $154.08 |
| Hanford, CACalifornia | $545.05 | $154.08 |
| Madera, CACalifornia | $545.05 | $154.08 |
| Merced, CACalifornia | $545.05 | $154.08 |
| Modesto, CACalifornia | $545.05 | $154.08 |
| Napa, CACalifornia | $637.83 | $167.67 |
| Oxnard, CACalifornia | $581.73 | $160.09 |
| Redding, CACalifornia | $545.05 | $154.08 |
| Rest of CaliforniaCalifornia | $545.05 | $154.08 |
| Riverside, CACalifornia | $549.70 | $158.73 |
| Sacramento, CACalifornia | $573.68 | $158.81 |
| Salinas, CACalifornia | $571.59 | $158.15 |
| San Diego, CACalifornia | $586.36 | $159.72 |
| Marin County, CACalifornia | $677.01 | $174.04 |
| San Francisco, CACalifornia | $676.53 | $173.55 |
| San Benito County, CACalifornia | $692.37 | $177.98 |
| Santa Clara County, CACalifornia | $690.37 | $175.98 |
| San Luis Obispo, CACalifornia | $562.23 | $155.92 |
| Santa Cruz, CACalifornia | $592.98 | $159.56 |
| Santa Maria, CACalifornia | $574.09 | $158.15 |
| Santa Rosa, CACalifornia | $599.05 | $161.00 |
| Stockton, CACalifornia | $545.05 | $154.08 |
| Vallejo, CACalifornia | $637.13 | $166.97 |
| Visalia, CACalifornia | $545.05 | $154.08 |
| Yuba City, CACalifornia | $545.05 | $154.08 |
| ColoradoColorado | $535.30 | $155.75 |
| DelawareDelaware | $505.95 | $153.51 |
| Fort Lauderdale, FLFlorida | $528.50 | $167.14 |
| Rest of FloridaFlorida | $501.35 | $160.32 |
| Atlanta, GAGeorgia | $521.27 | $158.84 |
| Rest of GeorgiaGeorgia | $471.32 | $153.12 |
| Hawaii, Guam, HIHawaii | $560.38 | $154.79 |
| IowaIowa | $469.09 | $142.69 |
| IdahoIdaho | $472.17 | $143.99 |
| East St. Louis, ILIllinois | $494.31 | $166.12 |
| Rest of IllinoisIllinois | $485.03 | $159.35 |
| Suburban Chicago, ILIllinois | $534.26 | $167.91 |
| IndianaIndiana | $475.16 | $144.48 |
| KansasKansas | $466.23 | $143.75 |
| KentuckyKentucky | $466.14 | $149.01 |
| New Orleans, LALouisiana | $490.09 | $154.41 |
| Rest of LouisianaLouisiana | $465.16 | $149.46 |
| Metropolitan Boston, MAMassachusetts | $591.63 | $165.71 |
| Rest of MassachusettsMassachusetts | $531.52 | $155.90 |
| Baltimore area, MDMaryland | $545.83 | $163.07 |
| Rest of MarylandMaryland | $516.30 | $155.29 |
| Rest of MaineMaine | $474.31 | $146.13 |
| Southern Maine, MEMaine | $502.81 | $149.30 |
| Detroit, MIMichigan | $507.57 | $163.34 |
| Rest of MichiganMichigan | $478.80 | $153.11 |
| MinnesotaMinnesota | $513.18 | $146.11 |
| Metropolitan Kansas City, MOMissouri | $487.00 | $152.04 |
| Metropolitan St. Louis, MOMissouri | $492.56 | $152.96 |
| Rest of MissouriMissouri | $456.20 | $148.71 |
| MississippiMississippi | $452.43 | $145.29 |
| MontanaMontana | $511.67 | $154.95 |
| North CarolinaNorth Carolina | $479.75 | $146.93 |
| North DakotaNorth Dakota | $503.17 | $146.45 |
| NebraskaNebraska | $472.01 | $142.75 |
| New HampshireNew Hampshire | $526.28 | $154.94 |
| Northern New JerseyNew Jersey | $582.76 | $168.96 |
| Rest of New JerseyNew Jersey | $553.76 | $164.22 |
| New MexicoNew Mexico | $481.43 | $154.32 |
| NevadaNevada | $509.70 | $152.62 |
| NYC suburbs and Long Island, NYNew York | $605.77 | $181.63 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $557.07 | $166.46 |
| Queens, NYNew York | $597.02 | $175.37 |
| Rest of New YorkNew York | $487.46 | $148.58 |
| OhioOhio | $477.06 | $151.38 |
| OklahomaOklahoma | $465.76 | $147.20 |
| Portland, OROregon | $553.93 | $157.61 |
| Rest of OregonOregon | $505.84 | $150.54 |
| Metropolitan Philadelphia, PAPennsylvania | $532.61 | $161.27 |
| Rest of PennsylvaniaPennsylvania | $478.15 | $150.68 |
| Puerto RicoPuerto Rico | $515.88 | $155.24 |
| Rhode IslandRhode Island | $525.19 | $156.70 |
| South CarolinaSouth Carolina | $479.19 | $149.58 |
| South DakotaSouth Dakota | $502.17 | $145.44 |
| TennesseeTennessee | $468.70 | $144.44 |
| Austin, TXTexas | $533.43 | $156.02 |
| Beaumont, TXTexas | $474.73 | $150.11 |
| Brazoria, TXTexas | $505.73 | $152.22 |
| Dallas, TXTexas | $508.95 | $153.65 |
| Fort Worth, TXTexas | $505.14 | $153.41 |
| Galveston, TXTexas | $507.22 | $152.99 |
| Houston, TXTexas | $515.09 | $160.86 |
| Rest of TexasTexas | $489.94 | $151.41 |
| UtahUtah | $486.27 | $150.95 |
| VirginiaVirginia | $500.69 | $150.03 |
| Virgin Islands, VIUnited States Virgin Islands | $515.88 | $155.24 |
| VermontVermont | $500.61 | $147.46 |
| Rest of WashingtonWashington | $530.71 | $155.09 |
| King County, WAWashington | $604.65 | $166.95 |
| WisconsinWisconsin | $484.99 | $143.25 |
| West VirginiaWest Virginia | $465.56 | $155.57 |
| WyomingWyoming | $507.97 | $151.25 |
31572 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.
$448.41
$618.71
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $580.15 | 1 |
| AL | $455.53 | 1 |
| AR | $448.41 | 1 |
| AZ | $497.25 | 1 |
| CA | $545.05–$692.37 | 29 |
| CO | $535.30 | 1 |
| CT | $547.43 | 1 |
| DC | $589.72 | 1 |
| DE | $505.95 | 1 |
| FL | $501.35–$550.04 | 3 |
| GA | $471.32–$521.27 | 2 |
| GU | $560.38 | 1 |
| HI | $560.38 | 1 |
| IA | $469.09 | 1 |
| ID | $472.17 | 1 |
| IL | $485.03–$534.26 | 4 |
| IN | $475.16 | 1 |
| KS | $466.23 | 1 |
| KY | $466.14 | 1 |
| LA | $465.16–$490.09 | 2 |
| MA | $531.52–$591.63 | 2 |
| MD | $516.30–$589.72 | 3 |
| ME | $474.31–$502.81 | 2 |
| MI | $478.80–$507.57 | 2 |
| MN | $513.18 | 1 |
| MO | $456.20–$492.56 | 3 |
| MS | $452.43 | 1 |
| MT | $511.67 | 1 |
| NC | $479.75 | 1 |
| ND | $503.17 | 1 |
| NE | $472.01 | 1 |
| NH | $526.28 | 1 |
| NJ | $553.76–$582.76 | 2 |
| NM | $481.43 | 1 |
| NV | $509.70 | 1 |
| NY | $487.46–$605.77 | 5 |
| OH | $477.06 | 1 |
| OK | $465.76 | 1 |
| OR | $505.84–$553.93 | 2 |
| PA | $478.15–$532.61 | 2 |
| PR | $515.88 | 1 |
| RI | $525.19 | 1 |
| SC | $479.19 | 1 |
| SD | $502.17 | 1 |
| TN | $468.70 | 1 |
| TX | $474.73–$533.43 | 8 |
| UT | $486.27 | 1 |
| VA | $500.69–$589.72 | 2 |
| VI | $515.88 | 1 |
| VT | $500.61 | 1 |
| WA | $530.71–$604.65 | 2 |
| WI | $484.99 | 1 |
| WV | $465.56 | 1 |
| WY | $507.97 | 1 |
How the 31572 rate is calculated
Each of 31572’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 · 31572
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense11.96
11.96 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
15.3200
Conversion factor
$33.4009
Medicare rate
$511.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Connecticut inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,605
- Code
- 31572
- Physician work
- 2.93
- Practice expense
- 11.96
- Malpractice
- 0.43
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.020 | 2.9886 |
| Practice expense | 11.96 | × 1.077 | 12.8809 |
| Malpractice | 0.43 | × 1.210 | 0.5203 |
| Total RVUs | 16.3898 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Connecticut$547.43
Office: (2.93 × 1.02 + 11.96 × 1.077 + 0.43 × 1.21) × $33.4009 = $547.43
Facility: (2.93 × 1.02 + 1.28 × 1.077 + 0.43 × 1.21) × $33.4009 = $163.25
Payment rules and modifiers for 31572
The CMS indicators that decide how 31572 is paid alongside other services.
CMS payment indicators · 31572
Laser laryngoscopy, flexible scope, lesion destruction
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| 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 50 · payment effect
With and without the modifier
31572 without 50 · national office
$511.70
Laser laryngoscopy, flexible scope, lesion destruction
31572-50 · Bilateral: 150%
$767.55
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).
How 31572 has changed in Connecticut
31572 · Office / nonfacility
$547.43
Effective 2026-10-01
The base rate is $12.56 higher than on 2025-10-01, moving from $534.87 to $547.43 (2.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$534.87changed to$547.43
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.01 changed to 2.93
- Practice expense RVU 11.85 changed to 11.96
- Malpractice RVU 0.44 changed to 0.43
- Work GPCI 1.022 changed to 1.020
- Practice expense GPCI 1.091 changed to 1.077
- Malpractice GPCI 1.207 changed to 1.210
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$565.28changed to$534.87
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 12.27 changed to 11.85
- Malpractice RVU 0.43 changed to 0.44
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$556.06changed to$565.28
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$586.70changed to$556.06
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 12.48 changed to 12.27
- Work GPCI 1.030 changed to 1.022
- Practice expense GPCI 1.102 changed to 1.091
- Malpractice GPCI 1.070 changed to 1.207
January 1, 2023
RVU23A
$605.80changed to$586.70
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 12.56 changed to 12.48
- Malpractice RVU 0.42 changed to 0.43
- Work GPCI 1.037 changed to 1.030
- Practice expense GPCI 1.114 changed to 1.102
- Malpractice GPCI 0.934 changed to 1.070
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$605.70changed to$605.80
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 12.42 changed to 12.56
- Malpractice RVU 0.43 changed to 0.42
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$583.46changed to$605.70
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 11.33 changed to 12.42
- Malpractice RVU 0.42 changed to 0.43
- Work GPCI 1.029 changed to 1.037
- Practice expense GPCI 1.113 changed to 1.114
- Malpractice GPCI 1.094 changed to 0.934
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$569.83changed to$583.46
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 10.97 changed to 11.33
- Malpractice RVU 0.43 changed to 0.42
- Work GPCI 1.021 changed to 1.029
- Practice expense GPCI 1.112 changed to 1.113
- Malpractice GPCI 1.255 changed to 1.094
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$552.79changed to$569.83
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 10.56 changed to 10.97
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$559.05changed to$552.79
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 10.71 changed to 10.56
- Work GPCI 1.023 changed to 1.021
- Practice expense GPCI 1.117 changed to 1.112
- Malpractice GPCI 1.244 changed to 1.255
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$559.05
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $547.43 | $163.25 | RVU26D |
| 2026-07-01 | $547.43 | $163.25 | RVU26C |
| 2026-04-01 | $547.43 | $163.25 | RVU26B |
| 2026-01-01 | $547.43 | $163.25 | RVU26A |
| 2025-10-01 | $534.87 | $186.56 | RVU25D |
| 2025-07-01 | $534.87 | $186.56 | RVU25C |
| 2025-04-01 | $534.87 | $186.56 | RVU25B |
| 2025-01-01 | $534.87 | $186.56 | RVU25A |
| 2024-10-01 | $565.28 | $190.49 | RVU24D |
| 2024-07-01 | $565.28 | $190.49 | RVU24C |
| 2024-04-01 | $565.28 | $190.49 | RVU24B |
| 2024-03-09 | $565.28 | $190.49 | RVU24AR |
| 2024-01-01 | $556.06 | $187.38 | RVU24A |
| 2023-10-01 | $586.70 | $192.73 | RVU23D |
| 2023-07-01 | $586.70 | $192.73 | RVU23C |
| 2023-04-01 | $586.70 | $192.73 | RVU23B |
| 2023-01-01 | $586.70 | $192.73 | RVU23A |
| 2022-10-01 | $605.80 | $192.91 | RVU22D |
| 2022-07-01 | $605.80 | $192.91 | RVU22C |
| 2022-04-01 | $605.80 | $192.91 | RVU22B |
| 2022-01-01 | $605.80 | $192.91 | RVU22A |
| 2021-10-01 | $605.70 | $191.73 | RVU21D |
| 2021-07-01 | $605.70 | $191.73 | RVU21C |
| 2021-04-01 | $605.70 | $191.73 | RVU21B |
| 2021-01-01 | $605.70 | $191.73 | RVU21A |
| 2020-10-01 | $583.46 | $197.45 | RVU20D |
| 2020-07-01 | $583.46 | $197.45 | RVU20C |
| 2020-04-01 | $583.46 | $197.45 | RVU20B |
| 2020-01-01 | $583.46 | $197.45 | RVU20A |
| 2019-10-01 | $569.83 | $199.94 | RVU19D |
| 2019-07-01 | $569.83 | $199.94 | RVU19C |
| 2019-04-01 | $569.83 | $199.94 | RVU19B |
| 2019-01-01 | $569.83 | $199.94 | RVU19A |
| 2018-10-01 | $552.79 | $198.52 | RVU18D |
| 2018-07-01 | $552.79 | $198.52 | RVU18C |
| 2018-04-01 | $552.79 | $198.52 | RVU18B |
| 2018-01-01 | $552.79 | $198.52 | RVU18AR1 |
| 2017-10-01 | $559.05 | $200.66 | RVU17D |
| 2017-07-01 | $559.05 | $200.66 | RVU17C |
| 2017-04-01 | $559.05 | $200.66 | RVU17B |
| 2017-01-01 | $559.05 | $200.66 | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Connecticut rate applies
Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.
- Ansonia
- Ball Pond
- Baltic
- Bantam
- Bethel
- Bethlehem Village
- Bigelow Corners
- Blue Hills
31572 billing questions
How is 31572 different from flexible laryngoscopy with lesion removal?
Use 31572 when laser energy destroys the lesion through a flexible scope. Code 31578 describes flexible-scope lesion removal by a non-laser approach.
Can a diagnostic flexible laryngoscopy be reported with 31572?
The flexible visualization used to locate and treat the lesion is part of the laser service. If related endoscopies are performed together, CMS endoscopy-family pricing applies.
How should bilateral laser treatment be reported?
Report modifier 50 for bilateral treatment; CMS pays the bilateral procedure at 150%.
What documentation supports 31572?
Document the lesion and laryngeal site, flexible endoscopic approach, laser destruction performed, and laterality when applicable.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
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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