CPT code 31627: Navigational bronchoscopy, computer-assisted image guidance2026 Medicare rate & RVUs in Washington, DC area

Add-on service for bronchoscopic computer-assisted navigation that guides instruments toward a lung target during a separately reported bronchoscopy procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality32.5K Medicare services in 2024

In Washington, DC area, Medicare pays $1,352.48 for 31627 in the office and $91.82 when it’s performed in a hospital or facility.

$1,352.48Office (non-facility)
$91.82Hospital or facility
+17.1%vs the national office rate ($1,155.34)

Check a contract rate as a % of Medicare · 31627 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 31627 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 31627 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 31627 covers

This service uses computer-assisted, image-guided navigation to direct a bronchoscope or instruments toward a planned lung target, often a peripheral pulmonary lesion that is difficult to reach with standard airway inspection. Pulmonologists and thoracic surgeons may use it during bronchoscopy to guide sampling or another bronchoscopic intervention in a hospital or outpatient setting.

Report 31627 with a primary bronchoscopy procedure, not by itself. The record should identify the target, describe use of the navigation system, and document the primary bronchoscopic service performed. For example, navigation may guide a transbronchial lung biopsy or needle biopsy; the biopsy procedure is reported separately when performed. CMS classifies 31627 as an add-on code, and payment falls within the primary procedure’s global period.

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 Washington, DC area compares for 31627

Across 109 of 109 payment localities, the office rate for 31627 runs from $999.32 in Arkansas to $1,638.32 in San Benito County, CA. Washington, DC area pays $1,352.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

31627 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,352.48
  2. Los Angeles, CA · California$1,354.05+$1.57
  3. Miami, FL · Florida$1,209.98−$142.50
  4. Chicago, IL · Illinois$1,169.86−$182.62
  5. Manhattan, NY · New York$1,338.95−$13.53
  6. Alaska · Alaska$1,255.33−$97.15
  7. Alabama · Alabama$1,017.00−$335.48

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

31627 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$999.32$80.05
ArizonaArizona$1,120.79$83.80
Bakersfield, CACalifornia$1,257.98$85.08
Chico, CACalifornia$1,257.36$84.46
El Centro, CACalifornia$1,257.40$84.50
Fresno, CACalifornia$1,257.36$84.46
Hanford, CACalifornia$1,257.36$84.46
Madera, CACalifornia$1,257.36$84.46

31627 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$999.32

$1,447.84

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
31627 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,255.331
AL$1,017.001
AR$999.321
AZ$1,120.791
CA$1,257.36–$1,638.3229
CO$1,224.001
CT$1,241.471
DC$1,352.481
DE$1,141.991
FL$1,111.02–$1,209.983
GA$1,039.60–$1,174.212
GU$1,300.971
HI$1,300.971
IA$1,059.211
ID$1,065.131
IL$1,064.83–$1,190.214
IN$1,072.811
KS$1,048.011
KY$1,034.501
LA$1,030.45–$1,092.322
MA$1,212.45–$1,367.482
MD$1,168.44–$1,352.483
ME$1,066.13–$1,143.122
MI$1,061.93–$1,122.002
MN$1,182.061
MO$1,005.64–$1,103.343
MS$1,002.981
MT$1,155.321
NC$1,080.331
ND$1,151.371
NE$1,067.751
NH$1,198.931
NJ$1,258.27–$1,333.262
NM$1,066.751
NV$1,155.311
NY$1,099.18–$1,370.025
OH$1,061.121
OK$1,037.911
OR$1,149.02–$1,274.942
PA$1,066.12–$1,202.222
PR$1,167.161
RI$1,191.611
SC$1,071.991
SD$1,150.901
TN$1,053.641
TX$1,057.35–$1,217.558
UT$1,089.641
VA$1,134.95–$1,352.482
VI$1,167.161
VT$1,141.201
WA$1,212.01–$1,403.332
WI$1,105.211
WV$1,016.271
WY$1,153.601

See 31627 in every payment locality

How the 31627 rate is calculated

Each of 31627’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 · 31627

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.95

1.95 RVUs× 1.000 GPCI

Practice expense32.44

32.44 RVUs× 1.000 GPCI

Malpractice0.20

0.20 RVUs× 1.000 GPCI

Adjusted RVUs

34.5900

Conversion factor

$33.4009

Medicare rate

$1,155.34

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,636

Code
31627
Physician work
1.95
Practice expense
32.44
Malpractice
0.20

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 31627 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.95× 1.0542.0553
Practice expense32.44× 1.17838.2143
Malpractice0.20× 1.1130.2226
Total RVUs40.4922
Conversion factor× 33.4009

Office rate, Washington, DC area$1352.48

Office: (1.95 × 1.054 + 32.44 × 1.178 + 0.2 × 1.113) × $33.4009 = $1352.48

Facility: (1.95 × 1.054 + 0.4 × 1.178 + 0.2 × 1.113) × $33.4009 = $91.82

Open 31627 in the RVU calculator

Payment rules and modifiers for 31627

The CMS indicators that decide how 31627 is paid alongside other services.

CMS payment indicators · 31627

Navigational bronchoscopy, computer-assisted image guidance

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 31627 has changed in Washington, DC area

31627 · Office / nonfacility

$1352.48

Effective 2026-10-01

The base rate is $195.40 higher than on 2025-10-01, moving from $1157.08 to $1352.48 (16.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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
  1. January 1, 2026

    RVU26A

    $1157.08changed to$1352.48

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.00 changed to 1.95
    • Practice expense RVU 28.04 changed to 32.44
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1253.02changed to$1157.08

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 29.60 changed to 28.04
    • Malpractice RVU 0.21 changed to 0.20

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1232.57changed to$1253.02

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1329.31changed to$1232.57

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 30.37 changed to 29.60
    • Malpractice RVU 0.20 changed to 0.21
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168
  5. January 1, 2023

    RVU23A

    $1457.07changed to$1329.31

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 32.15 changed to 30.37
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1604.57changed to$1457.07

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 35.29 changed to 32.15

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1587.96changed to$1604.57

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 34.13 changed to 35.29
    • Malpractice RVU 0.18 changed to 0.20
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1631.28changed to$1587.96

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 35.62 changed to 34.13
    • Malpractice RVU 0.20 changed to 0.18
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1720.18changed to$1631.28

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 37.70 changed to 35.62
    • Malpractice RVU 0.21 changed to 0.20

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1703.93changed to$1720.18

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 37.44 changed to 37.70
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1723.50changed to$1703.93

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 37.98 changed to 37.44
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1727.12changed to$1723.50

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 37.92 changed to 37.98

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1718.53changed to$1727.12

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1563.36changed to$1718.53

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 34.43 changed to 37.92
    • Malpractice RVU 0.13 changed to 0.21
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1675.35changed to$1563.36

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 39.22 changed to 34.43
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1675.35

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,352.48$91.82RVU26D
2026-07-01$1,352.48$91.82RVU26C
2026-04-01$1,352.48$91.82RVU26B
2026-01-01$1,352.48$91.82RVU26A
2025-10-01$1,157.08$99.84RVU25D
2025-07-01$1,157.08$99.84RVU25C
2025-04-01$1,157.08$99.84RVU25B
2025-01-01$1,157.08$99.84RVU25A
2024-10-01$1,253.02$102.74RVU24D
2024-07-01$1,253.02$102.74RVU24C
2024-04-01$1,253.02$102.74RVU24B
2024-03-09$1,253.02$102.74RVU24AR
2024-01-01$1,232.57$101.06RVU24A
2023-10-01$1,329.31$104.60RVU23D
2023-07-01$1,329.31$104.60RVU23C
2023-04-01$1,329.31$104.60RVU23B
2023-01-01$1,329.31$104.60RVU23A
2022-10-01$1,457.07$108.43RVU22D
2022-07-01$1,457.07$108.43RVU22C
2022-04-01$1,457.07$108.43RVU22B
2022-01-01$1,457.07$108.43RVU22A
2021-10-01$1,604.57$109.32RVU21D
2021-07-01$1,604.57$109.32RVU21C
2021-04-01$1,604.57$109.32RVU21B
2021-01-01$1,604.57$109.32RVU21A
2020-10-01$1,587.96$110.45RVU20D
2020-07-01$1,587.96$110.45RVU20C
2020-04-01$1,587.96$110.45RVU20B
2020-01-01$1,587.96$110.45RVU20A
2019-10-01$1,631.28$110.47RVU19D
2019-07-01$1,631.28$110.47RVU19C
2019-04-01$1,631.28$110.47RVU19B
2019-01-01$1,631.28$110.47RVU19A
2018-10-01$1,720.18$110.80RVU18D
2018-07-01$1,720.18$110.80RVU18C
2018-04-01$1,720.18$110.80RVU18B
2018-01-01$1,720.18$110.80RVU18AR1
2017-10-01$1,703.93$111.18RVU17D
2017-07-01$1,703.93$111.18RVU17C
2017-04-01$1,703.93$111.18RVU17B
2017-01-01$1,703.93$111.18RVU17A
2016-10-01$1,723.50$110.77RVU16D
2016-07-01$1,723.50$110.77RVU16C
2016-04-01$1,723.50$110.77RVU16B
2016-01-01$1,723.50$110.77RVU16A
2015-10-01$1,727.12$111.17RVU15D
2015-07-01$1,727.12$111.17RVU15C
2015-04-01$1,718.53$110.62RVU15B
2015-01-01$1,718.53$110.62RVU15A
2014-10-01$1,563.36$106.67RVU14D
2014-07-01$1,563.36$106.67RVU14C
2014-04-01$1,563.36$106.67RVU14B
2014-01-01$1,563.36$106.67RVU14A
2013-10-01$1,675.35$104.07RVU13D
2013-07-01$1,675.35$104.07RVU13C
2013-04-01$1,675.35$104.07RVU13B
2013-01-01$1,675.35$104.07RVU13AR

Price 31627 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

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31627 billing questions

Can 31627 be reported by itself?

No. It is an add-on code and must be billed with a primary bronchoscopy procedure.

How does 31627 differ from 31628?

31627 captures computer-assisted navigation to a lung target. 31628 reports the transbronchial lung biopsy itself; report both when both services are performed and supported.

Does 31627 include the biopsy?

No. Navigation describes guidance to the target, while a biopsy or other therapeutic service is reported with its own primary procedure code when performed.

What documentation supports 31627?

Document the planned lung target, use of computer-assisted image-guided navigation, and the primary bronchoscopy procedure performed.

How is payment handled for this add-on code?

CMS treats 31627 as an add-on paid within the primary procedure’s global period. It must accompany a primary procedure.

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 31627PPRRVU2026_Oct_nonQPP.csv, line 3,636 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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