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.
In Vermont, Medicare pays $359.82 for 31601 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Vermont · this page$359.82
- Los Angeles, CA · California$392.11+$32.29
- Washington, DC area · District of Columbia$412.19+$52.37
- Miami, FL · Florida$440.97+$81.15
- Chicago, IL · Illinois$430.97+$71.15
- Manhattan, NY · New York$431.52+$71.70
- Alaska · Alaska$497.86+$138.04
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $373.96 |
| Merced, CACalifornia | — | $373.96 |
| Modesto, CACalifornia | — | $373.96 |
| Napa, CACalifornia | — | $402.82 |
| Oxnard, CACalifornia | — | $387.09 |
| Redding, CACalifornia | — | $373.96 |
| Rest of CaliforniaCalifornia | — | $373.96 |
| Riverside, CACalifornia | — | $386.29 |
| Sacramento, CACalifornia | — | $384.32 |
| Salinas, CACalifornia | — | $382.69 |
| San Diego, CACalifornia | — | $385.65 |
| Marin County, CACalifornia | — | $416.72 |
| San Francisco, CACalifornia | — | $415.43 |
| San Benito County, CACalifornia | — | $426.15 |
| Santa Clara County, CACalifornia | — | $420.86 |
| San Luis Obispo, CACalifornia | — | $377.43 |
| Santa Cruz, CACalifornia | — | $384.62 |
| Santa Maria, CACalifornia | — | $382.48 |
| Santa Rosa, CACalifornia | — | $388.01 |
| Stockton, CACalifornia | — | $373.96 |
| Vallejo, CACalifornia | — | $400.95 |
| Visalia, CACalifornia | — | $373.96 |
| Yuba City, CACalifornia | — | $373.96 |
| ColoradoColorado | — | $379.39 |
| ConnecticutConnecticut | — | $398.86 |
| DelawareDelaware | — | $375.92 |
| Fort Lauderdale, FLFlorida | — | $411.25 |
| Rest of FloridaFlorida | — | $395.03 |
| Atlanta, GAGeorgia | — | $389.16 |
| Rest of GeorgiaGeorgia | — | $378.02 |
| Hawaii, Guam, HIHawaii | — | $374.48 |
| IowaIowa | — | $349.60 |
| IdahoIdaho | — | $352.90 |
| East St. Louis, ILIllinois | — | $411.58 |
| Rest of IllinoisIllinois | — | $393.84 |
| Suburban Chicago, ILIllinois | — | $412.84 |
| IndianaIndiana | — | $353.96 |
| KansasKansas | — | $352.79 |
| KentuckyKentucky | — | $367.23 |
| New Orleans, LALouisiana | — | $379.84 |
| Rest of LouisianaLouisiana | — | $368.54 |
| Metropolitan Boston, MAMassachusetts | — | $401.61 |
| Rest of MassachusettsMassachusetts | — | $380.16 |
| Baltimore area, MDMaryland | — | $398.53 |
| Rest of MarylandMaryland | — | $379.89 |
| Rest of MaineMaine | — | $358.57 |
| Southern Maine, MEMaine | — | $364.66 |
| Detroit, MIMichigan | — | $402.73 |
| Rest of MichiganMichigan | — | $377.31 |
| MinnesotaMinnesota | — | $354.97 |
| Metropolitan Kansas City, MOMissouri | — | $373.63 |
| Metropolitan St. Louis, MOMissouri | — | $375.63 |
| Rest of MissouriMissouri | — | $367.29 |
| MississippiMississippi | — | $358.26 |
| MontanaMontana | — | $379.36 |
| North CarolinaNorth Carolina | — | $360.27 |
| North DakotaNorth Dakota | — | $356.82 |
| NebraskaNebraska | — | $349.53 |
| New HampshireNew Hampshire | — | $377.99 |
| Northern New JerseyNew Jersey | — | $411.37 |
| Rest of New JerseyNew Jersey | — | $400.99 |
| New MexicoNew Mexico | — | $380.38 |
| NevadaNevada | — | $373.16 |
| NYC suburbs and Long Island, NYNew York | — | $444.02 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $406.83 |
| Queens, NYNew York | — | $427.65 |
| Rest of New YorkNew York | — | $364.08 |
| OhioOhio | — | $372.71 |
| OklahomaOklahoma | — | $362.29 |
| Portland, OROregon | — | $382.83 |
| Rest of OregonOregon | — | $367.80 |
| Metropolitan Philadelphia, PAPennsylvania | — | $394.79 |
| Rest of PennsylvaniaPennsylvania | — | $370.71 |
| Puerto RicoPuerto Rico | — | $379.75 |
| Rhode IslandRhode Island | — | $382.94 |
| South CarolinaSouth Carolina | — | $367.58 |
| South DakotaSouth Dakota | — | $354.15 |
| TennesseeTennessee | — | $354.45 |
| Austin, TXTexas | — | $380.30 |
| Beaumont, TXTexas | — | $369.46 |
| Brazoria, TXTexas | — | $372.41 |
| Dallas, TXTexas | — | $376.05 |
| Fort Worth, TXTexas | — | $375.74 |
| Galveston, TXTexas | — | $374.40 |
| Houston, TXTexas | — | $395.27 |
| Rest of TexasTexas | — | $371.62 |
| UtahUtah | — | $370.70 |
| VirginiaVirginia | — | $366.87 |
| Virgin Islands, VIUnited States Virgin Islands | — | $379.75 |
| Rest of WashingtonWashington | — | $378.00 |
| King County, WAWashington | — | $403.84 |
| WisconsinWisconsin | — | $349.69 |
| West VirginiaWest Virginia | — | $385.26 |
| WyomingWyoming | — | $369.53 |
31601 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.80 | × 1.000 | 7.8000 |
| Practice expense | 2.42 | × 0.990 | 2.3958 |
| Malpractice | 1.14 | × 0.506 | 0.5768 |
| Total RVUs | 10.7726 | ||
| 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
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
| 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 | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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
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%).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $359.82 | RVU26D |
| 2026-07-01 | Not available in this setting | $359.82 | RVU26C |
| 2026-04-01 | Not available in this setting | $359.82 | RVU26B |
| 2026-01-01 | Not available in this setting | $359.82 | RVU26A |
| 2025-10-01 | Not available in this setting | $415.68 | RVU25D |
| 2025-07-01 | Not available in this setting | $415.68 | RVU25C |
| 2025-04-01 | Not available in this setting | $415.68 | RVU25B |
| 2025-01-01 | Not available in this setting | $415.68 | RVU25A |
| 2024-10-01 | Not available in this setting | $426.47 | RVU24D |
| 2024-07-01 | Not available in this setting | $426.47 | RVU24C |
| 2024-04-01 | Not available in this setting | $426.47 | RVU24B |
| 2024-03-09 | Not available in this setting | $426.47 | RVU24AR |
| 2024-01-01 | Not available in this setting | $419.51 | RVU24A |
| 2023-10-01 | Not available in this setting | $435.14 | RVU23D |
| 2023-07-01 | Not available in this setting | $435.14 | RVU23C |
| 2023-04-01 | Not available in this setting | $435.14 | RVU23B |
| 2023-01-01 | Not available in this setting | $435.14 | RVU23A |
| 2022-10-01 | Not available in this setting | $440.24 | RVU22D |
| 2022-07-01 | Not available in this setting | $440.24 | RVU22C |
| 2022-04-01 | Not available in this setting | $440.24 | RVU22B |
| 2022-01-01 | Not available in this setting | $440.24 | RVU22A |
| 2021-10-01 | Not available in this setting | $438.25 | RVU21D |
| 2021-07-01 | Not available in this setting | $438.25 | RVU21C |
| 2021-04-01 | Not available in this setting | $438.25 | RVU21B |
| 2021-01-01 | Not available in this setting | $438.25 | RVU21A |
| 2020-10-01 | Not available in this setting | $450.94 | RVU20D |
| 2020-07-01 | Not available in this setting | $450.94 | RVU20C |
| 2020-04-01 | Not available in this setting | $450.94 | RVU20B |
| 2020-01-01 | Not available in this setting | $450.94 | RVU20A |
| 2019-10-01 | Not available in this setting | $453.07 | RVU19D |
| 2019-07-01 | Not available in this setting | $453.07 | RVU19C |
| 2019-04-01 | Not available in this setting | $453.07 | RVU19B |
| 2019-01-01 | Not available in this setting | $453.07 | RVU19A |
| 2018-10-01 | Not available in this setting | $450.17 | RVU18D |
| 2018-07-01 | Not available in this setting | $450.17 | RVU18C |
| 2018-04-01 | Not available in this setting | $450.17 | RVU18B |
| 2018-01-01 | Not available in this setting | $450.17 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $214.99 | RVU17D |
| 2017-07-01 | Not available in this setting | $214.99 | RVU17C |
| 2017-04-01 | Not available in this setting | $214.99 | RVU17B |
| 2017-01-01 | Not available in this setting | $214.99 | RVU17A |
| 2016-10-01 | Not available in this setting | $256.61 | RVU16D |
| 2016-07-01 | Not available in this setting | $256.61 | RVU16C |
| 2016-04-01 | Not available in this setting | $256.61 | RVU16B |
| 2016-01-01 | Not available in this setting | $256.61 | RVU16A |
| 2015-10-01 | Not available in this setting | $272.47 | RVU15D |
| 2015-07-01 | Not available in this setting | $272.47 | RVU15C |
| 2015-04-01 | Not available in this setting | $271.11 | RVU15B |
| 2015-01-01 | Not available in this setting | $271.11 | RVU15A |
| 2014-10-01 | Not available in this setting | $260.74 | RVU14D |
| 2014-07-01 | Not available in this setting | $260.74 | RVU14C |
| 2014-04-01 | Not available in this setting | $260.74 | RVU14B |
| 2014-01-01 | Not available in this setting | $260.74 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
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
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
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