CPT code 31577: Laryngoscopy, foreign body removal2026 Medicare rate & RVUs in South Dakota
Direct operative laryngoscopy removes a foreign object lodged in the larynx when visualization and instrument retrieval are needed beyond an office examination.
In South Dakota, Medicare pays $271.36 for 31577 in the office and $111.37 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 31577 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 31577 covers
An otolaryngologist typically performs this operative procedure by passing a laryngoscope through the mouth to visualize the larynx and retrieve a lodged object with instruments. It is commonly performed in an operating room or ambulatory surgery setting, often under anesthesia. The target is a foreign body in the larynx, rather than a lesion being excised or a specimen being taken for biopsy.
Report the procedure when the operative note identifies the laryngeal foreign body and documents its removal. The code has a 0-day global period, so same-day preoperative and postoperative care is included. CMS applies endoscopy-family pricing when related endoscopies are performed together. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted under the CMS rules for this code.
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 South Dakota compares for 31577
Across 109 of 109 payment localities, the office rate for 31577 runs from $245.74 in Arkansas to $368.15 in San Benito County, CA. South Dakota pays $271.36. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$271.36
- Los Angeles, CA · California$313.89+$42.53
- Washington, DC area · District of Columbia$318.94+$47.58
- Miami, FL · Florida$304.30+$32.94
- Chicago, IL · Illinois$295.08+$23.72
- Manhattan, NY · New York$321.89+$50.53
- Alaska · Alaska$322.28+$50.92
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $249.46 | $109.47 |
| ArkansasArkansas | $245.74 | $108.31 |
| ArizonaArizona | $271.18 | $116.15 |
| Bakersfield, CACalifornia | $294.64 | $119.29 |
| Chico, CACalifornia | $293.67 | $118.32 |
| El Centro, CACalifornia | $293.72 | $118.37 |
| Fresno, CACalifornia | $293.67 | $118.32 |
| Hanford, CACalifornia | $293.67 | $118.32 |
| Madera, CACalifornia | $293.67 | $118.32 |
| Merced, CACalifornia | $293.67 | $118.32 |
| Modesto, CACalifornia | $293.67 | $118.32 |
| Napa, CACalifornia | $340.16 | $129.29 |
| Oxnard, CACalifornia | $312.30 | $123.19 |
| Redding, CACalifornia | $293.67 | $118.32 |
| Rest of CaliforniaCalifornia | $293.67 | $118.32 |
| Riverside, CACalifornia | $297.34 | $121.99 |
| Sacramento, CACalifornia | $308.16 | $122.09 |
| Salinas, CACalifornia | $307.02 | $121.59 |
| San Diego, CACalifornia | $314.27 | $122.92 |
| Marin County, CACalifornia | $359.93 | $134.34 |
| San Francisco, CACalifornia | $359.54 | $133.96 |
| San Benito County, CACalifornia | $368.15 | $137.44 |
| Santa Clara County, CACalifornia | $366.57 | $135.87 |
| San Luis Obispo, CACalifornia | $302.10 | $119.87 |
| Santa Cruz, CACalifornia | $317.28 | $122.89 |
| Santa Maria, CACalifornia | $308.18 | $121.63 |
| Santa Rosa, CACalifornia | $320.47 | $124.01 |
| Stockton, CACalifornia | $293.67 | $118.32 |
| Vallejo, CACalifornia | $339.60 | $128.74 |
| Visalia, CACalifornia | $293.67 | $118.32 |
| Yuba City, CACalifornia | $293.67 | $118.32 |
| ColoradoColorado | $289.82 | $119.59 |
| ConnecticutConnecticut | $297.81 | $125.50 |
| DelawareDelaware | $275.76 | $117.68 |
| Fort Lauderdale, FLFlorida | $290.62 | $128.55 |
| Rest of FloridaFlorida | $275.98 | $123.03 |
| Atlanta, GAGeorgia | $284.53 | $121.98 |
| Rest of GeorgiaGeorgia | $259.90 | $117.19 |
| Hawaii, Guam, HIHawaii | $300.98 | $119.07 |
| IowaIowa | $255.38 | $108.99 |
| IdahoIdaho | $257.23 | $110.04 |
| East St. Louis, ILIllinois | $274.73 | $127.54 |
| Rest of IllinoisIllinois | $268.23 | $122.16 |
| Suburban Chicago, ILIllinois | $293.46 | $129.15 |
| IndianaIndiana | $258.75 | $110.44 |
| KansasKansas | $254.44 | $109.81 |
| KentuckyKentucky | $256.17 | $113.94 |
| New Orleans, LALouisiana | $268.87 | $118.32 |
| Rest of LouisianaLouisiana | $255.87 | $114.28 |
| Metropolitan Boston, MAMassachusetts | $318.62 | $127.59 |
| Rest of MassachusettsMassachusetts | $288.13 | $119.66 |
| Baltimore area, MDMaryland | $297.05 | $125.38 |
| Rest of MarylandMaryland | $281.03 | $119.12 |
| Rest of MaineMaine | $258.92 | $111.73 |
| Southern Maine, MEMaine | $272.94 | $114.39 |
| Detroit, MIMichigan | $279.83 | $125.44 |
| Rest of MichiganMichigan | $263.30 | $117.23 |
| MinnesotaMinnesota | $276.59 | $111.96 |
| Metropolitan Kansas City, MOMissouri | $266.68 | $116.45 |
| Metropolitan St. Louis, MOMissouri | $269.51 | $117.20 |
| Rest of MissouriMissouri | $251.55 | $113.63 |
| MississippiMississippi | $248.68 | $110.93 |
| MontanaMontana | $278.87 | $118.88 |
| North CarolinaNorth Carolina | $261.66 | $112.39 |
| North DakotaNorth Dakota | $272.15 | $112.16 |
| NebraskaNebraska | $256.74 | $109.07 |
| New HampshireNew Hampshire | $285.52 | $118.97 |
| Northern New JerseyNew Jersey | $315.54 | $129.95 |
| Rest of New JerseyNew Jersey | $300.90 | $126.19 |
| New MexicoNew Mexico | $264.91 | $118.20 |
| NevadaNevada | $277.20 | $117.05 |
| NYC suburbs and Long Island, NYNew York | $330.26 | $140.03 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $303.12 | $127.94 |
| Queens, NYNew York | $324.18 | $135.07 |
| Rest of New YorkNew York | $265.72 | $113.73 |
| OhioOhio | $261.93 | $115.86 |
| OklahomaOklahoma | $255.39 | $112.51 |
| Portland, OROregon | $298.90 | $121.15 |
| Rest of OregonOregon | $274.74 | $115.39 |
| Metropolitan Philadelphia, PAPennsylvania | $290.41 | $123.86 |
| Rest of PennsylvaniaPennsylvania | $262.20 | $115.32 |
| Puerto RicoPuerto Rico | $280.88 | $119.13 |
| Rhode IslandRhode Island | $285.50 | $120.23 |
| South CarolinaSouth Carolina | $262.29 | $114.46 |
| TennesseeTennessee | $255.80 | $110.37 |
| Austin, TXTexas | $289.12 | $119.85 |
| Beaumont, TXTexas | $260.45 | $114.85 |
| Brazoria, TXTexas | $275.21 | $116.66 |
| Dallas, TXTexas | $277.14 | $117.79 |
| Fort Worth, TXTexas | $275.33 | $117.58 |
| Galveston, TXTexas | $276.14 | $117.27 |
| Houston, TXTexas | $282.37 | $123.50 |
| Rest of TexasTexas | $267.80 | $115.97 |
| UtahUtah | $265.98 | $115.58 |
| VirginiaVirginia | $272.23 | $114.96 |
| Virgin Islands, VIUnited States Virgin Islands | $280.88 | $119.13 |
| VermontVermont | $271.33 | $112.94 |
| Rest of WashingtonWashington | $287.50 | $119.03 |
| King County, WAWashington | $324.90 | $128.59 |
| WisconsinWisconsin | $262.80 | $109.53 |
| West VirginiaWest Virginia | $258.11 | $119.08 |
| WyomingWyoming | $275.94 | $115.95 |
31577 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.
$245.74
$330.91
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 | $322.28 | 1 |
| AL | $249.46 | 1 |
| AR | $245.74 | 1 |
| AZ | $271.18 | 1 |
| CA | $293.67–$368.15 | 29 |
| CO | $289.82 | 1 |
| CT | $297.81 | 1 |
| DC | $318.94 | 1 |
| DE | $275.76 | 1 |
| FL | $275.98–$304.30 | 3 |
| GA | $259.90–$284.53 | 2 |
| GU | $300.98 | 1 |
| HI | $300.98 | 1 |
| IA | $255.38 | 1 |
| ID | $257.23 | 1 |
| IL | $268.23–$295.08 | 4 |
| IN | $258.75 | 1 |
| KS | $254.44 | 1 |
| KY | $256.17 | 1 |
| LA | $255.87–$268.87 | 2 |
| MA | $288.13–$318.62 | 2 |
| MD | $281.03–$318.94 | 3 |
| ME | $258.92–$272.94 | 2 |
| MI | $263.30–$279.83 | 2 |
| MN | $276.59 | 1 |
| MO | $251.55–$269.51 | 3 |
| MS | $248.68 | 1 |
| MT | $278.87 | 1 |
| NC | $261.66 | 1 |
| ND | $272.15 | 1 |
| NE | $256.74 | 1 |
| NH | $285.52 | 1 |
| NJ | $300.90–$315.54 | 2 |
| NM | $264.91 | 1 |
| NV | $277.20 | 1 |
| NY | $265.72–$330.26 | 5 |
| OH | $261.93 | 1 |
| OK | $255.39 | 1 |
| OR | $274.74–$298.90 | 2 |
| PA | $262.20–$290.41 | 2 |
| PR | $280.88 | 1 |
| RI | $285.50 | 1 |
| SC | $262.29 | 1 |
| SD | $271.36 | 1 |
| TN | $255.80 | 1 |
| TX | $260.45–$289.12 | 8 |
| UT | $265.98 | 1 |
| VA | $272.23–$318.94 | 2 |
| VI | $280.88 | 1 |
| VT | $271.33 | 1 |
| WA | $287.50–$324.90 | 2 |
| WI | $262.80 | 1 |
| WV | $258.11 | 1 |
| WY | $275.94 | 1 |
How the 31577 rate is calculated
Each of 31577’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 · 31577
RVUs × geographic indexes × conversion factor
Work2.14
2.14 RVUs× 1.000 GPCI
Practice expense5.87
5.87 RVUs× 1.000 GPCI
Malpractice0.34
0.34 RVUs× 1.000 GPCI
Adjusted RVUs
8.3500
Conversion factor
$33.4009
Medicare rate
$278.90
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,610
- Code
- 31577
- Physician work
- 2.14
- Practice expense
- 5.87
- Malpractice
- 0.34
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.14 | × 1.000 | 2.1400 |
| Practice expense | 5.87 | × 1.000 | 5.8700 |
| Malpractice | 0.34 | × 0.336 | 0.1142 |
| Total RVUs | 8.1242 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$271.36
Office: (2.14 × 1 + 5.87 × 1 + 0.34 × 0.336) × $33.4009 = $271.36
Facility: (2.14 × 1 + 1.08 × 1 + 0.34 × 0.336) × $33.4009 = $111.37
Payment rules and modifiers for 31577
The CMS indicators that decide how 31577 is paid alongside other services.
CMS payment indicators · 31577
Laryngoscopy, foreign body removal
| 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) | 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 51 · payment effect
With and without the modifier
31577 without 51 · national office
$278.90
Laryngoscopy, foreign body removal
31577-51 · Second procedure: 50%
$139.45
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 31577 has changed in South Dakota
31577 · Office / nonfacility
$271.36
Effective 2026-10-01
The base rate is $16.60 higher than on 2025-10-01, moving from $254.76 to $271.36 (6.5%).
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
$254.76changed to$271.36
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.19 changed to 2.14
- Practice expense RVU 5.56 changed to 5.87
- Malpractice RVU 0.33 changed to 0.34
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$267.17changed to$254.76
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.71 changed to 5.56
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$262.81changed to$267.17
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$275.63changed to$262.81
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.82 changed to 5.71
- Malpractice RVU 0.34 changed to 0.33
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$278.15changed to$275.63
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.74 changed to 5.82
- Malpractice RVU 0.31 changed to 0.34
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$281.62changed to$278.15
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.77 changed to 5.74
- Malpractice RVU 0.32 changed to 0.31
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$278.89changed to$281.62
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.42 changed to 5.77
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$277.30changed to$278.89
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.38 changed to 5.42
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$273.26changed to$277.30
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.28 changed to 5.38
- Malpractice RVU 0.31 changed to 0.32
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$273.20changed to$273.26
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.30 changed to 5.28
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$240.96changed to$273.20
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 2.47 changed to 2.19
- Practice expense RVU 4.12 changed to 5.30
- Malpractice RVU 0.35 changed to 0.31
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$240.90changed to$240.96
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 4.09 changed to 4.12
- Malpractice RVU 0.36 changed to 0.35
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$239.70changed to$240.90
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$241.20changed to$239.70
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 4.13 changed to 4.09
- Malpractice RVU 0.32 changed to 0.36
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$246.75changed to$241.20
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 4.64 changed to 4.13
- Malpractice RVU 0.33 changed to 0.32
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $246.75
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $271.36 | $111.37 | RVU26D |
| 2026-07-01 | $271.36 | $111.37 | RVU26C |
| 2026-04-01 | $271.36 | $111.37 | RVU26B |
| 2026-01-01 | $271.36 | $111.37 | RVU26A |
| 2025-10-01 | $254.76 | $123.44 | RVU25D |
| 2025-07-01 | $254.76 | $123.44 | RVU25C |
| 2025-04-01 | $254.76 | $123.44 | RVU25B |
| 2025-01-01 | $254.76 | $123.44 | RVU25A |
| 2024-10-01 | $267.17 | $126.03 | RVU24D |
| 2024-07-01 | $267.17 | $126.03 | RVU24C |
| 2024-04-01 | $267.17 | $126.03 | RVU24B |
| 2024-03-09 | $267.17 | $126.03 | RVU24AR |
| 2024-01-01 | $262.81 | $123.97 | RVU24A |
| 2023-10-01 | $275.63 | $127.88 | RVU23D |
| 2023-07-01 | $275.63 | $127.88 | RVU23C |
| 2023-04-01 | $275.63 | $127.88 | RVU23B |
| 2023-01-01 | $275.63 | $127.88 | RVU23A |
| 2022-10-01 | $278.15 | $130.38 | RVU22D |
| 2022-07-01 | $278.15 | $130.38 | RVU22C |
| 2022-04-01 | $278.15 | $130.38 | RVU22B |
| 2022-01-01 | $278.15 | $130.38 | RVU22A |
| 2021-10-01 | $281.62 | $127.40 | RVU21D |
| 2021-07-01 | $281.62 | $127.40 | RVU21C |
| 2021-04-01 | $281.62 | $127.40 | RVU21B |
| 2021-01-01 | $281.62 | $127.40 | RVU21A |
| 2020-10-01 | $278.89 | $130.56 | RVU20D |
| 2020-07-01 | $278.89 | $130.56 | RVU20C |
| 2020-04-01 | $278.89 | $130.56 | RVU20B |
| 2020-01-01 | $278.89 | $130.56 | RVU20A |
| 2019-10-01 | $277.30 | $131.34 | RVU19D |
| 2019-07-01 | $277.30 | $131.34 | RVU19C |
| 2019-04-01 | $277.30 | $131.34 | RVU19B |
| 2019-01-01 | $277.30 | $131.34 | RVU19A |
| 2018-10-01 | $273.26 | $130.70 | RVU18D |
| 2018-07-01 | $273.26 | $130.70 | RVU18C |
| 2018-04-01 | $273.26 | $130.70 | RVU18B |
| 2018-01-01 | $273.26 | $130.70 | RVU18AR1 |
| 2017-10-01 | $273.20 | $132.16 | RVU17D |
| 2017-07-01 | $273.20 | $132.16 | RVU17C |
| 2017-04-01 | $273.20 | $132.16 | RVU17B |
| 2017-01-01 | $273.20 | $132.16 | RVU17A |
| 2016-10-01 | $240.96 | $147.87 | RVU16D |
| 2016-07-01 | $240.96 | $147.87 | RVU16C |
| 2016-04-01 | $240.96 | $147.87 | RVU16B |
| 2016-01-01 | $240.96 | $147.87 | RVU16A |
| 2015-10-01 | $240.90 | $148.55 | RVU15D |
| 2015-07-01 | $240.90 | $148.55 | RVU15C |
| 2015-04-01 | $239.70 | $147.81 | RVU15B |
| 2015-01-01 | $239.70 | $147.81 | RVU15A |
| 2014-10-01 | $241.20 | $148.06 | RVU14D |
| 2014-07-01 | $241.20 | $148.06 | RVU14C |
| 2014-04-01 | $241.20 | $148.06 | RVU14B |
| 2014-01-01 | $241.20 | $148.06 | RVU14A |
| 2013-10-01 | $246.75 | $145.71 | RVU13D |
| 2013-07-01 | $246.75 | $145.71 | RVU13C |
| 2013-04-01 | $246.75 | $145.71 | RVU13B |
| 2013-01-01 | $246.75 | $145.71 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
31577 billing questions
How is this different from diagnostic laryngoscopy?
Use 31577 when the laryngoscopy is operative and a foreign body is removed. A diagnostic examination without removal is represented by 31575.
When should 31578 be considered instead?
31578 describes operative removal of a laryngeal lesion. Use 31577 for removal of a foreign object, not excision of a lesion.
Can a biopsy be reported as 31577?
No. When tissue is sampled for diagnostic examination rather than a foreign body being removed, consider 31576.
Should modifier 50 be appended for bilateral work?
No. CMS identifies modifier 50 as inappropriate for this code because of its descriptor or anatomy.
What documentation supports reporting 31577?
Document the foreign body's laryngeal location, the operative visualization, and the retrieval performed. If an assistant-at-surgery claim is submitted, document medical necessity.
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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