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

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 Virginia, Medicare pays $1,134.95 for 31627 in the office and $82.98 when it’s performed in a hospital or facility.

$1,134.95Office (non-facility)
$82.98Hospital or facility
−1.8%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 Virginia
  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 Virginia 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. Virginia pays $1,134.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

31627 in Virginia vs other payment areas
  1. Virginia · this page$1,134.95
  2. Los Angeles, CA · California$1,354.05+$219.10
  3. Washington, DC area · District of Columbia$1,352.48+$217.53
  4. Miami, FL · Florida$1,209.98+$75.03
  5. Chicago, IL · Illinois$1,169.86+$34.91
  6. Manhattan, NY · New York$1,338.95+$204.00
  7. Alaska · Alaska$1,255.33+$120.38

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

Every other payment area

31627 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,017.00$80.60
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

31627 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 31627 in Virginia
ComponentRVULocality factorAdjusted
Physician work1.95× 1.0001.9500
Practice expense32.44× 0.98331.8885
Malpractice0.20× 0.7060.1412
Total RVUs33.9797
Conversion factor× 33.4009

Office rate, Virginia$1134.95

Office: (1.95 × 1 + 32.44 × 0.983 + 0.2 × 0.706) × $33.4009 = $1134.95

Facility: (1.95 × 1 + 0.4 × 0.983 + 0.2 × 0.706) × $33.4009 = $82.98

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.

Codes related to 31627

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

Codes related to 31627
CodeHow it relatesOffice range, Virginia
Primary code
31628Lung biopsy, single lobeNavigation may guide the transbronchial lung biopsy reported with this primary procedure.$400.46
31629Bronchoscopic biopsy, needle aspiration biopsyNavigation may guide the transbronchial needle biopsy reported with this primary procedure.$487.30
31624Bronchoscopy, bronchoalveolar lavageThis primary bronchoscopy service may be reported with navigation when both are performed.$280.61

How 31627 has changed in Virginia

31627 · Office / nonfacility

$1134.95

Effective 2026-10-01

The base rate is $172.76 higher than on 2025-10-01, moving from $962.19 to $1134.95 (18.0%).

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

    $962.19changed to$1134.95

    • 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 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1041.53changed to$962.19

    • 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

    $1024.53changed to$1041.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1092.24changed to$1024.53

    • 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 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $1182.45changed to$1092.24

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 32.15 changed to 30.37
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1301.27changed to$1182.45

    • 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

    $1298.70changed to$1301.27

    • 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
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1344.36changed to$1298.70

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1417.05changed to$1344.36

    • 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

    $1401.82changed to$1417.05

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 37.44 changed to 37.70
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1414.53changed to$1401.82

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 37.98 changed to 37.44
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1417.52changed to$1414.53

    • 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

    $1410.47changed to$1417.52

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1283.98changed to$1410.47

    • 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
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1375.22changed to$1283.98

    • 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
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1375.22

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,134.95$82.98RVU26D
2026-07-01$1,134.95$82.98RVU26C
2026-04-01$1,134.95$82.98RVU26B
2026-01-01$1,134.95$82.98RVU26A
2025-10-01$962.19$89.44RVU25D
2025-07-01$962.19$89.44RVU25C
2025-04-01$962.19$89.44RVU25B
2025-01-01$962.19$89.44RVU25A
2024-10-01$1,041.53$91.97RVU24D
2024-07-01$1,041.53$91.97RVU24C
2024-04-01$1,041.53$91.97RVU24B
2024-03-09$1,041.53$91.97RVU24AR
2024-01-01$1,024.53$90.47RVU24A
2023-10-01$1,092.24$93.50RVU23D
2023-07-01$1,092.24$93.50RVU23C
2023-04-01$1,092.24$93.50RVU23B
2023-01-01$1,092.24$93.50RVU23A
2022-10-01$1,182.45$96.77RVU22D
2022-07-01$1,182.45$96.77RVU22C
2022-04-01$1,182.45$96.77RVU22B
2022-01-01$1,182.45$96.77RVU22A
2021-10-01$1,301.27$97.57RVU21D
2021-07-01$1,301.27$97.57RVU21C
2021-04-01$1,301.27$97.57RVU21B
2021-01-01$1,301.27$97.57RVU21A
2020-10-01$1,298.70$99.50RVU20D
2020-07-01$1,298.70$99.50RVU20C
2020-04-01$1,298.70$99.50RVU20B
2020-01-01$1,298.70$99.50RVU20A
2019-10-01$1,344.36$99.94RVU19D
2019-07-01$1,344.36$99.94RVU19C
2019-04-01$1,344.36$99.94RVU19B
2019-01-01$1,344.36$99.94RVU19A
2018-10-01$1,417.05$100.16RVU18D
2018-07-01$1,417.05$100.16RVU18C
2018-04-01$1,417.05$100.16RVU18B
2018-01-01$1,417.05$100.16RVU18AR1
2017-10-01$1,401.82$99.87RVU17D
2017-07-01$1,401.82$99.87RVU17C
2017-04-01$1,401.82$99.87RVU17B
2017-01-01$1,401.82$99.87RVU17A
2016-10-01$1,414.53$98.92RVU16D
2016-07-01$1,414.53$98.92RVU16C
2016-04-01$1,414.53$98.92RVU16B
2016-01-01$1,414.53$98.92RVU16A
2015-10-01$1,417.52$99.28RVU15D
2015-07-01$1,417.52$99.28RVU15C
2015-04-01$1,410.47$98.78RVU15B
2015-01-01$1,410.47$98.78RVU15A
2014-10-01$1,283.98$96.33RVU14D
2014-07-01$1,283.98$96.33RVU14C
2014-04-01$1,283.98$96.33RVU14B
2014-01-01$1,283.98$96.33RVU14A
2013-10-01$1,375.22$93.80RVU13D
2013-07-01$1,375.22$93.80RVU13C
2013-04-01$1,375.22$93.80RVU13B
2013-01-01$1,375.22$93.80RVU13AR

Price 31627 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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