CPT code 31578: Laryngoscopy, flexible scope, lesion removal2026 Medicare rate & RVUs in New Hampshire
Reports flexible endoscopic removal of a laryngeal lesion, such as a vocal fold lesion, when the physician physically removes it through the scope.
In New Hampshire, Medicare pays $311.52 for 31578 in the office and $129.32 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 31578 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 31578 covers
An otolaryngologist typically performs this procedure using a flexible laryngoscope to visualize the larynx and remove a lesion through the scope. It may be performed in an office or facility when the lesion can be reached and treated with the flexible endoscopic approach. The service involves removal, not simply inspection or tissue sampling; the operative note should identify the lesion, its laryngeal location, the removal technique, and the result.
Report this code when the physician removes a lesion using flexible laryngoscopy; use a biopsy, laser-treatment, or foreign-body code when that is the service performed instead. Documentation should support the therapeutic work rather than diagnostic visualization alone. 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. Modifier 50 is inappropriate. 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 Hampshire compares for 31578
Across 109 of 109 payment localities, the office rate for 31578 runs from $268.40 in Arkansas to $401.60 in San Benito County, CA. New Hampshire pays $311.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Hampshire · this page$311.52
- Los Angeles, CA · California$342.48+$30.96
- Washington, DC area · District of Columbia$347.85+$36.33
- Miami, FL · Florida$331.40+$19.88
- Chicago, IL · Illinois$321.47+$9.95
- Manhattan, NY · New York$350.92+$39.40
- Alaska · Alaska$352.31+$40.79
Other areas in New Hampshire first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $272.43 | $119.28 |
| ArkansasArkansas | $268.40 | $118.06 |
| ArizonaArizona | $295.94 | $126.35 |
| Bakersfield, CACalifornia | $321.54 | $129.72 |
| Chico, CACalifornia | $320.51 | $128.68 |
| El Centro, CACalifornia | $320.57 | $128.74 |
| Fresno, CACalifornia | $320.51 | $128.68 |
| Hanford, CACalifornia | $320.51 | $128.68 |
| Madera, CACalifornia | $320.51 | $128.68 |
| Merced, CACalifornia | $320.51 | $128.68 |
| Modesto, CACalifornia | $320.51 | $128.68 |
| Napa, CACalifornia | $371.12 | $140.44 |
| Oxnard, CACalifornia | $340.75 | $133.87 |
| Redding, CACalifornia | $320.51 | $128.68 |
| Rest of CaliforniaCalifornia | $320.51 | $128.68 |
| Riverside, CACalifornia | $324.40 | $132.57 |
| Sacramento, CACalifornia | $336.29 | $132.74 |
| Salinas, CACalifornia | $335.04 | $132.19 |
| San Diego, CACalifornia | $342.92 | $133.59 |
| Marin County, CACalifornia | $392.67 | $145.89 |
| San Francisco, CACalifornia | $392.26 | $145.48 |
| San Benito County, CACalifornia | $401.60 | $149.22 |
| Santa Clara County, CACalifornia | $399.93 | $147.55 |
| San Luis Obispo, CACalifornia | $329.67 | $130.32 |
| Santa Cruz, CACalifornia | $346.18 | $133.53 |
| Santa Maria, CACalifornia | $336.29 | $132.22 |
| Santa Rosa, CACalifornia | $349.66 | $134.74 |
| Stockton, CACalifornia | $320.51 | $128.68 |
| Vallejo, CACalifornia | $370.53 | $139.85 |
| Visalia, CACalifornia | $320.51 | $128.68 |
| Yuba City, CACalifornia | $320.51 | $128.68 |
| ColoradoColorado | $316.24 | $130.02 |
| ConnecticutConnecticut | $324.80 | $136.30 |
| DelawareDelaware | $300.91 | $127.99 |
| Fort Lauderdale, FLFlorida | $316.77 | $139.47 |
| Rest of FloridaFlorida | $300.95 | $133.63 |
| Atlanta, GAGeorgia | $310.35 | $132.53 |
| Rest of GeorgiaGeorgia | $283.58 | $127.46 |
| Hawaii, Guam, HIHawaii | $328.41 | $129.42 |
| IowaIowa | $278.92 | $118.77 |
| IdahoIdaho | $280.90 | $119.88 |
| East St. Louis, ILIllinois | $299.43 | $138.41 |
| Rest of IllinoisIllinois | $292.51 | $132.72 |
| Suburban Chicago, ILIllinois | $319.87 | $140.13 |
| IndianaIndiana | $282.55 | $120.30 |
| KansasKansas | $277.86 | $119.64 |
| KentuckyKentucky | $279.61 | $124.01 |
| New Orleans, LALouisiana | $293.34 | $128.65 |
| Rest of LouisianaLouisiana | $279.27 | $124.38 |
| Metropolitan Boston, MAMassachusetts | $347.55 | $138.57 |
| Rest of MassachusettsMassachusetts | $314.40 | $130.11 |
| Baltimore area, MDMaryland | $323.95 | $136.16 |
| Rest of MarylandMaryland | $306.64 | $129.52 |
| Rest of MaineMaine | $282.69 | $121.67 |
| Southern Maine, MEMaine | $297.93 | $124.48 |
| Detroit, MIMichigan | $305.07 | $136.18 |
| Rest of MichiganMichigan | $287.29 | $127.50 |
| MinnesotaMinnesota | $302.00 | $121.90 |
| Metropolitan Kansas City, MOMissouri | $291.01 | $126.66 |
| Metropolitan St. Louis, MOMissouri | $294.08 | $127.46 |
| Rest of MissouriMissouri | $274.56 | $123.69 |
| MississippiMississippi | $271.52 | $120.83 |
| MontanaMontana | $304.26 | $129.24 |
| North CarolinaNorth Carolina | $285.66 | $122.37 |
| North DakotaNorth Dakota | $297.14 | $122.12 |
| NebraskaNebraska | $280.39 | $118.85 |
| Northern New JerseyNew Jersey | $344.18 | $141.16 |
| Rest of New JerseyNew Jersey | $328.22 | $137.10 |
| New MexicoNew Mexico | $289.01 | $128.52 |
| NevadaNevada | $302.49 | $127.29 |
| NYC suburbs and Long Island, NYNew York | $359.93 | $151.83 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $330.61 | $138.97 |
| Queens, NYNew York | $353.45 | $146.57 |
| Rest of New YorkNew York | $290.06 | $123.79 |
| OhioOhio | $285.84 | $126.04 |
| OklahomaOklahoma | $278.80 | $122.51 |
| Portland, OROregon | $326.12 | $131.68 |
| Rest of OregonOregon | $299.86 | $125.54 |
| Metropolitan Philadelphia, PAPennsylvania | $316.76 | $134.57 |
| Rest of PennsylvaniaPennsylvania | $286.15 | $125.48 |
| Puerto RicoPuerto Rico | $306.45 | $129.50 |
| Rhode IslandRhode Island | $311.52 | $130.72 |
| South CarolinaSouth Carolina | $286.28 | $124.56 |
| South DakotaSouth Dakota | $296.30 | $121.28 |
| TennesseeTennessee | $279.32 | $120.23 |
| Austin, TXTexas | $315.43 | $130.26 |
| Beaumont, TXTexas | $284.25 | $124.98 |
| Brazoria, TXTexas | $300.35 | $126.91 |
| Dallas, TXTexas | $302.43 | $128.11 |
| Fort Worth, TXTexas | $300.46 | $127.89 |
| Galveston, TXTexas | $301.36 | $127.56 |
| Houston, TXTexas | $307.94 | $134.15 |
| Rest of TexasTexas | $292.25 | $126.15 |
| UtahUtah | $290.27 | $125.75 |
| VirginiaVirginia | $297.12 | $125.08 |
| Virgin Islands, VIUnited States Virgin Islands | $306.45 | $129.50 |
| VermontVermont | $296.21 | $122.94 |
| Rest of WashingtonWashington | $313.73 | $129.43 |
| King County, WAWashington | $354.41 | $139.66 |
| WisconsinWisconsin | $287.01 | $119.34 |
| West VirginiaWest Virginia | $281.55 | $129.46 |
| WyomingWyoming | $301.16 | $126.14 |
31578 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.
$268.40
$361.06
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 | $352.31 | 1 |
| AL | $272.43 | 1 |
| AR | $268.40 | 1 |
| AZ | $295.94 | 1 |
| CA | $320.51–$401.60 | 29 |
| CO | $316.24 | 1 |
| CT | $324.80 | 1 |
| DC | $347.85 | 1 |
| DE | $300.91 | 1 |
| FL | $300.95–$331.40 | 3 |
| GA | $283.58–$310.35 | 2 |
| GU | $328.41 | 1 |
| HI | $328.41 | 1 |
| IA | $278.92 | 1 |
| ID | $280.90 | 1 |
| IL | $292.51–$321.47 | 4 |
| IN | $282.55 | 1 |
| KS | $277.86 | 1 |
| KY | $279.61 | 1 |
| LA | $279.27–$293.34 | 2 |
| MA | $314.40–$347.55 | 2 |
| MD | $306.64–$347.85 | 3 |
| ME | $282.69–$297.93 | 2 |
| MI | $287.29–$305.07 | 2 |
| MN | $302.00 | 1 |
| MO | $274.56–$294.08 | 3 |
| MS | $271.52 | 1 |
| MT | $304.26 | 1 |
| NC | $285.66 | 1 |
| ND | $297.14 | 1 |
| NE | $280.39 | 1 |
| NH | $311.52 | 1 |
| NJ | $328.22–$344.18 | 2 |
| NM | $289.01 | 1 |
| NV | $302.49 | 1 |
| NY | $290.06–$359.93 | 5 |
| OH | $285.84 | 1 |
| OK | $278.80 | 1 |
| OR | $299.86–$326.12 | 2 |
| PA | $286.15–$316.76 | 2 |
| PR | $306.45 | 1 |
| RI | $311.52 | 1 |
| SC | $286.28 | 1 |
| SD | $296.30 | 1 |
| TN | $279.32 | 1 |
| TX | $284.25–$315.43 | 8 |
| UT | $290.27 | 1 |
| VA | $297.12–$347.85 | 2 |
| VI | $306.45 | 1 |
| VT | $296.21 | 1 |
| WA | $313.73–$354.41 | 2 |
| WI | $287.01 | 1 |
| WV | $281.55 | 1 |
| WY | $301.16 | 1 |
How the 31578 rate is calculated
Each of 31578’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 · 31578
RVUs × geographic indexes × conversion factor
Work2.37
2.37 RVUs× 1.000 GPCI
Practice expense6.38
6.38 RVUs× 1.000 GPCI
Malpractice0.36
0.36 RVUs× 1.000 GPCI
Adjusted RVUs
9.1100
Conversion factor
$33.4009
Medicare rate
$304.28
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Hampshire inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,611
- Code
- 31578
- Physician work
- 2.37
- Practice expense
- 6.38
- Malpractice
- 0.36
GPCI2026.csv
74
- Locality
- New Hampshire
- Physician work
- 1.000
- Practice expense
- 1.041
- Malpractice
- 0.875
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.37 | × 1.000 | 2.3700 |
| Practice expense | 6.38 | × 1.041 | 6.6416 |
| Malpractice | 0.36 | × 0.875 | 0.3150 |
| Total RVUs | 9.3266 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Hampshire$311.52
Office: (2.37 × 1 + 6.38 × 1.041 + 0.36 × 0.875) × $33.4009 = $311.52
Facility: (2.37 × 1 + 1.14 × 1.041 + 0.36 × 0.875) × $33.4009 = $129.32
Payment rules and modifiers for 31578
The CMS indicators that decide how 31578 is paid alongside other services.
CMS payment indicators · 31578
Laryngoscopy, flexible scope, lesion 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
31578 without 51 · national office
$304.28
Laryngoscopy, flexible scope, lesion removal
31578-51 · Second procedure: 50%
$152.14
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 31578 has changed in New Hampshire
31578 · Office / nonfacility
$311.52
Effective 2026-10-01
The base rate is $11.75 higher than on 2025-10-01, moving from $299.77 to $311.52 (3.9%).
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
$299.77changed to$311.52
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.43 changed to 2.37
- Practice expense RVU 6.30 changed to 6.38
- Practice expense GPCI 1.034 changed to 1.041
- Malpractice GPCI 0.898 changed to 0.875
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$312.97changed to$299.77
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 6.43 changed to 6.30
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$307.86changed to$312.97
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$319.90changed to$307.86
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 6.46 changed to 6.43
- Malpractice RVU 0.35 changed to 0.36
- Practice expense GPCI 1.036 changed to 1.034
- Malpractice GPCI 0.907 changed to 0.898
January 1, 2023
RVU23A
$324.42changed to$319.90
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 6.39 changed to 6.46
- Malpractice RVU 0.34 changed to 0.35
- Practice expense GPCI 1.038 changed to 1.036
- Malpractice GPCI 0.917 changed to 0.907
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$318.86changed to$324.42
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.18 changed to 6.39
- Malpractice RVU 0.32 changed to 0.34
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$319.05changed to$318.86
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.85 changed to 6.18
- Practice expense GPCI 1.042 changed to 1.038
- Malpractice GPCI 0.984 changed to 0.917
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$319.63changed to$319.05
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.81 changed to 5.85
- Malpractice RVU 0.35 changed to 0.32
- Practice expense GPCI 1.045 changed to 1.042
- Malpractice GPCI 1.050 changed to 0.984
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$316.27changed to$319.63
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.74 changed to 5.81
- Malpractice RVU 0.34 changed to 0.35
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$317.89changed to$316.27
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.79 changed to 5.74
- Malpractice RVU 0.35 changed to 0.34
- Practice expense GPCI 1.052 changed to 1.045
- Malpractice GPCI 0.962 changed to 1.050
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$294.81changed to$317.89
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 2.84 changed to 2.43
- Practice expense RVU 4.76 changed to 5.79
- Malpractice RVU 0.41 changed to 0.35
- Practice expense GPCI 1.058 changed to 1.052
- Malpractice GPCI 0.873 changed to 0.962
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$293.60changed to$294.81
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 4.70 changed to 4.76
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$292.13changed to$293.60
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$293.46changed to$292.13
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 4.82 changed to 4.70
- Malpractice RVU 0.33 changed to 0.41
- Practice expense GPCI 1.051 changed to 1.058
- Malpractice GPCI 0.867 changed to 0.873
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$293.46
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $311.52 | $129.32 | RVU26D |
| 2026-07-01 | $311.52 | $129.32 | RVU26C |
| 2026-04-01 | $311.52 | $129.32 | RVU26B |
| 2026-01-01 | $311.52 | $129.32 | RVU26A |
| 2025-10-01 | $299.77 | $145.92 | RVU25D |
| 2025-07-01 | $299.77 | $145.92 | RVU25C |
| 2025-04-01 | $299.77 | $145.92 | RVU25B |
| 2025-01-01 | $299.77 | $145.92 | RVU25A |
| 2024-10-01 | $312.97 | $149.47 | RVU24D |
| 2024-07-01 | $312.97 | $149.47 | RVU24C |
| 2024-04-01 | $312.97 | $149.47 | RVU24B |
| 2024-03-09 | $312.97 | $149.47 | RVU24AR |
| 2024-01-01 | $307.86 | $147.03 | RVU24A |
| 2023-10-01 | $319.90 | $151.38 | RVU23D |
| 2023-07-01 | $319.90 | $151.38 | RVU23C |
| 2023-04-01 | $319.90 | $151.38 | RVU23B |
| 2023-01-01 | $319.90 | $151.38 | RVU23A |
| 2022-10-01 | $324.42 | $151.64 | RVU22D |
| 2022-07-01 | $324.42 | $151.64 | RVU22C |
| 2022-04-01 | $324.42 | $151.64 | RVU22B |
| 2022-01-01 | $324.42 | $151.64 | RVU22A |
| 2021-10-01 | $318.86 | $149.00 | RVU21D |
| 2021-07-01 | $318.86 | $149.00 | RVU21C |
| 2021-04-01 | $318.86 | $149.00 | RVU21B |
| 2021-01-01 | $318.86 | $149.00 | RVU21A |
| 2020-10-01 | $319.05 | $153.97 | RVU20D |
| 2020-07-01 | $319.05 | $153.97 | RVU20C |
| 2020-04-01 | $319.05 | $153.97 | RVU20B |
| 2020-01-01 | $319.05 | $153.97 | RVU20A |
| 2019-10-01 | $319.63 | $156.93 | RVU19D |
| 2019-07-01 | $319.63 | $156.93 | RVU19C |
| 2019-04-01 | $319.63 | $156.93 | RVU19B |
| 2019-01-01 | $319.63 | $156.93 | RVU19A |
| 2018-10-01 | $316.27 | $155.63 | RVU18D |
| 2018-07-01 | $316.27 | $155.63 | RVU18C |
| 2018-04-01 | $316.27 | $155.63 | RVU18B |
| 2018-01-01 | $316.27 | $155.63 | RVU18AR1 |
| 2017-10-01 | $317.89 | $156.68 | RVU17D |
| 2017-07-01 | $317.89 | $156.68 | RVU17C |
| 2017-04-01 | $317.89 | $156.68 | RVU17B |
| 2017-01-01 | $317.89 | $156.68 | RVU17A |
| 2016-10-01 | $294.81 | $180.41 | RVU16D |
| 2016-07-01 | $294.81 | $180.41 | RVU16C |
| 2016-04-01 | $294.81 | $180.41 | RVU16B |
| 2016-01-01 | $294.81 | $180.41 | RVU16A |
| 2015-10-01 | $293.60 | $180.30 | RVU15D |
| 2015-07-01 | $293.60 | $180.30 | RVU15C |
| 2015-04-01 | $292.13 | $179.41 | RVU15B |
| 2015-01-01 | $292.13 | $179.41 | RVU15A |
| 2014-10-01 | $293.46 | $179.00 | RVU14D |
| 2014-07-01 | $293.46 | $179.00 | RVU14C |
| 2014-04-01 | $293.46 | $179.00 | RVU14B |
| 2014-01-01 | $293.46 | $179.00 | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the New Hampshire rate applies
New Hampshire is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in New Hampshire. Some span more than one payment area; confirm with the service ZIP.
- Alton
- Amherst
- Antrim
- Ashland
- Bartlett
- Belmont
- Bennington
- Berlin
31578 billing questions
How does this differ from flexible laryngoscopy with biopsy?
Use 31578 when the lesion is removed. Use 31576 when the physician obtains tissue for biopsy rather than removing the lesion as the therapeutic service.
Can diagnostic laryngoscopy be reported separately?
The visualization is part of the lesion-removal service. Do not separately report diagnostic laryngoscopy for the same examination.
When is the laser lesion code a better fit?
Use 31572 when the lesion is destroyed or ablated with a laser. This code describes physical removal through flexible laryngoscopy.
Should modifier 50 be appended for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What should the operative note describe?
Document the lesion's laryngeal location, the flexible endoscopic approach, how the lesion was removed, and the outcome. The record should distinguish removal from biopsy, laser destruction, or foreign-body extraction.
How are related endoscopies handled when performed together?
CMS endoscopy-family pricing applies when related endoscopies are performed together. The code has a 0-day global period, including same-day preoperative and postoperative care.
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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