CPT code 31634: Bronchoscopy, balloon occlusion for air leak2026 Medicare rate & RVUs in Puerto Rico
Bronchoscopic balloon occlusion temporarily blocks selected airways to help locate and measure a persistent pulmonary air leak.
In Puerto Rico, Medicare pays $1,622.26 for 31634 in the office and $170.56 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 31634 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 10 sections
What 31634 covers
During this procedure, a pulmonologist or other bronchoscopist passes a flexible or rigid bronchoscope into the airways and uses a balloon catheter to temporarily occlude selected branches. The clinician observes the effect on an air leak, often through a connected chest drainage system, to help identify the airway responsible. This assessment may be used when a patient has a persistent leak, such as after lung surgery or with a bronchopleural fistula, and localization could guide treatment planning.
Report the service when balloon occlusion and air-leak assessment are performed, rather than for airway inspection alone or airway dilation. The record should support the clinical reason for testing, the airways occluded, and the observed leak response or measurements. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate. CMS may pay for an assistant at surgery; co-surgeons and team surgery 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 Puerto Rico compares for 31634
Across 109 of 109 payment localities, the office rate for 31634 runs from $1,392.87 in Arkansas to $2,264.73 in San Benito County, CA. Puerto Rico pays $1,622.26. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$1,622.26
- Los Angeles, CA · California$1,876.59+$254.33
- Washington, DC area · District of Columbia$1,876.22+$253.96
- Miami, FL · Florida$1,684.99+$62.73
- Chicago, IL · Illinois$1,630.04+$7.78
- Manhattan, NY · New York$1,859.58+$237.32
- Alaska · Alaska$1,757.65+$135.39
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,417.03 | $160.62 |
| ArkansasArkansas | $1,392.87 | $159.43 |
| ArizonaArizona | $1,558.89 | $167.49 |
| Bakersfield, CACalifornia | $1,745.18 | $171.43 |
| Chico, CACalifornia | $1,744.06 | $170.31 |
| El Centro, CACalifornia | $1,744.12 | $170.37 |
| Fresno, CACalifornia | $1,744.06 | $170.31 |
| Hanford, CACalifornia | $1,744.06 | $170.31 |
| Madera, CACalifornia | $1,744.06 | $170.31 |
| Merced, CACalifornia | $1,744.06 | $170.31 |
| Modesto, CACalifornia | $1,744.06 | $170.31 |
| Napa, CACalifornia | $2,076.12 | $183.60 |
| Oxnard, CACalifornia | $1,873.04 | $175.80 |
| Redding, CACalifornia | $1,744.06 | $170.31 |
| Rest of CaliforniaCalifornia | $1,744.06 | $170.31 |
| Riverside, CACalifornia | $1,747.99 | $174.24 |
| Sacramento, CACalifornia | $1,845.00 | $175.05 |
| Salinas, CACalifornia | $1,838.50 | $174.29 |
| San Diego, CACalifornia | $1,892.92 | $175.58 |
| Marin County, CACalifornia | $2,214.87 | $190.24 |
| San Francisco, CACalifornia | $2,214.46 | $189.83 |
| San Benito County, CACalifornia | $2,264.73 | $194.16 |
| Santa Clara County, CACalifornia | $2,263.06 | $192.49 |
| San Luis Obispo, CACalifornia | $1,807.35 | $171.86 |
| Santa Cruz, CACalifornia | $1,919.71 | $175.09 |
| Santa Maria, CACalifornia | $1,848.44 | $174.18 |
| Santa Rosa, CACalifornia | $1,939.95 | $176.66 |
| Stockton, CACalifornia | $1,744.06 | $170.31 |
| Vallejo, CACalifornia | $2,075.53 | $183.01 |
| Visalia, CACalifornia | $1,744.06 | $170.31 |
| Yuba City, CACalifornia | $1,744.06 | $170.31 |
| ColoradoColorado | $1,699.29 | $171.49 |
| ConnecticutConnecticut | $1,724.56 | $178.09 |
| DelawareDelaware | $1,587.98 | $169.31 |
| Fort Lauderdale, FLFlorida | $1,635.10 | $180.53 |
| Rest of FloridaFlorida | $1,547.53 | $174.81 |
| Atlanta, GAGeorgia | $1,632.58 | $173.71 |
| Rest of GeorgiaGeorgia | $1,449.58 | $168.76 |
| Hawaii, Guam, HIHawaii | $1,802.85 | $170.22 |
| IowaIowa | $1,473.88 | $160.03 |
| IdahoIdaho | $1,482.15 | $161.12 |
| East St. Louis, ILIllinois | $1,500.68 | $179.65 |
| Rest of IllinoisIllinois | $1,484.96 | $173.98 |
| Suburban Chicago, ILIllinois | $1,656.13 | $181.46 |
| IndianaIndiana | $1,492.61 | $161.53 |
| KansasKansas | $1,458.98 | $160.92 |
| KentuckyKentucky | $1,441.84 | $165.32 |
| New Orleans, LALouisiana | $1,521.04 | $169.85 |
| Rest of LouisianaLouisiana | $1,436.47 | $165.69 |
| Metropolitan Boston, MAMassachusetts | $1,895.50 | $181.03 |
| Rest of MassachusettsMassachusetts | $1,683.78 | $171.77 |
| Baltimore area, MDMaryland | $1,718.51 | $177.78 |
| Rest of MarylandMaryland | $1,624.15 | $171.01 |
| Rest of MaineMaine | $1,483.95 | $162.91 |
| Southern Maine, MEMaine | $1,588.56 | $165.58 |
| Detroit, MIMichigan | $1,562.98 | $177.33 |
| Rest of MichiganMichigan | $1,479.74 | $168.76 |
| MinnesotaMinnesota | $1,640.47 | $162.93 |
| Metropolitan Kansas City, MOMissouri | $1,516.18 | $167.87 |
| Metropolitan St. Louis, MOMissouri | $1,535.62 | $168.64 |
| Rest of MissouriMissouri | $1,402.80 | $165.05 |
| MississippiMississippi | $1,398.51 | $162.19 |
| MontanaMontana | $1,606.23 | $170.32 |
| North CarolinaNorth Carolina | $1,503.29 | $163.59 |
| North DakotaNorth Dakota | $1,599.11 | $163.20 |
| NebraskaNebraska | $1,485.43 | $160.09 |
| New HampshireNew Hampshire | $1,665.10 | $170.32 |
| Northern New JerseyNew Jersey | $1,850.28 | $184.64 |
| Rest of New JerseyNew Jersey | $1,747.73 | $179.72 |
| New MexicoNew Mexico | $1,486.49 | $169.77 |
| NevadaNevada | $1,605.71 | $168.37 |
| NYC suburbs and Long Island, NYNew York | $1,902.58 | $195.29 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,754.11 | $181.80 |
| Queens, NYNew York | $1,887.29 | $190.05 |
| Rest of New YorkNew York | $1,529.08 | $164.97 |
| OhioOhio | $1,478.28 | $167.30 |
| OklahomaOklahoma | $1,446.07 | $163.80 |
| Portland, OROregon | $1,768.52 | $173.23 |
| Rest of OregonOregon | $1,596.79 | $166.63 |
| Metropolitan Philadelphia, PAPennsylvania | $1,671.12 | $176.34 |
| Rest of PennsylvaniaPennsylvania | $1,484.89 | $166.73 |
| Rhode IslandRhode Island | $1,655.85 | $172.56 |
| South CarolinaSouth Carolina | $1,492.58 | $165.80 |
| South DakotaSouth Dakota | $1,598.27 | $162.36 |
| TennesseeTennessee | $1,466.73 | $161.49 |
| Austin, TXTexas | $1,690.50 | $171.31 |
| Beaumont, TXTexas | $1,472.92 | $166.24 |
| Brazoria, TXTexas | $1,591.33 | $168.35 |
| Dallas, TXTexas | $1,599.75 | $169.59 |
| Fort Worth, TXTexas | $1,585.19 | $169.39 |
| Galveston, TXTexas | $1,594.86 | $169.00 |
| Houston, TXTexas | $1,601.44 | $175.59 |
| Rest of TexasTexas | $1,530.01 | $167.34 |
| UtahUtah | $1,516.70 | $166.95 |
| VirginiaVirginia | $1,577.69 | $166.20 |
| Virgin Islands, VIUnited States Virgin Islands | $1,622.26 | $170.56 |
| VermontVermont | $1,585.59 | $164.04 |
| Rest of WashingtonWashington | $1,682.98 | $170.97 |
| King County, WAWashington | $1,944.30 | $182.45 |
| WisconsinWisconsin | $1,536.11 | $160.51 |
| West VirginiaWest Virginia | $1,418.60 | $170.80 |
| WyomingWyoming | $1,603.12 | $167.22 |
31634 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.
$1,392.87
$2,004.40
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 | $1,757.65 | 1 |
| AL | $1,417.03 | 1 |
| AR | $1,392.87 | 1 |
| AZ | $1,558.89 | 1 |
| CA | $1,744.06–$2,264.73 | 29 |
| CO | $1,699.29 | 1 |
| CT | $1,724.56 | 1 |
| DC | $1,876.22 | 1 |
| DE | $1,587.98 | 1 |
| FL | $1,547.53–$1,684.99 | 3 |
| GA | $1,449.58–$1,632.58 | 2 |
| GU | $1,802.85 | 1 |
| HI | $1,802.85 | 1 |
| IA | $1,473.88 | 1 |
| ID | $1,482.15 | 1 |
| IL | $1,484.96–$1,656.13 | 4 |
| IN | $1,492.61 | 1 |
| KS | $1,458.98 | 1 |
| KY | $1,441.84 | 1 |
| LA | $1,436.47–$1,521.04 | 2 |
| MA | $1,683.78–$1,895.50 | 2 |
| MD | $1,624.15–$1,876.22 | 3 |
| ME | $1,483.95–$1,588.56 | 2 |
| MI | $1,479.74–$1,562.98 | 2 |
| MN | $1,640.47 | 1 |
| MO | $1,402.80–$1,535.62 | 3 |
| MS | $1,398.51 | 1 |
| MT | $1,606.23 | 1 |
| NC | $1,503.29 | 1 |
| ND | $1,599.11 | 1 |
| NE | $1,485.43 | 1 |
| NH | $1,665.10 | 1 |
| NJ | $1,747.73–$1,850.28 | 2 |
| NM | $1,486.49 | 1 |
| NV | $1,605.71 | 1 |
| NY | $1,529.08–$1,902.58 | 5 |
| OH | $1,478.28 | 1 |
| OK | $1,446.07 | 1 |
| OR | $1,596.79–$1,768.52 | 2 |
| PA | $1,484.89–$1,671.12 | 2 |
| PR | $1,622.26 | 1 |
| RI | $1,655.85 | 1 |
| SC | $1,492.58 | 1 |
| SD | $1,598.27 | 1 |
| TN | $1,466.73 | 1 |
| TX | $1,472.92–$1,690.50 | 8 |
| UT | $1,516.70 | 1 |
| VA | $1,577.69–$1,876.22 | 2 |
| VI | $1,622.26 | 1 |
| VT | $1,585.59 | 1 |
| WA | $1,682.98–$1,944.30 | 2 |
| WI | $1,536.11 | 1 |
| WV | $1,418.60 | 1 |
| WY | $1,603.12 | 1 |
How the 31634 rate is calculated
Each of 31634’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 · 31634
RVUs × geographic indexes × conversion factor
Work3.66
3.66 RVUs× 1.000 GPCI
Practice expense44.07
44.07 RVUs× 1.000 GPCI
Malpractice0.36
0.36 RVUs× 1.000 GPCI
Adjusted RVUs
48.0900
Conversion factor
$33.4009
Medicare rate
$1,606.25
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,643
- Code
- 31634
- Physician work
- 3.66
- Practice expense
- 44.07
- Malpractice
- 0.36
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.66 | × 1.000 | 3.6600 |
| Practice expense | 44.07 | × 1.011 | 44.5548 |
| Malpractice | 0.36 | × 0.985 | 0.3546 |
| Total RVUs | 48.5694 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$1622.26
Office: (3.66 × 1 + 44.07 × 1.011 + 0.36 × 0.985) × $33.4009 = $1622.26
Facility: (3.66 × 1 + 1.08 × 1.011 + 0.36 × 0.985) × $33.4009 = $170.56
Payment rules and modifiers for 31634
The CMS indicators that decide how 31634 is paid alongside other services.
CMS payment indicators · 31634
Bronchoscopy, balloon occlusion for air leak
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
31634 without 51 · national office
$1,606.25
Bronchoscopy, balloon occlusion for air leak
31634-51 · Second procedure: 50%
$803.13
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 31634 has changed in Puerto Rico
31634 · Office / nonfacility
$1622.26
Effective 2026-10-01
The base rate is $256.33 higher than on 2025-10-01, moving from $1365.93 to $1622.26 (18.8%).
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
$1365.93changed to$1622.26
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.75 changed to 3.66
- Practice expense RVU 37.84 changed to 44.07
- Malpractice RVU 0.38 changed to 0.36
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1467.69changed to$1365.93
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 39.70 changed to 37.84
- Malpractice RVU 0.37 changed to 0.38
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1443.73changed to$1467.69
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1549.81changed to$1443.73
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 41.29 changed to 39.70
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$1538.82changed to$1549.81
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$1690.49changed to$1538.82
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 44.36 changed to 41.29
- Malpractice RVU 0.39 changed to 0.37
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$1801.97changed to$1690.49
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 47.18 changed to 44.36
- Malpractice RVU 0.34 changed to 0.39
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1779.36changed to$1801.97
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 44.82 changed to 47.18
- Malpractice RVU 0.38 changed to 0.34
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1791.61changed to$1779.36
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 45.26 changed to 44.82
- Malpractice RVU 0.39 changed to 0.38
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1836.48changed to$1791.61
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 46.67 changed to 45.26
- Malpractice RVU 0.27 changed to 0.39
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1579.07changed to$1836.48
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 46.69 changed to 46.67
- Malpractice RVU 0.44 changed to 0.27
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1370.43changed to$1579.07
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 4.00 changed to 3.75
- Practice expense RVU 48.41 changed to 46.69
- Malpractice RVU 0.50 changed to 0.44
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1390.47changed to$1370.43
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 49.01 changed to 48.41
- Malpractice RVU 0.49 changed to 0.50
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1383.55changed to$1390.47
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1344.72changed to$1383.55
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 48.34 changed to 49.01
- Malpractice RVU 0.32 changed to 0.49
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$1436.90changed to$1344.72
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 56.27 changed to 48.34
- Malpractice RVU 0.33 changed to 0.32
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1436.90
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,622.26 | $170.56 | RVU26D |
| 2026-07-01 | $1,622.26 | $170.56 | RVU26C |
| 2026-04-01 | $1,622.26 | $170.56 | RVU26B |
| 2026-01-01 | $1,622.26 | $170.56 | RVU26A |
| 2025-10-01 | $1,365.93 | $179.62 | RVU25D |
| 2025-07-01 | $1,365.93 | $179.62 | RVU25C |
| 2025-04-01 | $1,365.93 | $179.62 | RVU25B |
| 2025-01-01 | $1,365.93 | $179.62 | RVU25A |
| 2024-10-01 | $1,467.69 | $183.52 | RVU24D |
| 2024-07-01 | $1,467.69 | $183.52 | RVU24C |
| 2024-04-01 | $1,467.69 | $183.52 | RVU24B |
| 2024-03-09 | $1,467.69 | $183.52 | RVU24AR |
| 2024-01-01 | $1,443.73 | $180.52 | RVU24A |
| 2023-10-01 | $1,549.81 | $186.89 | RVU23D |
| 2023-07-01 | $1,538.82 | $186.72 | RVU23C |
| 2023-04-01 | $1,538.82 | $186.72 | RVU23B |
| 2023-01-01 | $1,538.82 | $186.72 | RVU23A |
| 2022-10-01 | $1,690.49 | $193.66 | RVU22D |
| 2022-07-01 | $1,690.49 | $193.66 | RVU22C |
| 2022-04-01 | $1,690.49 | $193.66 | RVU22B |
| 2022-01-01 | $1,690.49 | $193.66 | RVU22A |
| 2021-10-01 | $1,801.97 | $193.55 | RVU21D |
| 2021-07-01 | $1,801.97 | $193.55 | RVU21C |
| 2021-04-01 | $1,801.97 | $193.55 | RVU21B |
| 2021-01-01 | $1,801.97 | $193.55 | RVU21A |
| 2020-10-01 | $1,779.36 | $199.45 | RVU20D |
| 2020-07-01 | $1,779.36 | $199.45 | RVU20C |
| 2020-04-01 | $1,779.36 | $199.45 | RVU20B |
| 2020-01-01 | $1,779.36 | $199.45 | RVU20A |
| 2019-10-01 | $1,791.61 | $199.51 | RVU19D |
| 2019-07-01 | $1,791.61 | $199.51 | RVU19C |
| 2019-04-01 | $1,791.61 | $199.51 | RVU19B |
| 2019-01-01 | $1,791.61 | $199.51 | RVU19A |
| 2018-10-01 | $1,836.48 | $195.74 | RVU18D |
| 2018-07-01 | $1,836.48 | $195.74 | RVU18C |
| 2018-04-01 | $1,836.48 | $195.74 | RVU18B |
| 2018-01-01 | $1,836.48 | $195.74 | RVU18AR1 |
| 2017-10-01 | $1,579.07 | $188.34 | RVU17D |
| 2017-07-01 | $1,579.07 | $188.34 | RVU17C |
| 2017-04-01 | $1,579.07 | $188.34 | RVU17B |
| 2017-01-01 | $1,579.07 | $188.34 | RVU17A |
| 2016-10-01 | $1,370.43 | $185.32 | RVU16D |
| 2016-07-01 | $1,370.43 | $185.32 | RVU16C |
| 2016-04-01 | $1,370.43 | $185.32 | RVU16B |
| 2016-01-01 | $1,370.43 | $185.32 | RVU16A |
| 2015-10-01 | $1,390.47 | $186.89 | RVU15D |
| 2015-07-01 | $1,390.47 | $186.89 | RVU15C |
| 2015-04-01 | $1,383.55 | $185.96 | RVU15B |
| 2015-01-01 | $1,383.55 | $185.96 | RVU15A |
| 2014-10-01 | $1,344.72 | $182.59 | RVU14D |
| 2014-07-01 | $1,344.72 | $182.59 | RVU14C |
| 2014-04-01 | $1,344.72 | $182.59 | RVU14B |
| 2014-01-01 | $1,344.72 | $182.59 | RVU14A |
| 2013-10-01 | $1,436.90 | $176.26 | RVU13D |
| 2013-07-01 | $1,436.90 | $176.26 | RVU13C |
| 2013-04-01 | $1,436.90 | $176.26 | RVU13B |
| 2013-01-01 | $1,436.90 | $176.26 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
31634 billing questions
When is 31634 more appropriate than a diagnostic bronchoscopy code?
Use 31634 when balloon occlusion is performed to assess an air leak. Airway inspection without that assessment is a different service.
What documentation supports reporting 31634?
Document the indication for air-leak localization, the airway branches occluded, and the leak response or measurements observed during the test.
Can modifier 50 be used when both lungs are assessed?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does CMS price related endoscopies performed in the same session?
Endoscopy family pricing applies when related endoscopies are performed together.
Can an assistant, co-surgeon, or surgical team be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted.
What does the 0-day global period include?
Same-day preoperative and postoperative care is included in the 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
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