CPT code 31605: Emergency airway, transtracheal access2026 Medicare rate & RVUs in New Mexico

Reports emergency surgical airway access through the cricothyroid region when an acute obstruction requires transtracheal airway access.

CMS RVU26DEffective Oct 1, 2026One payment locality170 Medicare services in 2024

In New Mexico, Medicare pays $307.93 for 31605 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$307.93Hospital or facility

Check a contract rate as a % of Medicare · 31605 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 31605 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 31605 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 31605 covers

This service creates emergency airway access through the cricothyroid membrane, commonly called a cricothyrotomy. It is used when a patient has an acute, critical airway problem and an airway cannot be secured by less invasive means. The procedure is typically performed by a physician in an emergency department, operating room, or other acute-care setting; the opening may provide temporary access for ventilation.

Report 31605 for the emergency transtracheal approach, not a planned tracheostomy or an emergency opening lower in the neck. Documentation should establish the airway emergency, the need for surgical access, and the transtracheal approach. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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 Mexico compares for 31605

Across 109 of 109 payment localities, the facility rate for 31605 runs from $268.98 in Wisconsin to $390.15 in Alaska. New Mexico pays $307.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

31605 in New Mexico vs other payment areas
  1. New Mexico · this page$307.93
  2. Los Angeles, CA · California$304.41−$3.52
  3. Washington, DC area · District of Columbia$327.45+$19.52
  4. Miami, FL · Florida$374.50+$66.57
  5. Chicago, IL · Illinois$363.57+$55.64
  6. Manhattan, NY · New York$350.45+$42.52
  7. Alaska · Alaska$390.15+$82.22

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

Every other payment area

31605 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$276.91
ArkansasArkansas—$273.83
ArizonaArizona—$294.57
Bakersfield, CACalifornia—$293.20
Chico, CACalifornia—$289.44
El Centro, CACalifornia—$289.67
Fresno, CACalifornia—$289.44
Hanford, CACalifornia—$289.44

31605 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
31605 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 31605 in every payment locality

How the 31605 rate is calculated

Each of 31605’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 · 31605

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.29

6.29 RVUs× 1.000 GPCI

Practice expense1.40

1.40 RVUs× 1.000 GPCI

Malpractice1.37

1.37 RVUs× 1.000 GPCI

Adjusted RVUs

9.0600

Conversion factor

$33.4009

Medicare rate

$302.61

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,623

Code
31605
Physician work
6.29
Practice expense
1.40
Malpractice
1.37

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 31605 in New Mexico
ComponentRVULocality factorAdjusted
Physician work6.29× 1.0006.2900
Practice expense1.40× 0.9171.2838
Malpractice1.37× 1.2011.6454
Total RVUs9.2192
Conversion factor× 33.4009

Facility rate, New Mexico$307.93

Facility: (6.29 × 1 + 1.4 × 0.917 + 1.37 × 1.201) × $33.4009 = $307.93

Open 31605 in the RVU calculator

Payment rules and modifiers for 31605

The CMS indicators that decide how 31605 is paid alongside other services.

CMS payment indicators · 31605

Emergency airway, transtracheal access

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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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

31605 without 51 · national facility

$302.61

Emergency airway, transtracheal access

31605-51 · Second procedure: 50%

$151.31

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 31605 has changed in New Mexico

31605 · 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$307.93RVU26D
2026-07-01Not available in this setting$307.93RVU26C
2026-04-01Not available in this setting$307.93RVU26B
2026-01-01Not available in this setting$307.93RVU26A
2025-10-01Not available in this setting$319.93RVU25D
2025-07-01Not available in this setting$319.93RVU25C
2025-04-01Not available in this setting$319.93RVU25B
2025-01-01Not available in this setting$319.93RVU25A
2024-10-01Not available in this setting$326.73RVU24D
2024-07-01Not available in this setting$326.73RVU24C
2024-04-01Not available in this setting$326.73RVU24B
2024-03-09Not available in this setting$326.73RVU24AR
2024-01-01Not available in this setting$321.40RVU24A
2023-10-01Not available in this setting$334.08RVU23D
2023-07-01Not available in this setting$334.08RVU23C
2023-04-01Not available in this setting$334.08RVU23B
2023-01-01Not available in this setting$334.08RVU23A
2022-10-01Not available in this setting$339.85RVU22D
2022-07-01Not available in this setting$339.85RVU22C
2022-04-01Not available in this setting$339.85RVU22B
2022-01-01Not available in this setting$339.85RVU22A
2021-10-01Not available in this setting$339.48RVU21D
2021-07-01Not available in this setting$339.48RVU21C
2021-04-01Not available in this setting$339.48RVU21B
2021-01-01Not available in this setting$339.48RVU21A
2020-10-01Not available in this setting$352.66RVU20D
2020-07-01Not available in this setting$352.66RVU20C
2020-04-01Not available in this setting$352.66RVU20B
2020-01-01Not available in this setting$352.66RVU20A
2019-10-01Not available in this setting$350.73RVU19D
2019-07-01Not available in this setting$350.73RVU19C
2019-04-01Not available in this setting$350.73RVU19B
2019-01-01Not available in this setting$350.73RVU19A
2018-10-01Not available in this setting$351.48RVU18D
2018-07-01Not available in this setting$351.48RVU18C
2018-04-01Not available in this setting$351.48RVU18B
2018-01-01Not available in this setting$351.48RVU18AR1
2017-10-01Not available in this setting$192.43RVU17D
2017-07-01Not available in this setting$192.43RVU17C
2017-04-01Not available in this setting$192.43RVU17B
2017-01-01Not available in this setting$192.43RVU17A
2016-10-01Not available in this setting$191.04RVU16D
2016-07-01Not available in this setting$191.04RVU16C
2016-04-01Not available in this setting$191.04RVU16B
2016-01-01Not available in this setting$191.04RVU16A
2015-10-01Not available in this setting$191.64RVU15D
2015-07-01Not available in this setting$191.64RVU15C
2015-04-01Not available in this setting$190.68RVU15B
2015-01-01Not available in this setting$190.68RVU15A
2014-10-01Not available in this setting$188.57RVU14D
2014-07-01Not available in this setting$188.57RVU14C
2014-04-01Not available in this setting$188.57RVU14B
2014-01-01Not available in this setting$188.57RVU14A
2013-10-01Not available in this setting$180.85RVU13D
2013-07-01Not available in this setting$180.85RVU13C
2013-04-01Not available in this setting$180.85RVU13B
2013-01-01Not available in this setting$180.85RVU13AR

Price 31605 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

31605 billing questions

How do I distinguish 31605 from 31603?

31605 is for emergency transtracheal access through the cricothyroid region. Use 31603 for an emergency cervical tracheostomy performed lower in the neck.

How does 31605 differ from a planned tracheostomy?

31605 describes emergency transtracheal airway access. A planned tracheostomy is reported with 31600, or 31601 for a patient younger than 2 years.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code; do not append modifier 50.

Is an assistant at surgery payable?

No. CMS applies a statutory restriction on assistant-at-surgery payment for 31605. Co-surgeons and team surgery are also not permitted.

What same-session payment rule should I expect?

The highest-valued procedure is paid in full, with other procedures in the same session paid at 50%. The 0-day global period includes 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
RVUs for 31605PPRRVU2026_Oct_nonQPP.csv, line 3,623 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 31605 pays in New Mexico?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 31605 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist