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CPT code 31635: Bronchoscopy, foreign body removal2026 Medicare rate & RVUs in Austin, TX

Report this service when a physician uses bronchoscopy to retrieve a foreign object lodged in the trachea or bronchial airway.

CMS RVU26DEffective Oct 1, 2026One payment locality1.9K Medicare services in 2024

In Austin, TX, Medicare pays $334.48 for 31635 in the office and $159.21 when it’s performed in a hospital or facility.

$334.48Office (non-facility)
$159.21Hospital or facility
+3.2%vs the national office rate ($323.99)

Check a contract rate as a % of Medicare · 31635 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 31635 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Austin, TX
  2. What 31635 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 31635 covers

A pulmonologist or thoracic surgeon uses a bronchoscope to locate and retrieve an object lodged in the trachea or a bronchus. Typical cases include an aspirated food fragment or another object obstructing the airway. The physician may use retrieval instruments through a flexible or rigid scope, with the approach guided by the object’s location and the patient’s condition. Bronchoscopic foreign body removal is commonly performed in a hospital or other facility setting.

Report 31635 when the bronchoscopic intervention removes a foreign object, and document its airway location, the retrieval performed, and the outcome. The code has 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. Medicare does not pay an assistant at surgery for this service; 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 Austin, TX compares for 31635

Across 109 of 109 payment localities, the office rate for 31635 runs from $289.85 in Arkansas to $419.37 in San Benito County, CA. Austin, TX pays $334.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

31635 in Austin, TX vs other payment areas
  1. Austin, TX · this page$334.48
  2. Beaumont, TX · Texas$305.07−$29.41
  3. Brazoria, TX · Texas$320.43−$14.05
  4. Dallas, TX · Texas$322.48−$12.00
  5. Fort Worth, TX · Texas$320.63−$13.85
  6. Galveston, TX · Texas$321.41−$13.07
  7. Houston, TX · Texas$327.99−$6.49

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

Every other payment area

31635 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$312.58$155.37
Los Angeles, CACalifornia$361.24$165.26
Washington, DC areaDistrict of Columbia$367.09$171.93
Miami, FLFlorida$350.60$178.14
Chicago, ILIllinois$341.34$174.85
Manhattan, NYNew York$370.67$178.17
AlaskaAlaska$387.25$210.81
AlabamaAlabama$293.68$148.72

31635 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.

$289.85

$387.25

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

View every state and territory as a table
31635 office rate range by state
State / territoryOffice rate rangeLocalities
AK$387.251
AL$293.681
AR$289.851
AZ$316.031
CA$339.57–$419.3729
CO$335.541
CT$344.201
DC$367.091
DE$320.921
FL$321.20–$350.603
GA$304.62–$329.952
GU$346.431
HI$346.431
IA$299.681
ID$301.591
IL$313.29–$341.344
IN$303.151
KS$298.751
KY$300.681
LA$300.40–$313.782
MA$333.97–$366.172
MD$326.52–$367.093
ME$303.38–$317.752
MI$308.08–$325.212
MN$321.351
MO$295.97–$314.383
MS$292.951
MT$323.961
NC$306.201
ND$316.851
NE$301.051
NH$330.721
NJ$348.07–$363.932
NM$309.741
NV$322.181
NY$310.38–$379.355
OH$306.621
OK$299.831
OR$319.61–$344.972
PA$306.87–$336.542
PR$326.021
RI$331.431
SC$306.931
SD$316.001
TN$300.151
TX$305.07–$334.488
UT$310.721
VA$317.04–$367.092
VI$326.021
VT$316.041
WA$333.20–$372.922
WI$307.241
WV$302.871
WY$320.861

See 31635 in every payment locality

How the 31635 rate is calculated

Each of 31635’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 · 31635

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.33

3.33 RVUs× 1.000 GPCI

Practice expense6.01

6.01 RVUs× 1.000 GPCI

Malpractice0.36

0.36 RVUs× 1.000 GPCI

Adjusted RVUs

9.7000

Conversion factor

$33.4009

Medicare rate

$323.99

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

The exact Austin, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,644

Code
31635
Physician work
3.33
Practice expense
6.01
Malpractice
0.36

GPCI2026.csv

96

Locality
Austin, TX
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office calculation for 31635 in Austin, TX
ComponentRVULocality factorAdjusted
Physician work3.33× 1.0023.3367
Practice expense6.01× 1.0586.3586
Malpractice0.36× 0.8860.3190
Total RVUs10.0142
Conversion factor× 33.4009

Office rate, Austin, TX$334.48

Office: (3.33 × 1.002 + 6.01 × 1.058 + 0.36 × 0.886) × $33.4009 = $334.48

Facility: (3.33 × 1.002 + 1.05 × 1.058 + 0.36 × 0.886) × $33.4009 = $159.21

Open 31635 in the RVU calculator

Payment rules and modifiers for 31635

The CMS indicators that decide how 31635 is paid alongside other services.

CMS payment indicators · 31635

Bronchoscopy, foreign body removal

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

31635 without 51 · national office

$323.99

Bronchoscopy, foreign body removal

31635-51 · Second procedure: 50%

$162.00

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%).

When to use modifier 51

Codes related to 31635

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

Codes related to 31635
CodeHow it relatesOffice range, Austin, TX
Used instead
31622Bronchoscopy, diagnostic with washingUse for diagnostic bronchoscopic inspection when no foreign object is retrieved.$292.26
31640Bronchoscopic tumor removal, endobronchial excisionUse for bronchoscopic excision of an airway tumor rather than retrieval of a foreign object.No office rate
31641Therapeutic bronchoscopy, tumor destruction or stenosis reliefUse when the bronchoscopic intervention treats stenosis or another obstruction instead of retrieving a foreign object.No office rate

How 31635 has changed in Austin, TX

31635 · Office / nonfacility

$334.48

Effective 2026-10-01

The base rate is $44.38 higher than on 2025-10-01, moving from $290.10 to $334.48 (15.3%).

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

    $290.10changed to$334.48

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.42 changed to 3.33
    • Practice expense RVU 4.99 changed to 6.01
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $298.45changed to$290.10

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.97 changed to 4.99
    • Malpractice RVU 0.38 changed to 0.36

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $293.58changed to$298.45

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $300.32changed to$293.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.92 changed to 4.97
    • Malpractice RVU 0.36 changed to 0.38
    • Practice expense GPCI 1.053 changed to 1.046
    • Malpractice GPCI 0.727 changed to 0.914

  5. January 1, 2023

    RVU23A

    $309.22changed to$300.32

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.03 changed to 4.92
    • Malpractice RVU 0.35 changed to 0.36
    • Practice expense GPCI 1.059 changed to 1.053
    • Malpractice GPCI 0.539 changed to 0.727

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $304.58changed to$309.22

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.84 changed to 5.03
    • Malpractice RVU 0.34 changed to 0.35

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $293.84changed to$304.58

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.33 changed to 4.84
    • Practice expense GPCI 1.040 changed to 1.059
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $289.43changed to$293.84

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.26 changed to 4.33
    • Malpractice RVU 0.35 changed to 0.34
    • Practice expense GPCI 1.021 changed to 1.040
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $288.11changed to$289.43

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.24 changed to 4.26
    • Malpractice RVU 0.34 changed to 0.35

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $285.63changed to$288.11

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.19 changed to 4.24
    • Malpractice RVU 0.35 changed to 0.34
    • Practice expense GPCI 1.020 changed to 1.021
    • Malpractice GPCI 0.757 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $356.54changed to$285.63

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 3.67 changed to 3.42
    • Practice expense RVU 5.87 changed to 4.19
    • Malpractice RVU 0.40 changed to 0.35
    • Practice expense GPCI 1.019 changed to 1.020
    • Malpractice GPCI 0.766 changed to 0.757

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $358.92changed to$356.54

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.90 changed to 5.87

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $357.14changed to$358.92

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $351.85changed to$357.14

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.79 changed to 5.90
    • Malpractice RVU 0.37 changed to 0.40
    • Practice expense GPCI 1.014 changed to 1.019
    • Malpractice GPCI 0.759 changed to 0.766

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $358.31changed to$351.85

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.51 changed to 5.79
    • Malpractice RVU 0.39 changed to 0.37
    • Practice expense GPCI 1.009 changed to 1.014
    • Malpractice GPCI 0.751 changed to 0.759

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $358.31

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$334.48$159.21RVU26D
2026-07-01$334.48$159.21RVU26C
2026-04-01$334.48$159.21RVU26B
2026-01-01$334.48$159.21RVU26A
2025-10-01$290.10$167.96RVU25D
2025-07-01$290.10$167.96RVU25C
2025-04-01$290.10$167.96RVU25B
2025-01-01$290.10$167.96RVU25A
2024-10-01$298.45$172.41RVU24D
2024-07-01$298.45$172.41RVU24C
2024-04-01$298.45$172.41RVU24B
2024-03-09$298.45$172.41RVU24AR
2024-01-01$293.58$169.60RVU24A
2023-10-01$300.32$171.87RVU23D
2023-07-01$300.32$171.87RVU23C
2023-04-01$300.32$171.87RVU23B
2023-01-01$300.32$171.87RVU23A
2022-10-01$309.22$174.36RVU22D
2022-07-01$309.22$174.36RVU22C
2022-04-01$309.22$174.36RVU22B
2022-01-01$309.22$174.36RVU22A
2021-10-01$304.58$175.24RVU21D
2021-07-01$304.58$175.24RVU21C
2021-04-01$304.58$175.24RVU21B
2021-01-01$304.58$175.24RVU21A
2020-10-01$293.84$180.11RVU20D
2020-07-01$293.84$180.11RVU20C
2020-04-01$293.84$180.11RVU20B
2020-01-01$293.84$180.11RVU20A
2019-10-01$289.43$180.14RVU19D
2019-07-01$289.43$180.14RVU19C
2019-04-01$289.43$180.14RVU19B
2019-01-01$289.43$180.14RVU19A
2018-10-01$288.11$180.04RVU18D
2018-07-01$288.11$180.04RVU18C
2018-04-01$288.11$180.04RVU18B
2018-01-01$288.11$180.04RVU18AR1
2017-10-01$285.63$179.84RVU17D
2017-07-01$285.63$179.84RVU17C
2017-04-01$285.63$179.84RVU17B
2017-01-01$285.63$179.84RVU17A
2016-10-01$356.54$192.36RVU16D
2016-07-01$356.54$192.36RVU16C
2016-04-01$356.54$192.36RVU16B
2016-01-01$356.54$192.36RVU16A
2015-10-01$358.92$193.42RVU15D
2015-07-01$358.92$193.42RVU15C
2015-04-01$357.14$192.45RVU15B
2015-01-01$357.14$192.45RVU15A
2014-10-01$351.85$192.02RVU14D
2014-07-01$351.85$192.02RVU14C
2014-04-01$351.85$192.02RVU14B
2014-01-01$351.85$192.02RVU14A
2013-10-01$358.31$187.70RVU13D
2013-07-01$358.31$187.70RVU13C
2013-04-01$358.31$187.70RVU13B
2013-01-01$358.31$187.70RVU13AR

Price 31635 for an earlier date of service

Where the Austin, TX rate applies

Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

31635 billing questions

How is 31635 different from diagnostic bronchoscopy 31622?

Use 31635 when the bronchoscopy includes retrieval of a foreign object. Use 31622 when the service is diagnostic inspection rather than foreign body removal.

Can diagnostic bronchoscopy be reported with 31635?

The diagnostic inspection is part of the bronchoscopic removal service when performed as part of the same procedure. Endoscopy family pricing applies when related endoscopies are performed together.

Which modifier applies for removal from both lungs?

Modifier 50 is inappropriate for 31635. The code’s descriptor or anatomy makes a bilateral adjustment inapplicable.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 31635. Co-surgeons and team surgery are not permitted for this service.

What documentation supports reporting 31635?

Document the foreign object, its location in the trachea or bronchial airway, the bronchoscopic retrieval performed, and the result.

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 31635PPRRVU2026_Oct_nonQPP.csv, line 3,644 (RVU26D)
Geographic factors for Austin, TXGPCI2026.csv, line 96 (RVU26D)

Open CMS sourceHow we calculate rates

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