CPT code 31614: Stoma revision, complex established-stoma revision2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $642.22 for 31614 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 31614 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 31614 covers

An otolaryngologist or other airway surgeon revises an established tracheostoma when its shape, position, or surrounding tissue makes the opening difficult to maintain or use. Examples include substantial scar contracture or stomal narrowing. The operation may involve extensive release and reconstruction of the opening and surrounding tissues, typically in an operating-room setting. This is repair of an existing stoma, not creation of a new tracheostomy.

Select the complex revision rather than the simple revision based on the documented operative work and extent of reconstruction; the diagnosis alone does not establish complexity. The operative report should describe the stomal problem, tissue changes, and reconstructive steps. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery billing 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 Montana compares for 31614

Across 109 of 109 payment localities, the facility rate for 31614 runs from $577.21 in Arkansas to $795.71 in San Benito County, CA. Montana pays $642.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

31614 rates by state

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

See 31614 in every payment locality

How the 31614 rate is calculated

Each of 31614’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 31614

31614 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 31614

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

How 31614 has changed in Montana

Price 31614 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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