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CPT code 31572: Laser laryngoscopy, flexible scope, lesion destruction2026 Medicare rate & RVUs in New Mexico

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.

CMS RVU26DEffective Oct 1, 2026One payment locality1.2K Medicare services in 2024

In New Mexico, Medicare pays $481.43 for 31572 in the office and $154.32 when it’s performed in a hospital or facility.

$481.43Office (non-facility)
$154.32Hospital or facility
−5.9%vs the national office rate ($511.70)

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.

We’ll open 31572 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 31572 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 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 New Mexico 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. New Mexico pays $481.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

31572 in New Mexico vs other payment areas
  1. New Mexico · this page$481.43
  2. Los Angeles, CA · California$583.99+$102.56
  3. Washington, DC area · District of Columbia$589.72+$108.29
  4. Miami, FL · Florida$550.04+$68.61
  5. Chicago, IL · Illinois$532.98+$51.55
  6. Manhattan, NY · New York$591.10+$109.67
  7. Alaska · Alaska$580.15+$98.72

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

Every other payment area

31572 in every other Medicare payment locality
Payment localityOfficeFacility
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

31572 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
31572 office rate range by state
State / territoryOffice rate rangeLocalities
AK$580.151
AL$455.531
AR$448.411
AZ$497.251
CA$545.05–$692.3729
CO$535.301
CT$547.431
DC$589.721
DE$505.951
FL$501.35–$550.043
GA$471.32–$521.272
GU$560.381
HI$560.381
IA$469.091
ID$472.171
IL$485.03–$534.264
IN$475.161
KS$466.231
KY$466.141
LA$465.16–$490.092
MA$531.52–$591.632
MD$516.30–$589.723
ME$474.31–$502.812
MI$478.80–$507.572
MN$513.181
MO$456.20–$492.563
MS$452.431
MT$511.671
NC$479.751
ND$503.171
NE$472.011
NH$526.281
NJ$553.76–$582.762
NM$481.431
NV$509.701
NY$487.46–$605.775
OH$477.061
OK$465.761
OR$505.84–$553.932
PA$478.15–$532.612
PR$515.881
RI$525.191
SC$479.191
SD$502.171
TN$468.701
TX$474.73–$533.438
UT$486.271
VA$500.69–$589.722
VI$515.881
VT$500.611
WA$530.71–$604.652
WI$484.991
WV$465.561
WY$507.971

See 31572 in every payment locality

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

Office or facility?

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 New Mexico 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

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 31572 in New Mexico
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0002.9300
Practice expense11.96× 0.91710.9673
Malpractice0.43× 1.2010.5164
Total RVUs14.4138
Conversion factor× 33.4009

Office rate, New Mexico$481.43

Office: (2.93 × 1 + 11.96 × 0.917 + 0.43 × 1.201) × $33.4009 = $481.43

Facility: (2.93 × 1 + 1.28 × 0.917 + 0.43 × 1.201) × $33.4009 = $154.32

Open 31572 in the RVU calculator

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

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)0Not paid without supporting documentation.
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

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).

When to use modifier 50

Codes related to 31572

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

Codes related to 31572
CodeHow it relatesOffice range, New Mexico
Same family
31575Laryngoscopy, flexible, diagnosticFlexible-scope diagnostic examination without laser treatment of a lesion.$120.48
31576Laryngeal biopsy, flexible endoscopic approachFlexible-scope biopsy when tissue sampling, rather than laser destruction, is performed.$253.82
31578Laryngoscopy, flexible scope, lesion removalFlexible-scope lesion removal by a non-laser approach.$289.01
31573Laryngoscopy, therapeutic injectionFlexible-scope therapeutic injection rather than laser ablation.$273.39
31574Vocal fold injection, flexible scope, unilateralFlexible-scope injection to augment vocal fold bulk, not destroy a lesion.$836.96
31579Laryngoscopy, with stroboscopyFlexible laryngoscopy with stroboscopic voice assessment rather than lesion treatment.$186.22

How 31572 has changed in New Mexico

31572 · Office / nonfacility

$481.43

Effective 2026-10-01

The base rate is $19.34 higher than on 2025-10-01, moving from $462.09 to $481.43 (4.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $462.09changed to$481.43

    • 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
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $487.83changed to$462.09

    • 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.

  3. March 9, 2024

    RVU24AR

    $479.87changed to$487.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $500.50changed to$479.87

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.48 changed to 12.27
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $510.56changed to$500.50

    • 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
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $510.82changed to$510.56

    • 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.

  7. January 1, 2021

    RVU21A

    $498.20changed to$510.82

    • 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
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $491.92changed to$498.20

    • 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
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $477.79changed to$491.92

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.56 changed to 10.97

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $480.22changed to$477.79

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.71 changed to 10.56
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$480.22

    Held through RVU17B, RVU17C, RVU17D.

  12. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$481.43$154.32RVU26D
2026-07-01$481.43$154.32RVU26C
2026-04-01$481.43$154.32RVU26B
2026-01-01$481.43$154.32RVU26A
2025-10-01$462.09$172.20RVU25D
2025-07-01$462.09$172.20RVU25C
2025-04-01$462.09$172.20RVU25B
2025-01-01$462.09$172.20RVU25A
2024-10-01$487.83$175.91RVU24D
2024-07-01$487.83$175.91RVU24C
2024-04-01$487.83$175.91RVU24B
2024-03-09$487.83$175.91RVU24AR
2024-01-01$479.87$173.04RVU24A
2023-10-01$500.50$178.03RVU23D
2023-07-01$500.50$178.03RVU23C
2023-04-01$500.50$178.03RVU23B
2023-01-01$500.50$178.03RVU23A
2022-10-01$510.56$178.48RVU22D
2022-07-01$510.56$178.48RVU22C
2022-04-01$510.56$178.48RVU22B
2022-01-01$510.56$178.48RVU22A
2021-10-01$510.82$177.86RVU21D
2021-07-01$510.82$177.86RVU21C
2021-04-01$510.82$177.86RVU21B
2021-01-01$510.82$177.86RVU21A
2020-10-01$498.20$183.29RVU20D
2020-07-01$498.20$183.29RVU20C
2020-04-01$498.20$183.29RVU20B
2020-01-01$498.20$183.29RVU20A
2019-10-01$491.92$185.56RVU19D
2019-07-01$491.92$185.56RVU19C
2019-04-01$491.92$185.56RVU19B
2019-01-01$491.92$185.56RVU19A
2018-10-01$477.79$184.36RVU18D
2018-07-01$477.79$184.36RVU18C
2018-04-01$477.79$184.36RVU18B
2018-01-01$477.79$184.36RVU18AR1
2017-10-01$480.22$185.05RVU17D
2017-07-01$480.22$185.05RVU17C
2017-04-01$480.22$185.05RVU17B
2017-01-01$480.22$185.05RVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 31572 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

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
RVUs for 31572PPRRVU2026_Oct_nonQPP.csv, line 3,605 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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