CPT code 31601: Tracheostomy, planned, under age two2026 Medicare rate & RVUs in Vermont

Reports a planned surgical airway created by opening the trachea and placing a tracheostomy tube in a child younger than two years.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Vermont, Medicare pays $359.82 for 31601 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$359.82Hospital or facility

Check a contract rate as a % of Medicare · 31601 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 31601 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 31601 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 31601 covers

The surgeon creates a surgical airway by opening the trachea and placing a tracheostomy tube in a child younger than two years. Pediatric otolaryngologists, pediatric surgeons, or other surgeons qualified to perform airway procedures may provide it, commonly in an operating room when a child needs a durable airway for prolonged ventilation or airway obstruction. The planned nature and the child’s age distinguish this service from emergency airway procedures and planned tracheostomy in older patients.

Report the code when the operative record supports a planned tracheostomy and documents the patient’s age and the procedure performed. It has a 0-day global period, so same-day preoperative and postoperative care is included. When performed with other procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is 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 Vermont compares for 31601

Across 109 of 109 payment localities, the facility rate for 31601 runs from $349.53 in Nebraska to $497.86 in Alaska. Vermont pays $359.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

31601 in Vermont vs other payment areas
  1. Vermont · this page$359.82
  2. Los Angeles, CA · California$392.11+$32.29
  3. Washington, DC area · District of Columbia$412.19+$52.37
  4. Miami, FL · Florida$440.97+$81.15
  5. Chicago, IL · Illinois$430.97+$71.15
  6. Manhattan, NY · New York$431.52+$71.70
  7. Alaska · Alaska$497.86+$138.04

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

Every other payment area

31601 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$352.81
ArkansasArkansas—$349.57
ArizonaArizona—$371.45
Bakersfield, CACalifornia—$377.26
Chico, CACalifornia—$373.96
El Centro, CACalifornia—$374.15
Fresno, CACalifornia—$373.96
Hanford, CACalifornia—$373.96

31601 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
31601 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 31601 in every payment locality

How the 31601 rate is calculated

Each of 31601’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 · 31601

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.80

7.80 RVUs× 1.000 GPCI

Practice expense2.42

2.42 RVUs× 1.000 GPCI

Malpractice1.14

1.14 RVUs× 1.000 GPCI

Adjusted RVUs

11.3600

Conversion factor

$33.4009

Medicare rate

$379.43

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,621

Code
31601
Physician work
7.80
Practice expense
2.42
Malpractice
1.14

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Facility calculation for 31601 in Vermont
ComponentRVULocality factorAdjusted
Physician work7.80× 1.0007.8000
Practice expense2.42× 0.9902.3958
Malpractice1.14× 0.5060.5768
Total RVUs10.7726
Conversion factor× 33.4009

Facility rate, Vermont$359.82

Facility: (7.8 × 1 + 2.42 × 0.99 + 1.14 × 0.506) × $33.4009 = $359.82

Open 31601 in the RVU calculator

Payment rules and modifiers for 31601

The CMS indicators that decide how 31601 is paid alongside other services.

CMS payment indicators · 31601

Tracheostomy, planned, under age two

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

31601 without 51 · national facility

$379.43

Tracheostomy, planned, under age two

31601-51 · Second procedure: 50%

$189.72

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%).

When to use modifier 51

How 31601 has changed in Vermont

31601 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$359.82RVU26D
2026-07-01Not available in this setting$359.82RVU26C
2026-04-01Not available in this setting$359.82RVU26B
2026-01-01Not available in this setting$359.82RVU26A
2025-10-01Not available in this setting$415.68RVU25D
2025-07-01Not available in this setting$415.68RVU25C
2025-04-01Not available in this setting$415.68RVU25B
2025-01-01Not available in this setting$415.68RVU25A
2024-10-01Not available in this setting$426.47RVU24D
2024-07-01Not available in this setting$426.47RVU24C
2024-04-01Not available in this setting$426.47RVU24B
2024-03-09Not available in this setting$426.47RVU24AR
2024-01-01Not available in this setting$419.51RVU24A
2023-10-01Not available in this setting$435.14RVU23D
2023-07-01Not available in this setting$435.14RVU23C
2023-04-01Not available in this setting$435.14RVU23B
2023-01-01Not available in this setting$435.14RVU23A
2022-10-01Not available in this setting$440.24RVU22D
2022-07-01Not available in this setting$440.24RVU22C
2022-04-01Not available in this setting$440.24RVU22B
2022-01-01Not available in this setting$440.24RVU22A
2021-10-01Not available in this setting$438.25RVU21D
2021-07-01Not available in this setting$438.25RVU21C
2021-04-01Not available in this setting$438.25RVU21B
2021-01-01Not available in this setting$438.25RVU21A
2020-10-01Not available in this setting$450.94RVU20D
2020-07-01Not available in this setting$450.94RVU20C
2020-04-01Not available in this setting$450.94RVU20B
2020-01-01Not available in this setting$450.94RVU20A
2019-10-01Not available in this setting$453.07RVU19D
2019-07-01Not available in this setting$453.07RVU19C
2019-04-01Not available in this setting$453.07RVU19B
2019-01-01Not available in this setting$453.07RVU19A
2018-10-01Not available in this setting$450.17RVU18D
2018-07-01Not available in this setting$450.17RVU18C
2018-04-01Not available in this setting$450.17RVU18B
2018-01-01Not available in this setting$450.17RVU18AR1
2017-10-01Not available in this setting$214.99RVU17D
2017-07-01Not available in this setting$214.99RVU17C
2017-04-01Not available in this setting$214.99RVU17B
2017-01-01Not available in this setting$214.99RVU17A
2016-10-01Not available in this setting$256.61RVU16D
2016-07-01Not available in this setting$256.61RVU16C
2016-04-01Not available in this setting$256.61RVU16B
2016-01-01Not available in this setting$256.61RVU16A
2015-10-01Not available in this setting$272.47RVU15D
2015-07-01Not available in this setting$272.47RVU15C
2015-04-01Not available in this setting$271.11RVU15B
2015-01-01Not available in this setting$271.11RVU15A
2014-10-01Not available in this setting$260.74RVU14D
2014-07-01Not available in this setting$260.74RVU14C
2014-04-01Not available in this setting$260.74RVU14B
2014-01-01Not available in this setting$260.74RVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 31601 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

31601 billing questions

How does this code differ from 31600?

This code is for a planned tracheostomy in a child younger than two. Code 31600 is the planned tracheostomy code for patients age two and older.

When is an emergency airway code used instead?

Use an emergency airway code when the tracheostomy or cricothyrotomy is performed urgently rather than as a planned procedure. Codes 31603 and 31605 describe different emergency airway approaches.

Is same-day evaluation or postoperative care separately reported?

The 0-day global period includes same-day preoperative and postoperative care. Separately performed services should be assessed on their own documentation and applicable coding rules.

Can modifier 50 be reported?

No. The descriptor and anatomy make a bilateral adjustment inappropriate for this procedure.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.

What happens when this is performed with another procedure in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction.

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 31601PPRRVU2026_Oct_nonQPP.csv, line 3,621 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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