CPT code 31643: Bronchoscopy, radiopharmaceutical delivery catheter2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $149.06 for 31643 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 31643 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 31643 covers

A pulmonologist or interventional pulmonologist uses a rigid or flexible bronchoscope to guide a catheter through the airway for delivery of a radiopharmaceutical agent. The service is used in situations such as endobronchial brachytherapy for a lung tumor; the catheter placement is distinct from the subsequent radiation treatment. It is generally performed in a hospital or other facility equipped for therapeutic bronchoscopy and radiation procedures.

Report 31643 when the bronchoscopic catheter placement for agent delivery is performed. The procedure note should identify the catheter placement and its intended delivery purpose; a diagnostic airway inspection alone is not enough. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. 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 Virginia compares for 31643

Across 109 of 109 payment localities, the facility rate for 31643 runs from $143.63 in Arkansas to $206.80 in Alaska. Virginia pays $149.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

31643 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 31643 in every payment locality

How the 31643 rate is calculated

Each of 31643’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.

Payment rules and modifiers for 31643

The CMS indicators that decide how 31643 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 31643

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

How 31643 has changed in Virginia

Price 31643 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates