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CPT code 31632: Lung biopsy, each additional lobe2026 Medicare rate & RVUs in Nevada

Reports transbronchial lung tissue sampling in an additional lobe during bronchoscopy, beyond the lobe covered by the primary biopsy code.

CMS RVU26DEffective Oct 1, 2026One payment locality6.5K Medicare services in 2024

In Nevada, Medicare pays $68.39 for 31632 in the office and $42.65 when it’s performed in a hospital or facility.

$68.39Office (non-facility)
$42.65Hospital or facility
−0.6%vs the national office rate ($68.81)

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.

We’ll open 31632 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 31632 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 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 Nevada 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. Nevada pays $68.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

31632 in Nevada vs other payment areas
  1. Nevada · this page$68.39
  2. Los Angeles, CA · California$75.27+$6.88
  3. Washington, DC area · District of Columbia$76.74+$8.35
  4. Miami, FL · Florida$74.23+$5.84
  5. Chicago, IL · Illinois$72.66+$4.27
  6. Manhattan, NY · New York$77.81+$9.42
  7. Alaska · Alaska$86.43+$18.04

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

Every other payment area

31632 in every other Medicare payment locality
Payment localityOfficeFacility
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

31632 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.

$62.89

$86.43

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

View every state and territory as a table
31632 office rate range by state
State / territoryOffice rate rangeLocalities
AK$86.431
AL$63.551
AR$62.891
AZ$67.411
CA$71.28–$85.7129
CO$70.721
CT$72.561
DC$76.741
DE$68.311
FL$68.71–$74.233
GA$65.78–$69.972
GU$72.171
HI$72.171
IA$64.411
ID$64.781
IL$67.46–$72.664
IN$65.041
KS$64.341
KY$64.951
LA$64.93–$67.242
MA$70.53–$76.232
MD$69.31–$76.743
ME$65.18–$67.532
MI$66.30–$69.492
MN$67.871
MO$64.22–$67.243
MS$63.561
MT$68.801
NC$65.651
ND$67.221
NE$64.621
NH$69.811
NJ$73.41–$76.332
NM$66.631
NV$68.391
NY$66.38–$79.425
OH$65.981
OK$64.711
OR$67.88–$72.292
PA$65.97–$71.262
PR$69.131
RI$70.231
SC$65.921
SD$67.031
TN$64.591
TX$65.67–$70.478
UT$66.571
VA$67.46–$76.742
VI$69.131
VT$67.161
WA$70.34–$77.422
WI$65.581
WV$65.671
WY$68.111

See 31632 in every payment locality

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

Office or facility?

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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 31632 in Nevada
ComponentRVULocality factorAdjusted
Physician work1.00× 1.0001.0000
Practice expense0.98× 1.0010.9810
Malpractice0.08× 0.8330.0666
Total RVUs2.0476
Conversion factor× 33.4009

Office rate, Nevada$68.39

Office: (1 × 1 + 0.98 × 1.001 + 0.08 × 0.833) × $33.4009 = $68.39

Facility: (1 × 1 + 0.21 × 1.001 + 0.08 × 0.833) × $33.4009 = $42.65

Open 31632 in the RVU calculator

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

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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 31632

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

Codes related to 31632
CodeHow it relatesOffice range, Nevada
Add-on codes
31628Lung biopsy, single lobePrimary transbronchial lung biopsy code reported with this additional-lobe service.$406.93
Used instead
31633Bronchoscopic needle biopsy, each additional lobeAdd-on for needle aspiration biopsy in an additional lobe, rather than transbronchial lung tissue biopsy.$85.54
31629Bronchoscopic biopsy, needle aspiration biopsyReports transbronchial needle aspiration biopsy, a different sampling method.$495.36
31625Bronchoscopy biopsy, airway tissue samplingFor bronchoscopic biopsy of airway tissue rather than lung tissue in an additional lobe.$382.71
Often billed with
31627Navigational bronchoscopy, computer-assisted image guidanceNavigational bronchoscopy may accompany biopsy sampling of peripheral lung targets.$1,155.31

How 31632 has changed in Nevada

31632 · Office / nonfacility

$68.39

Effective 2026-10-01

The base rate is $6.69 higher than on 2025-10-01, moving from $61.70 to $68.39 (10.8%).

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

    $61.70changed to$68.39

    • 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 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $63.78changed to$61.70

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $62.74changed to$63.78

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $65.40changed to$62.74

    • 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
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $67.72changed to$65.40

    • 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
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $67.23changed to$67.72

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.77 changed to 0.80

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $66.25changed to$67.23

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.70 changed to 0.77
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $65.47changed to$66.25

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $65.77changed to$65.47

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.71 changed to 0.70

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $66.92changed to$65.77

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.73 changed to 0.71
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $78.26changed to$66.92

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.02 changed to 0.73
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $74.79changed to$78.26

    • 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.

  13. July 1, 2015

    RVU15C

    $74.42changed to$74.79

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $74.48changed to$74.42

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.92 changed to 0.93
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $75.77changed to$74.48

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.05 changed to 0.92
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$75.77

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$68.39$42.65RVU26D
2026-07-01$68.39$42.65RVU26C
2026-04-01$68.39$42.65RVU26B
2026-01-01$68.39$42.65RVU26A
2025-10-01$61.70$45.53RVU25D
2025-07-01$61.70$45.53RVU25C
2025-04-01$61.70$45.53RVU25B
2025-01-01$61.70$45.53RVU25A
2024-10-01$63.78$47.13RVU24D
2024-07-01$63.78$47.13RVU24C
2024-04-01$63.78$47.13RVU24B
2024-03-09$63.78$47.13RVU24AR
2024-01-01$62.74$46.36RVU24A
2023-10-01$65.40$49.13RVU23D
2023-07-01$65.40$49.13RVU23C
2023-04-01$65.40$49.13RVU23B
2023-01-01$65.40$49.13RVU23A
2022-10-01$67.72$51.10RVU22D
2022-07-01$67.72$51.10RVU22C
2022-04-01$67.72$51.10RVU22B
2022-01-01$67.72$51.10RVU22A
2021-10-01$67.23$51.53RVU21D
2021-07-01$67.23$51.53RVU21C
2021-04-01$67.23$51.53RVU21B
2021-01-01$67.23$51.53RVU21A
2020-10-01$66.25$52.18RVU20D
2020-07-01$66.25$52.18RVU20C
2020-04-01$66.25$52.18RVU20B
2020-01-01$66.25$52.18RVU20A
2019-10-01$65.47$50.81RVU19D
2019-07-01$65.47$50.81RVU19C
2019-04-01$65.47$50.81RVU19B
2019-01-01$65.47$50.81RVU19A
2018-10-01$65.77$51.12RVU18D
2018-07-01$65.77$51.12RVU18C
2018-04-01$65.77$51.12RVU18B
2018-01-01$65.77$51.12RVU18AR1
2017-10-01$66.92$51.33RVU17D
2017-07-01$66.92$51.33RVU17C
2017-04-01$66.92$51.33RVU17B
2017-01-01$66.92$51.33RVU17A
2016-10-01$78.26$51.54RVU16D
2016-07-01$78.26$51.54RVU16C
2016-04-01$78.26$51.54RVU16B
2016-01-01$78.26$51.54RVU16A
2015-10-01$74.79$51.37RVU15D
2015-07-01$74.79$51.37RVU15C
2015-04-01$74.42$51.12RVU15B
2015-01-01$74.42$51.12RVU15A
2014-10-01$74.48$51.43RVU14D
2014-07-01$74.48$51.43RVU14C
2014-04-01$74.48$51.43RVU14B
2014-01-01$74.48$51.43RVU14A
2013-10-01$75.77$50.58RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 31632 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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
RVUs for 31632PPRRVU2026_Oct_nonQPP.csv, line 3,641 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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