CPT code 31641: Therapeutic bronchoscopy, tumor destruction or stenosis relief2026 Medicare rate & RVUs in New Mexico

Report this therapeutic bronchoscopy for destruction of an airway tumor or relief of stenosis using a method other than excision.

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

In New Mexico, Medicare pays $224.03 for 31641 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$224.03Hospital or facility

Check a contract rate as a % of Medicare · 31641 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 31641 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 31641 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 31641 covers

This service treats an obstructing endobronchial tumor or narrowed airway through a rigid or flexible bronchoscope, using a destructive technique rather than excision. A pulmonologist, interventional pulmonologist, or thoracic surgeon may use methods such as laser treatment, thermal ablation, or cryotherapy to restore airway patency. It is commonly performed in a hospital or other procedural setting for malignant or benign airway obstruction.

Select the code when the documented treatment destroys tumor or relieves stenosis without removing the tissue by excision; use the operative report to identify the airway site, obstruction, and technique. 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, and no bilateral adjustment applies. 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 New Mexico compares for 31641

Across 109 of 109 payment localities, the facility rate for 31641 runs from $210.21 in Arkansas to $301.68 in Alaska. New Mexico pays $224.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

31641 in New Mexico vs other payment areas
  1. New Mexico · this page$224.03
  2. Los Angeles, CA · California$233.84+$9.81
  3. Washington, DC area · District of Columbia$243.09+$19.06
  4. Miami, FL · Florida$251.31+$27.28
  5. Chicago, IL · Illinois$247.02+$22.99
  6. Manhattan, NY · New York$251.75+$27.72
  7. Alaska · Alaska$301.68+$77.65

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

Every other payment area

31641 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$211.76
ArkansasArkansas—$210.21
ArizonaArizona—$220.71
Bakersfield, CACalifornia—$225.45
Chico, CACalifornia—$223.93
El Centro, CACalifornia—$224.02
Fresno, CACalifornia—$223.93
Hanford, CACalifornia—$223.93

31641 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.

View every state and territory as a table
31641 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 31641 in every payment locality

How the 31641 rate is calculated

Each of 31641’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 · 31641

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.89

4.89 RVUs× 1.000 GPCI

Practice expense1.34

1.34 RVUs× 1.000 GPCI

Malpractice0.49

0.49 RVUs× 1.000 GPCI

Adjusted RVUs

6.7200

Conversion factor

$33.4009

Medicare rate

$224.45

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,649

Code
31641
Physician work
4.89
Practice expense
1.34
Malpractice
0.49

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 31641 in New Mexico
ComponentRVULocality factorAdjusted
Physician work4.89× 1.0004.8900
Practice expense1.34× 0.9171.2288
Malpractice0.49× 1.2010.5885
Total RVUs6.7073
Conversion factor× 33.4009

Facility rate, New Mexico$224.03

Facility: (4.89 × 1 + 1.34 × 0.917 + 0.49 × 1.201) × $33.4009 = $224.03

Open 31641 in the RVU calculator

Payment rules and modifiers for 31641

The CMS indicators that decide how 31641 is paid alongside other services.

CMS payment indicators · 31641

Therapeutic bronchoscopy, tumor destruction or stenosis relief

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

31641 without 51 · national facility

$224.45

Therapeutic bronchoscopy, tumor destruction or stenosis relief

31641-51 · Second procedure: 50%

$112.23

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

How 31641 has changed in New Mexico

31641 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$224.03RVU26D
2026-07-01Not available in this setting$224.03RVU26C
2026-04-01Not available in this setting$224.03RVU26B
2026-01-01Not available in this setting$224.03RVU26A
2025-10-01Not available in this setting$237.14RVU25D
2025-07-01Not available in this setting$237.14RVU25C
2025-04-01Not available in this setting$237.14RVU25B
2025-01-01Not available in this setting$237.14RVU25A
2024-10-01Not available in this setting$244.91RVU24D
2024-07-01Not available in this setting$244.91RVU24C
2024-04-01Not available in this setting$244.91RVU24B
2024-03-09Not available in this setting$244.91RVU24AR
2024-01-01Not available in this setting$240.91RVU24A
2023-10-01Not available in this setting$248.57RVU23D
2023-07-01Not available in this setting$248.57RVU23C
2023-04-01Not available in this setting$248.57RVU23B
2023-01-01Not available in this setting$248.57RVU23A
2022-10-01Not available in this setting$254.74RVU22D
2022-07-01Not available in this setting$254.74RVU22C
2022-04-01Not available in this setting$254.74RVU22B
2022-01-01Not available in this setting$254.74RVU22A
2021-10-01Not available in this setting$255.31RVU21D
2021-07-01Not available in this setting$255.31RVU21C
2021-04-01Not available in this setting$255.31RVU21B
2021-01-01Not available in this setting$255.31RVU21A
2020-10-01Not available in this setting$263.68RVU20D
2020-07-01Not available in this setting$263.68RVU20C
2020-04-01Not available in this setting$263.68RVU20B
2020-01-01Not available in this setting$263.68RVU20A
2019-10-01Not available in this setting$265.81RVU19D
2019-07-01Not available in this setting$265.81RVU19C
2019-04-01Not available in this setting$265.81RVU19B
2019-01-01Not available in this setting$265.81RVU19A
2018-10-01Not available in this setting$266.63RVU18D
2018-07-01Not available in this setting$266.63RVU18C
2018-04-01Not available in this setting$266.63RVU18B
2018-01-01Not available in this setting$266.63RVU18AR1
2017-10-01Not available in this setting$266.10RVU17D
2017-07-01Not available in this setting$266.10RVU17C
2017-04-01Not available in this setting$266.10RVU17B
2017-01-01Not available in this setting$266.10RVU17A
2016-10-01Not available in this setting$264.55RVU16D
2016-07-01Not available in this setting$264.55RVU16C
2016-04-01Not available in this setting$264.55RVU16B
2016-01-01Not available in this setting$264.55RVU16A
2015-10-01Not available in this setting$265.17RVU15D
2015-07-01Not available in this setting$265.17RVU15C
2015-04-01Not available in this setting$263.85RVU15B
2015-01-01Not available in this setting$263.85RVU15A
2014-10-01Not available in this setting$263.30RVU14D
2014-07-01Not available in this setting$263.30RVU14C
2014-04-01Not available in this setting$263.30RVU14B
2014-01-01Not available in this setting$263.30RVU14A
2013-10-01Not available in this setting$255.01RVU13D
2013-07-01Not available in this setting$255.01RVU13C
2013-04-01Not available in this setting$255.01RVU13B
2013-01-01Not available in this setting$255.01RVU13AR

Price 31641 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

31641 billing questions

When should this code be chosen over 31640?

Use this code when the airway tumor is destroyed or stenosis is relieved without excision. Code 31640 describes bronchoscopic tumor excision.

How does this differ from bronchoscopic dilation?

This code represents tumor destruction or stenosis relief by a method other than excision. Codes 31630 and 31631 describe dilation, with 31631 involving stent placement.

What documentation supports reporting this service?

Document the airway location and obstruction, the therapeutic method, and how the procedure treated the tumor or stenosis. The record should distinguish destruction or non-excisional stenosis relief from tissue excision.

Can modifier 50 be reported?

No. CMS does not apply a bilateral adjustment, and modifier 50 is inappropriate for this bronchoscopic service.

What happens when related endoscopies are performed in the same session?

CMS applies endoscopy-family pricing when related endoscopies are performed together. Same-day preoperative and postoperative care is included in this code's 0-day global period.

Can an assistant surgeon or co-surgeon be paid?

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

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 31641PPRRVU2026_Oct_nonQPP.csv, line 3,649 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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