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

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 Utah, Medicare pays $486.27 for 31572 in the office and $150.95 when it’s performed in a hospital or facility.

$486.27Office (non-facility)
$150.95Hospital or facility
−5.0%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 Utah
  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 Utah 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. Utah pays $486.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

31572 in Utah vs other payment areas
  1. Utah · this page$486.27
  2. Los Angeles, CA · California$583.99+$97.72
  3. Washington, DC area · District of Columbia$589.72+$103.45
  4. Miami, FL · Florida$550.04+$63.77
  5. Chicago, IL · Illinois$532.98+$46.71
  6. Manhattan, NY · New York$591.10+$104.83
  7. Alaska · Alaska$580.15+$93.88

Other areas in Utah 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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 31572 in Utah
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0002.9300
Practice expense11.96× 0.94011.2424
Malpractice0.43× 0.8980.3861
Total RVUs14.5585
Conversion factor× 33.4009

Office rate, Utah$486.27

Office: (2.93 × 1 + 11.96 × 0.94 + 0.43 × 0.898) × $33.4009 = $486.27

Facility: (2.93 × 1 + 1.28 × 0.94 + 0.43 × 0.898) × $33.4009 = $150.95

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, Utah
Same family
31575Laryngoscopy, flexible, diagnosticFlexible-scope diagnostic examination without laser treatment of a lesion.$121.28
31576Laryngeal biopsy, flexible endoscopic approachFlexible-scope biopsy when tissue sampling, rather than laser destruction, is performed.$255.75
31578Laryngoscopy, flexible scope, lesion removalFlexible-scope lesion removal by a non-laser approach.$290.27
31573Laryngoscopy, therapeutic injectionFlexible-scope therapeutic injection rather than laser ablation.$274.26
31574Vocal fold injection, flexible scope, unilateralFlexible-scope injection to augment vocal fold bulk, not destroy a lesion.$851.96
31579Laryngoscopy, with stroboscopyFlexible laryngoscopy with stroboscopic voice assessment rather than lesion treatment.$186.69

How 31572 has changed in Utah

31572 · Office / nonfacility

$486.27

Effective 2026-10-01

The base rate is $18.05 higher than on 2025-10-01, moving from $468.22 to $486.27 (3.9%).

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

    $468.22changed to$486.27

    • 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 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $494.58changed to$468.22

    • 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

    $486.51changed to$494.58

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $506.22changed to$486.51

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.48 changed to 12.27
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $515.22changed to$506.22

    • 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 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $515.29changed to$515.22

    • 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

    $500.92changed to$515.29

    • 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 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $493.02changed to$500.92

    • 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 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $478.80changed to$493.02

    • 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

    $481.57changed to$478.80

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.71 changed to 10.56
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$481.57

    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$486.27$150.95RVU26D
2026-07-01$486.27$150.95RVU26C
2026-04-01$486.27$150.95RVU26B
2026-01-01$486.27$150.95RVU26A
2025-10-01$468.22$170.35RVU25D
2025-07-01$468.22$170.35RVU25C
2025-04-01$468.22$170.35RVU25B
2025-01-01$468.22$170.35RVU25A
2024-10-01$494.58$174.07RVU24D
2024-07-01$494.58$174.07RVU24C
2024-04-01$494.58$174.07RVU24B
2024-03-09$494.58$174.07RVU24AR
2024-01-01$486.51$171.23RVU24A
2023-10-01$506.22$175.17RVU23D
2023-07-01$506.22$175.17RVU23C
2023-04-01$506.22$175.17RVU23B
2023-01-01$506.22$175.17RVU23A
2022-10-01$515.22$174.61RVU22D
2022-07-01$515.22$174.61RVU22C
2022-04-01$515.22$174.61RVU22B
2022-01-01$515.22$174.61RVU22A
2021-10-01$515.29$173.77RVU21D
2021-07-01$515.29$173.77RVU21C
2021-04-01$515.29$173.77RVU21B
2021-01-01$515.29$173.77RVU21A
2020-10-01$500.92$180.81RVU20D
2020-07-01$500.92$180.81RVU20C
2020-04-01$500.92$180.81RVU20B
2020-01-01$500.92$180.81RVU20A
2019-10-01$493.02$184.66RVU19D
2019-07-01$493.02$184.66RVU19C
2019-04-01$493.02$184.66RVU19B
2019-01-01$493.02$184.66RVU19A
2018-10-01$478.80$183.46RVU18D
2018-07-01$478.80$183.46RVU18C
2018-04-01$478.80$183.46RVU18B
2018-01-01$478.80$183.46RVU18AR1
2017-10-01$481.57$184.79RVU17D
2017-07-01$481.57$184.79RVU17C
2017-04-01$481.57$184.79RVU17B
2017-01-01$481.57$184.79RVU17A
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 Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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