CPT code 31632: Lung biopsy, each additional lobe2026 Medicare rate & RVUs in Iowa
Reports transbronchial lung tissue sampling in an additional lobe during bronchoscopy, beyond the lobe covered by the primary biopsy code.
In Iowa, Medicare pays $64.41 for 31632 in the office and $40.88 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 31632 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 31632 covers
A pulmonologist, interventional pulmonologist, or thoracic surgeon may take transbronchial lung tissue samples through a bronchoscope to evaluate findings such as pulmonary nodules or diffuse lung disease. This add-on represents sampling in an additional lobe beyond the lobe reported with the primary transbronchial lung biopsy service. It is commonly performed in a hospital bronchoscopy suite or operating room.
Report 31632 with 31628 when the bronchoscopist biopsies lung tissue in one or more additional lobes during the same procedure. The operative report should identify the lobes sampled and describe transbronchial lung tissue biopsy; the additional code is based on the additional lobe, not the number of specimens or biopsy passes. CMS classifies it as an add-on: it must be billed with a primary procedure and is paid within that 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 Iowa compares for 31632
Across 109 of 109 payment localities, the office rate for 31632 runs from $62.89 in Arkansas to $86.43 in Alaska. Iowa pays $64.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Iowa · this page$64.41
- Los Angeles, CA · California$75.27+$10.86
- Washington, DC area · District of Columbia$76.74+$12.33
- Miami, FL · Florida$74.23+$9.82
- Chicago, IL · Illinois$72.66+$8.25
- Manhattan, NY · New York$77.81+$13.40
- Alaska · Alaska$86.43+$22.02
Other areas in Iowa first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $63.55 | $41.05 |
| ArkansasArkansas | $62.89 | $40.80 |
| ArizonaArizona | $67.41 | $42.48 |
| Bakersfield, CACalifornia | $71.54 | $43.35 |
| Chico, CACalifornia | $71.28 | $43.09 |
| El Centro, CACalifornia | $71.29 | $43.10 |
| Fresno, CACalifornia | $71.28 | $43.09 |
| Hanford, CACalifornia | $71.28 | $43.09 |
| Madera, CACalifornia | $71.28 | $43.09 |
| Merced, CACalifornia | $71.28 | $43.09 |
| Modesto, CACalifornia | $71.28 | $43.09 |
| Napa, CACalifornia | $80.00 | $46.11 |
| Oxnard, CACalifornia | $74.69 | $44.29 |
| Redding, CACalifornia | $71.28 | $43.09 |
| Rest of CaliforniaCalifornia | $71.28 | $43.09 |
| Riverside, CACalifornia | $72.16 | $43.97 |
| Sacramento, CACalifornia | $74.10 | $44.19 |
| Salinas, CACalifornia | $73.81 | $44.00 |
| San Diego, CACalifornia | $75.00 | $44.24 |
| Marin County, CACalifornia | $83.95 | $47.69 |
| San Francisco, CACalifornia | $83.86 | $47.60 |
| San Benito County, CACalifornia | $85.71 | $48.62 |
| Santa Clara County, CACalifornia | $85.34 | $48.25 |
| San Luis Obispo, CACalifornia | $72.68 | $43.39 |
| Santa Cruz, CACalifornia | $75.31 | $44.06 |
| Santa Maria, CACalifornia | $73.93 | $43.95 |
| Santa Rosa, CACalifornia | $76.03 | $44.45 |
| Stockton, CACalifornia | $71.28 | $43.09 |
| Vallejo, CACalifornia | $79.87 | $45.98 |
| Visalia, CACalifornia | $71.28 | $43.09 |
| Yuba City, CACalifornia | $71.28 | $43.09 |
| ColoradoColorado | $70.72 | $43.35 |
| ConnecticutConnecticut | $72.56 | $44.86 |
| DelawareDelaware | $68.31 | $42.90 |
| Fort Lauderdale, FLFlorida | $71.39 | $45.34 |
| Rest of FloridaFlorida | $68.71 | $44.12 |
| Atlanta, GAGeorgia | $69.97 | $43.84 |
| Rest of GeorgiaGeorgia | $65.78 | $42.84 |
| Hawaii, Guam, HIHawaii | $72.17 | $42.92 |
| IdahoIdaho | $64.78 | $41.12 |
| East St. Louis, ILIllinois | $68.90 | $45.24 |
| Rest of IllinoisIllinois | $67.46 | $43.98 |
| Suburban Chicago, ILIllinois | $71.99 | $45.57 |
| IndianaIndiana | $65.04 | $41.20 |
| KansasKansas | $64.34 | $41.09 |
| KentuckyKentucky | $64.95 | $42.08 |
| New Orleans, LALouisiana | $67.24 | $43.04 |
| Rest of LouisianaLouisiana | $64.93 | $42.17 |
| Metropolitan Boston, MAMassachusetts | $76.23 | $45.52 |
| Rest of MassachusettsMassachusetts | $70.53 | $43.45 |
| Baltimore area, MDMaryland | $72.36 | $44.77 |
| Rest of MarylandMaryland | $69.31 | $43.29 |
| Rest of MaineMaine | $65.18 | $41.52 |
| Southern Maine, MEMaine | $67.53 | $42.04 |
| Detroit, MIMichigan | $69.49 | $44.67 |
| Rest of MichiganMichigan | $66.30 | $42.82 |
| MinnesotaMinnesota | $67.87 | $41.41 |
| Metropolitan Kansas City, MOMissouri | $66.75 | $42.60 |
| Metropolitan St. Louis, MOMissouri | $67.24 | $42.76 |
| Rest of MissouriMissouri | $64.22 | $42.05 |
| MississippiMississippi | $63.56 | $41.41 |
| MontanaMontana | $68.80 | $43.08 |
| North CarolinaNorth Carolina | $65.65 | $41.65 |
| North DakotaNorth Dakota | $67.22 | $41.50 |
| NebraskaNebraska | $64.62 | $40.89 |
| New HampshireNew Hampshire | $69.81 | $43.04 |
| Northern New JerseyNew Jersey | $76.33 | $46.50 |
| Rest of New JerseyNew Jersey | $73.41 | $45.33 |
| New MexicoNew Mexico | $66.63 | $43.04 |
| NevadaNevada | $68.39 | $42.65 |
| NYC suburbs and Long Island, NYNew York | $79.42 | $48.84 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $73.98 | $45.82 |
| Queens, NYNew York | $78.08 | $47.68 |
| Rest of New YorkNew York | $66.38 | $41.94 |
| OhioOhio | $65.98 | $42.50 |
| OklahomaOklahoma | $64.71 | $41.74 |
| Portland, OROregon | $72.29 | $43.72 |
| Rest of OregonOregon | $67.88 | $42.27 |
| Metropolitan Philadelphia, PAPennsylvania | $71.26 | $44.49 |
| Rest of PennsylvaniaPennsylvania | $65.97 | $42.37 |
| Puerto RicoPuerto Rico | $69.13 | $43.12 |
| Rhode IslandRhode Island | $70.23 | $43.66 |
| South CarolinaSouth Carolina | $65.92 | $42.15 |
| South DakotaSouth Dakota | $67.03 | $41.31 |
| TennesseeTennessee | $64.59 | $41.21 |
| Austin, TXTexas | $70.47 | $43.26 |
| Beaumont, TXTexas | $65.67 | $42.27 |
| Brazoria, TXTexas | $68.19 | $42.70 |
| Dallas, TXTexas | $68.60 | $42.98 |
| Fort Worth, TXTexas | $68.30 | $42.94 |
| Galveston, TXTexas | $68.38 | $42.85 |
| Houston, TXTexas | $69.85 | $44.31 |
| Rest of TexasTexas | $66.88 | $42.47 |
| UtahUtah | $66.57 | $42.39 |
| VirginiaVirginia | $67.46 | $42.18 |
| Virgin Islands, VIUnited States Virgin Islands | $69.13 | $43.12 |
| VermontVermont | $67.16 | $41.70 |
| Rest of WashingtonWashington | $70.34 | $43.25 |
| King County, WAWashington | $77.42 | $45.86 |
| WisconsinWisconsin | $65.58 | $40.94 |
| West VirginiaWest Virginia | $65.67 | $43.32 |
| WyomingWyoming | $68.11 | $42.39 |
31632 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.
$62.89
$86.43
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $86.43 | 1 |
| AL | $63.55 | 1 |
| AR | $62.89 | 1 |
| AZ | $67.41 | 1 |
| CA | $71.28–$85.71 | 29 |
| CO | $70.72 | 1 |
| CT | $72.56 | 1 |
| DC | $76.74 | 1 |
| DE | $68.31 | 1 |
| FL | $68.71–$74.23 | 3 |
| GA | $65.78–$69.97 | 2 |
| GU | $72.17 | 1 |
| HI | $72.17 | 1 |
| IA | $64.41 | 1 |
| ID | $64.78 | 1 |
| IL | $67.46–$72.66 | 4 |
| IN | $65.04 | 1 |
| KS | $64.34 | 1 |
| KY | $64.95 | 1 |
| LA | $64.93–$67.24 | 2 |
| MA | $70.53–$76.23 | 2 |
| MD | $69.31–$76.74 | 3 |
| ME | $65.18–$67.53 | 2 |
| MI | $66.30–$69.49 | 2 |
| MN | $67.87 | 1 |
| MO | $64.22–$67.24 | 3 |
| MS | $63.56 | 1 |
| MT | $68.80 | 1 |
| NC | $65.65 | 1 |
| ND | $67.22 | 1 |
| NE | $64.62 | 1 |
| NH | $69.81 | 1 |
| NJ | $73.41–$76.33 | 2 |
| NM | $66.63 | 1 |
| NV | $68.39 | 1 |
| NY | $66.38–$79.42 | 5 |
| OH | $65.98 | 1 |
| OK | $64.71 | 1 |
| OR | $67.88–$72.29 | 2 |
| PA | $65.97–$71.26 | 2 |
| PR | $69.13 | 1 |
| RI | $70.23 | 1 |
| SC | $65.92 | 1 |
| SD | $67.03 | 1 |
| TN | $64.59 | 1 |
| TX | $65.67–$70.47 | 8 |
| UT | $66.57 | 1 |
| VA | $67.46–$76.74 | 2 |
| VI | $69.13 | 1 |
| VT | $67.16 | 1 |
| WA | $70.34–$77.42 | 2 |
| WI | $65.58 | 1 |
| WV | $65.67 | 1 |
| WY | $68.11 | 1 |
How the 31632 rate is calculated
Each of 31632’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 · 31632
RVUs × geographic indexes × conversion factor
Work1.00
1.00 RVUs× 1.000 GPCI
Practice expense0.98
0.98 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
2.0600
Conversion factor
$33.4009
Medicare rate
$68.81
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Iowa inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,641
- Code
- 31632
- Physician work
- 1.00
- Practice expense
- 0.98
- Malpractice
- 0.08
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.00 | × 1.000 | 1.0000 |
| Practice expense | 0.98 | × 0.915 | 0.8967 |
| Malpractice | 0.08 | × 0.397 | 0.0318 |
| Total RVUs | 1.9285 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Iowa$64.41
Office: (1 × 1 + 0.98 × 0.915 + 0.08 × 0.397) × $33.4009 = $64.41
Facility: (1 × 1 + 0.21 × 0.915 + 0.08 × 0.397) × $33.4009 = $40.88
Payment rules and modifiers for 31632
The CMS indicators that decide how 31632 is paid alongside other services.
CMS payment indicators · 31632
Lung biopsy, each additional lobe
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
How 31632 has changed in Iowa
31632 · Office / nonfacility
$64.41
Effective 2026-10-01
The base rate is $5.99 higher than on 2025-10-01, moving from $58.42 to $64.41 (10.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$58.42changed to$64.41
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.03 changed to 1.00
- Practice expense RVU 0.81 changed to 0.98
- Practice expense GPCI 0.913 changed to 0.915
- Malpractice GPCI 0.457 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$60.27changed to$58.42
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$59.29changed to$60.27
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$60.76changed to$59.29
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.79 changed to 0.81
- Malpractice RVU 0.10 changed to 0.09
- Practice expense GPCI 0.910 changed to 0.913
- Malpractice GPCI 0.441 changed to 0.457
January 1, 2023
RVU23A
$62.08changed to$60.76
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.80 changed to 0.79
- Malpractice RVU 0.09 changed to 0.10
- Practice expense GPCI 0.907 changed to 0.910
- Malpractice GPCI 0.425 changed to 0.441
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$61.64changed to$62.08
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.77 changed to 0.80
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$61.46changed to$61.64
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.70 changed to 0.77
- Malpractice GPCI 0.424 changed to 0.425
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$61.22changed to$61.46
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.08 changed to 0.09
- Malpractice GPCI 0.423 changed to 0.424
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$61.48changed to$61.22
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.71 changed to 0.70
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$61.91changed to$61.48
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.73 changed to 0.71
- Practice expense GPCI 0.902 changed to 0.907
- Malpractice GPCI 0.458 changed to 0.423
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$71.01changed to$61.91
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.02 changed to 0.73
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 0.493 changed to 0.458
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$68.19changed to$71.01
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.93 changed to 1.02
- Malpractice RVU 0.07 changed to 0.08
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$67.85changed to$68.19
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$67.49changed to$67.85
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.92 changed to 0.93
- Practice expense GPCI 0.892 changed to 0.896
- Malpractice GPCI 0.475 changed to 0.493
Held through RVU15B.
January 1, 2014
RVU14A
$67.82changed to$67.49
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.05 changed to 0.92
- Practice expense GPCI 0.887 changed to 0.892
- Malpractice GPCI 0.456 changed to 0.475
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $67.82
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $64.41 | $40.88 | RVU26D |
| 2026-07-01 | $64.41 | $40.88 | RVU26C |
| 2026-04-01 | $64.41 | $40.88 | RVU26B |
| 2026-01-01 | $64.41 | $40.88 | RVU26A |
| 2025-10-01 | $58.42 | $43.65 | RVU25D |
| 2025-07-01 | $58.42 | $43.65 | RVU25C |
| 2025-04-01 | $58.42 | $43.65 | RVU25B |
| 2025-01-01 | $58.42 | $43.65 | RVU25A |
| 2024-10-01 | $60.27 | $45.08 | RVU24D |
| 2024-07-01 | $60.27 | $45.08 | RVU24C |
| 2024-04-01 | $60.27 | $45.08 | RVU24B |
| 2024-03-09 | $60.27 | $45.08 | RVU24AR |
| 2024-01-01 | $59.29 | $44.34 | RVU24A |
| 2023-10-01 | $60.76 | $45.96 | RVU23D |
| 2023-07-01 | $60.76 | $45.96 | RVU23C |
| 2023-04-01 | $60.76 | $45.96 | RVU23B |
| 2023-01-01 | $60.76 | $45.96 | RVU23A |
| 2022-10-01 | $62.08 | $47.01 | RVU22D |
| 2022-07-01 | $62.08 | $47.01 | RVU22C |
| 2022-04-01 | $62.08 | $47.01 | RVU22B |
| 2022-01-01 | $62.08 | $47.01 | RVU22A |
| 2021-10-01 | $61.64 | $47.40 | RVU21D |
| 2021-07-01 | $61.64 | $47.40 | RVU21C |
| 2021-04-01 | $61.64 | $47.40 | RVU21B |
| 2021-01-01 | $61.64 | $47.40 | RVU21A |
| 2020-10-01 | $61.46 | $48.70 | RVU20D |
| 2020-07-01 | $61.46 | $48.70 | RVU20C |
| 2020-04-01 | $61.46 | $48.70 | RVU20B |
| 2020-01-01 | $61.46 | $48.70 | RVU20A |
| 2019-10-01 | $61.22 | $48.15 | RVU19D |
| 2019-07-01 | $61.22 | $48.15 | RVU19C |
| 2019-04-01 | $61.22 | $48.15 | RVU19B |
| 2019-01-01 | $61.22 | $48.15 | RVU19A |
| 2018-10-01 | $61.48 | $48.42 | RVU18D |
| 2018-07-01 | $61.48 | $48.42 | RVU18C |
| 2018-04-01 | $61.48 | $48.42 | RVU18B |
| 2018-01-01 | $61.48 | $48.42 | RVU18AR1 |
| 2017-10-01 | $61.91 | $48.32 | RVU17D |
| 2017-07-01 | $61.91 | $48.32 | RVU17C |
| 2017-04-01 | $61.91 | $48.32 | RVU17B |
| 2017-01-01 | $61.91 | $48.32 | RVU17A |
| 2016-10-01 | $71.01 | $48.24 | RVU16D |
| 2016-07-01 | $71.01 | $48.24 | RVU16C |
| 2016-04-01 | $71.01 | $48.24 | RVU16B |
| 2016-01-01 | $71.01 | $48.24 | RVU16A |
| 2015-10-01 | $68.19 | $48.23 | RVU15D |
| 2015-07-01 | $68.19 | $48.23 | RVU15C |
| 2015-04-01 | $67.85 | $47.99 | RVU15B |
| 2015-01-01 | $67.85 | $47.99 | RVU15A |
| 2014-10-01 | $67.49 | $47.99 | RVU14D |
| 2014-07-01 | $67.49 | $47.99 | RVU14C |
| 2014-04-01 | $67.49 | $47.99 | RVU14B |
| 2014-01-01 | $67.49 | $47.99 | RVU14A |
| 2013-10-01 | $67.82 | $46.69 | RVU13D |
| 2013-07-01 | $67.82 | $46.69 | RVU13C |
| 2013-04-01 | $67.82 | $46.69 | RVU13B |
| 2013-01-01 | $67.82 | $46.69 | RVU13AR |
Where the Iowa rate applies
Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.
- Ackley
- Ackworth
- Adair
- Adel
- Afton
- Agency
- Ainsworth
- Akron
31632 billing questions
Can 31632 be reported by itself?
No. It is an add-on code and must be reported with the primary transbronchial lung biopsy code, 31628.
Is 31632 reported for each extra specimen or biopsy pass?
No. It represents transbronchial lung biopsy in an additional lobe. Document the lobe sampled; specimen or pass count alone does not establish another unit.
How does 31632 differ from 31628?
31628 reports transbronchial lung biopsy in the primary lobe. Use 31632 for biopsy sampling in each additional lobe during that procedure.
When should 31625 be considered instead?
31625 concerns bronchoscopic biopsy of airway tissue, such as a bronchial lesion. 31632 applies to transbronchial sampling of lung tissue in an additional lobe.
What documentation supports reporting 31632?
The bronchoscopy report should state that transbronchial lung tissue was sampled and identify the additional lobe or lobes biopsied.
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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