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.
In New Mexico, Medicare pays $307.93 for 31605 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- New Mexico · this page$307.93
- Los Angeles, CA · California$304.41−$3.52
- Washington, DC area · District of Columbia$327.45+$19.52
- Miami, FL · Florida$374.50+$66.57
- Chicago, IL · Illinois$363.57+$55.64
- Manhattan, NY · New York$350.45+$42.52
- Alaska · Alaska$390.15+$82.22
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $289.44 |
| Merced, CACalifornia | — | $289.44 |
| Modesto, CACalifornia | — | $289.44 |
| Napa, CACalifornia | — | $308.20 |
| Oxnard, CACalifornia | — | $299.75 |
| Redding, CACalifornia | — | $289.44 |
| Rest of CaliforniaCalifornia | — | $289.44 |
| Riverside, CACalifornia | — | $304.16 |
| Sacramento, CACalifornia | — | $296.57 |
| Salinas, CACalifornia | — | $295.33 |
| San Diego, CACalifornia | — | $297.12 |
| Marin County, CACalifornia | — | $316.99 |
| San Francisco, CACalifornia | — | $315.43 |
| San Benito County, CACalifornia | — | $325.16 |
| Santa Clara County, CACalifornia | — | $318.80 |
| San Luis Obispo, CACalifornia | — | $291.45 |
| Santa Cruz, CACalifornia | — | $295.85 |
| Santa Maria, CACalifornia | — | $295.02 |
| Santa Rosa, CACalifornia | — | $298.34 |
| Stockton, CACalifornia | — | $289.44 |
| Vallejo, CACalifornia | — | $305.96 |
| Visalia, CACalifornia | — | $289.44 |
| Yuba City, CACalifornia | — | $289.44 |
| ColoradoColorado | — | $298.10 |
| ConnecticutConnecticut | — | $320.02 |
| DelawareDelaware | — | $298.48 |
| Fort Lauderdale, FLFlorida | — | $340.19 |
| Rest of FloridaFlorida | — | $323.57 |
| Atlanta, GAGeorgia | — | $313.19 |
| Rest of GeorgiaGeorgia | — | $306.35 |
| Hawaii, Guam, HIHawaii | — | $289.75 |
| IowaIowa | — | $271.04 |
| IdahoIdaho | — | $274.76 |
| East St. Louis, ILIllinois | — | $345.27 |
| Rest of IllinoisIllinois | — | $324.31 |
| Suburban Chicago, ILIllinois | — | $340.67 |
| IndianaIndiana | — | $275.68 |
| KansasKansas | — | $275.43 |
| KentuckyKentucky | — | $293.53 |
| New Orleans, LALouisiana | — | $306.08 |
| Rest of LouisianaLouisiana | — | $295.31 |
| Metropolitan Boston, MAMassachusetts | — | $315.26 |
| Rest of MassachusettsMassachusetts | — | $299.16 |
| Baltimore area, MDMaryland | — | $320.23 |
| Rest of MarylandMaryland | — | $301.52 |
| Rest of MaineMaine | — | $281.57 |
| Southern Maine, MEMaine | — | $285.31 |
| Detroit, MIMichigan | — | $332.37 |
| Rest of MichiganMichigan | — | $304.45 |
| MinnesotaMinnesota | — | $271.75 |
| Metropolitan Kansas City, MOMissouri | — | $298.71 |
| Metropolitan St. Louis, MOMissouri | — | $300.46 |
| Rest of MissouriMissouri | — | $294.97 |
| MississippiMississippi | — | $284.17 |
| MontanaMontana | — | $302.52 |
| North CarolinaNorth Carolina | — | $282.96 |
| North DakotaNorth Dakota | — | $275.43 |
| NebraskaNebraska | — | $270.55 |
| New HampshireNew Hampshire | — | $298.81 |
| Northern New JerseyNew Jersey | — | $326.44 |
| Rest of New JerseyNew Jersey | — | $319.76 |
| NevadaNevada | — | $295.02 |
| NYC suburbs and Long Island, NYNew York | — | $364.11 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $326.12 |
| Queens, NYNew York | — | $344.79 |
| Rest of New YorkNew York | — | $286.68 |
| OhioOhio | — | $298.91 |
| OklahomaOklahoma | — | $287.40 |
| Portland, OROregon | — | $299.45 |
| Rest of OregonOregon | — | $288.83 |
| Metropolitan Philadelphia, PAPennsylvania | — | $317.14 |
| Rest of PennsylvaniaPennsylvania | — | $296.26 |
| Puerto RicoPuerto Rico | — | $302.44 |
| Rhode IslandRhode Island | — | $303.21 |
| South CarolinaSouth Carolina | — | $292.19 |
| South DakotaSouth Dakota | — | $272.23 |
| TennesseeTennessee | — | $277.17 |
| Austin, TXTexas | — | $300.53 |
| Beaumont, TXTexas | — | $295.15 |
| Brazoria, TXTexas | — | $293.81 |
| Dallas, TXTexas | — | $297.82 |
| Fort Worth, TXTexas | — | $297.95 |
| Galveston, TXTexas | — | $296.09 |
| Houston, TXTexas | — | $321.17 |
| Rest of TexasTexas | — | $295.79 |
| UtahUtah | — | $295.14 |
| VirginiaVirginia | — | $288.36 |
| Virgin Islands, VIUnited States Virgin Islands | — | $302.44 |
| VermontVermont | — | $279.54 |
| Rest of WashingtonWashington | — | $296.89 |
| King County, WAWashington | — | $315.36 |
| WisconsinWisconsin | — | $268.98 |
| West VirginiaWest Virginia | — | $316.21 |
| WyomingWyoming | — | $290.71 |
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
| 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 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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.29 | × 1.000 | 6.2900 |
| Practice expense | 1.40 | × 0.917 | 1.2838 |
| Malpractice | 1.37 | × 1.201 | 1.6454 |
| Total RVUs | 9.2192 | ||
| 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
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
| 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) | 1 | Not paid (statutory restriction). |
| 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
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%).
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.
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 | $307.93 | RVU26D |
| 2026-07-01 | Not available in this setting | $307.93 | RVU26C |
| 2026-04-01 | Not available in this setting | $307.93 | RVU26B |
| 2026-01-01 | Not available in this setting | $307.93 | RVU26A |
| 2025-10-01 | Not available in this setting | $319.93 | RVU25D |
| 2025-07-01 | Not available in this setting | $319.93 | RVU25C |
| 2025-04-01 | Not available in this setting | $319.93 | RVU25B |
| 2025-01-01 | Not available in this setting | $319.93 | RVU25A |
| 2024-10-01 | Not available in this setting | $326.73 | RVU24D |
| 2024-07-01 | Not available in this setting | $326.73 | RVU24C |
| 2024-04-01 | Not available in this setting | $326.73 | RVU24B |
| 2024-03-09 | Not available in this setting | $326.73 | RVU24AR |
| 2024-01-01 | Not available in this setting | $321.40 | RVU24A |
| 2023-10-01 | Not available in this setting | $334.08 | RVU23D |
| 2023-07-01 | Not available in this setting | $334.08 | RVU23C |
| 2023-04-01 | Not available in this setting | $334.08 | RVU23B |
| 2023-01-01 | Not available in this setting | $334.08 | RVU23A |
| 2022-10-01 | Not available in this setting | $339.85 | RVU22D |
| 2022-07-01 | Not available in this setting | $339.85 | RVU22C |
| 2022-04-01 | Not available in this setting | $339.85 | RVU22B |
| 2022-01-01 | Not available in this setting | $339.85 | RVU22A |
| 2021-10-01 | Not available in this setting | $339.48 | RVU21D |
| 2021-07-01 | Not available in this setting | $339.48 | RVU21C |
| 2021-04-01 | Not available in this setting | $339.48 | RVU21B |
| 2021-01-01 | Not available in this setting | $339.48 | RVU21A |
| 2020-10-01 | Not available in this setting | $352.66 | RVU20D |
| 2020-07-01 | Not available in this setting | $352.66 | RVU20C |
| 2020-04-01 | Not available in this setting | $352.66 | RVU20B |
| 2020-01-01 | Not available in this setting | $352.66 | RVU20A |
| 2019-10-01 | Not available in this setting | $350.73 | RVU19D |
| 2019-07-01 | Not available in this setting | $350.73 | RVU19C |
| 2019-04-01 | Not available in this setting | $350.73 | RVU19B |
| 2019-01-01 | Not available in this setting | $350.73 | RVU19A |
| 2018-10-01 | Not available in this setting | $351.48 | RVU18D |
| 2018-07-01 | Not available in this setting | $351.48 | RVU18C |
| 2018-04-01 | Not available in this setting | $351.48 | RVU18B |
| 2018-01-01 | Not available in this setting | $351.48 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $192.43 | RVU17D |
| 2017-07-01 | Not available in this setting | $192.43 | RVU17C |
| 2017-04-01 | Not available in this setting | $192.43 | RVU17B |
| 2017-01-01 | Not available in this setting | $192.43 | RVU17A |
| 2016-10-01 | Not available in this setting | $191.04 | RVU16D |
| 2016-07-01 | Not available in this setting | $191.04 | RVU16C |
| 2016-04-01 | Not available in this setting | $191.04 | RVU16B |
| 2016-01-01 | Not available in this setting | $191.04 | RVU16A |
| 2015-10-01 | Not available in this setting | $191.64 | RVU15D |
| 2015-07-01 | Not available in this setting | $191.64 | RVU15C |
| 2015-04-01 | Not available in this setting | $190.68 | RVU15B |
| 2015-01-01 | Not available in this setting | $190.68 | RVU15A |
| 2014-10-01 | Not available in this setting | $188.57 | RVU14D |
| 2014-07-01 | Not available in this setting | $188.57 | RVU14C |
| 2014-04-01 | Not available in this setting | $188.57 | RVU14B |
| 2014-01-01 | Not available in this setting | $188.57 | RVU14A |
| 2013-10-01 | Not available in this setting | $180.85 | RVU13D |
| 2013-07-01 | Not available in this setting | $180.85 | RVU13C |
| 2013-04-01 | Not available in this setting | $180.85 | RVU13B |
| 2013-01-01 | Not available in this setting | $180.85 | RVU13AR |
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
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
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