CPT code 31613: Stoma revision, simple revision2026 Medicare rate & RVUs in Ohio

In Ohio, Medicare pays $377.39 for 31613 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 31613 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 31613 covers

An otolaryngologist or other surgeon revises an established tracheostoma when scar, narrowing, or deformity interferes with the opening’s function or the fit of a tracheostomy tube. The work reshapes the stoma, often using nearby tissue, rather than creating a new tracheostomy. It is performed in a surgical setting and is distinct from endoscopic inspection of the airway through an existing stoma.

Choose this code when the operative report supports a simple revision; use the complex revision code when the reconstruction is more extensive. Document the stoma’s problem, the revision performed, and the extent of tissue work. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery services are not paid under the statutory restriction; 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 Ohio compares for 31613

Across 109 of 109 payment localities, the facility rate for 31613 runs from $353.28 in Arkansas to $497.63 in San Benito County, CA. Ohio pays $377.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

31613 rates by state

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

See 31613 in every payment locality

How the 31613 rate is calculated

Each of 31613’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 31613

31613 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 31613

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

How 31613 has changed in Ohio

Price 31613 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Ada
• Adamsville
• Addyston
• Adelphi
• Adena
• Ai
• Akron

Browse all communities in Ohio

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