CPT code 31600: Tracheostomy, planned, age two or older2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $273.30 for 31600 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 31600 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 31600 covers

This service creates an airway through the front of the neck into the trachea and places a tracheostomy tube. It is performed by a surgeon, commonly an otolaryngologist, general surgeon, or thoracic surgeon, in an operating room or another controlled setting. Typical situations include anticipated prolonged ventilatory support, upper-airway obstruction, or airway access needed for planned treatment.

Select this code for a planned procedure in a patient age two or older; the patient’s age and whether the airway was created electively or in an emergency distinguish it from nearby tracheostomy codes. The operative report should support the indication, planned approach, tracheal opening, and tube placement. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Medicare does not pay an assistant at surgery for this code; 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 Puerto Rico compares for 31600

Across 109 of 109 payment localities, the facility rate for 31600 runs from $246.12 in Wisconsin to $351.36 in Alaska. Puerto Rico pays $273.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

31600 rates by state

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

See 31600 in every payment locality

How the 31600 rate is calculated

Each of 31600’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.

Payment rules and modifiers for 31600

The CMS indicators that decide how 31600 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 31600

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

How 31600 has changed in Puerto Rico

Price 31600 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates