CPT code 31652: EBUS node sampling, one or two stations2026 Medicare rate & RVUs in Mississippi

Reports bronchoscopy with endobronchial ultrasound-guided needle sampling of one or two mediastinal or hilar lymph node stations or structures.

CMS RVU26DEffective Oct 1, 2026One payment locality27.9K Medicare services in 2024

In Mississippi, Medicare pays $1,185.45 for 31652 in the office and $188.98 when it’s performed in a hospital or facility.

$1,185.45Office (non-facility)
$188.98Hospital or facility
−12.5%vs the national office rate ($1,355.41)

Check a contract rate as a % of Medicare · 31652 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 31652 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 31652 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 31652 covers

A pulmonologist or thoracic surgeon uses a bronchoscope with endobronchial ultrasound to locate mediastinal or hilar lymph nodes or other structures and guide needle sampling. The procedure is commonly performed in a hospital or outpatient endoscopy setting when evaluating suspected lung cancer, enlarged nodes, or other disease requiring tissue diagnosis. The ultrasound-guided sampling of one or two stations is reported with this code, whether one or multiple passes or specimens are taken from those stations.

Document the EBUS-guided targets and the number of distinct stations sampled; select the sibling code for three or more stations. The bronchoscopy and EBUS guidance for the nodal sampling are part of the service, while separately performed pathology or cytology analysis is distinct. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing 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 Mississippi compares for 31652

Across 109 of 109 payment localities, the office rate for 31652 runs from $1,179.84 in Arkansas to $1,893.25 in San Benito County, CA. Mississippi pays $1,185.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

31652 in Mississippi vs other payment areas
  1. Mississippi · this page$1,185.45
  2. Los Angeles, CA · California$1,575.36+$389.91
  3. Washington, DC area · District of Columbia$1,577.72+$392.27
  4. Miami, FL · Florida$1,426.39+$240.94
  5. Chicago, IL · Illinois$1,381.00+$195.55
  6. Manhattan, NY · New York$1,566.84+$381.39
  7. Alaska · Alaska$1,499.33+$313.88

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

Every other payment area

31652 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,199.71$187.03
ArkansasArkansas$1,179.84$185.69
ArizonaArizona$1,316.27$194.81
Bakersfield, CACalifornia$1,467.35$198.90
Chico, CACalifornia$1,466.01$197.56
El Centro, CACalifornia$1,466.08$197.63
Fresno, CACalifornia$1,466.01$197.56
Hanford, CACalifornia$1,466.01$197.56

31652 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.

$1,179.84

$1,679.63

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

View every state and territory as a table
31652 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,499.331
AL$1,199.711
AR$1,179.841
AZ$1,316.271
CA$1,466.01–$1,893.2529
CO$1,430.531
CT$1,453.401
DC$1,577.721
DE$1,340.341
FL$1,310.02–$1,426.393
GA$1,229.02–$1,377.862
GU$1,513.181
HI$1,513.181
IA$1,245.111
ID$1,252.181
IL$1,259.46–$1,399.804
IN$1,260.741
KS$1,233.491
KY$1,221.461
LA$1,217.29–$1,286.812
MA$1,418.19–$1,591.762
MD$1,370.03–$1,577.723
ME$1,254.32–$1,339.352
MI$1,253.23–$1,323.412
MN$1,379.971
MO$1,190.02–$1,298.043
MS$1,185.451
MT$1,355.381
NC$1,270.111
ND$1,346.881
NE$1,254.401
NH$1,402.641
NJ$1,472.62–$1,556.862
NM$1,259.051
NV$1,354.211
NY$1,291.36–$1,603.015
OH$1,251.491
OK$1,224.261
OR$1,346.36–$1,486.782
PA$1,256.57–$1,409.822
PR$1,368.351
RI$1,396.081
SC$1,262.381
SD$1,345.871
TN$1,239.951
TX$1,246.77–$1,423.428
UT$1,282.201
VA$1,330.86–$1,577.722
VI$1,368.351
VT$1,336.361
WA$1,417.24–$1,631.482
WI$1,295.251
WV$1,204.961
WY$1,351.671

See 31652 in every payment locality

How the 31652 rate is calculated

Each of 31652’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 · 31652

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.35

4.35 RVUs× 1.000 GPCI

Practice expense35.80

35.80 RVUs× 1.000 GPCI

Malpractice0.43

0.43 RVUs× 1.000 GPCI

Adjusted RVUs

40.5800

Conversion factor

$33.4009

Medicare rate

$1,355.41

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,657

Code
31652
Physician work
4.35
Practice expense
35.80
Malpractice
0.43

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 31652 in Mississippi
ComponentRVULocality factorAdjusted
Physician work4.35× 1.0004.3500
Practice expense35.80× 0.86130.8238
Malpractice0.43× 0.7390.3178
Total RVUs35.4916
Conversion factor× 33.4009

Office rate, Mississippi$1185.45

Office: (4.35 × 1 + 35.8 × 0.861 + 0.43 × 0.739) × $33.4009 = $1185.45

Facility: (4.35 × 1 + 1.15 × 0.861 + 0.43 × 0.739) × $33.4009 = $188.98

Open 31652 in the RVU calculator

Payment rules and modifiers for 31652

The CMS indicators that decide how 31652 is paid alongside other services.

CMS payment indicators · 31652

EBUS node sampling, one or two stations

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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

31652 without 51 · national office

$1,355.41

EBUS node sampling, one or two stations

31652-51 · Second procedure: 50%

$677.71

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 31652 has changed in Mississippi

31652 · Office / nonfacility

$1185.45

Effective 2026-10-01

The base rate is $181.13 higher than on 2025-10-01, moving from $1004.32 to $1185.45 (18.0%).

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

    $1004.32changed to$1185.45

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.46 changed to 4.35
    • Practice expense RVU 30.82 changed to 35.80
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1072.99changed to$1004.32

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 32.22 changed to 30.82
    • Malpractice RVU 0.42 changed to 0.43

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1055.48changed to$1072.99

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1103.97changed to$1055.48

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 32.84 changed to 32.22
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $1172.93changed to$1103.97

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 34.63 changed to 32.84
    • Malpractice RVU 0.41 changed to 0.42
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1118.84changed to$1172.93

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 32.45 changed to 34.63
    • Malpractice RVU 0.42 changed to 0.41

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $984.17changed to$1118.84

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 26.41 changed to 32.45
    • Malpractice RVU 0.39 changed to 0.42
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $873.23changed to$984.17

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 22.55 changed to 26.41
    • Malpractice RVU 0.41 changed to 0.39
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $753.76changed to$873.23

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 18.77 changed to 22.55
    • Malpractice RVU 0.40 changed to 0.41

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $746.36changed to$753.76

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 18.61 changed to 18.77
    • Malpractice RVU 0.41 changed to 0.40
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $814.41changed to$746.36

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 4.71 changed to 4.46
    • Practice expense RVU 20.57 changed to 18.61
    • Malpractice RVU 0.43 changed to 0.41
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    No ratechanged to$814.41

    Held through RVU16B, RVU16C, RVU16D.

  13. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,185.45$188.98RVU26D
2026-07-01$1,185.45$188.98RVU26C
2026-04-01$1,185.45$188.98RVU26B
2026-01-01$1,185.45$188.98RVU26A
2025-10-01$1,004.32$198.77RVU25D
2025-07-01$1,004.32$198.77RVU25C
2025-04-01$1,004.32$198.77RVU25B
2025-01-01$1,004.32$198.77RVU25A
2024-10-01$1,072.99$203.73RVU24D
2024-07-01$1,072.99$203.73RVU24C
2024-04-01$1,072.99$203.73RVU24B
2024-03-09$1,072.99$203.73RVU24AR
2024-01-01$1,055.48$200.40RVU24A
2023-10-01$1,103.97$205.87RVU23D
2023-07-01$1,103.97$205.87RVU23C
2023-04-01$1,103.97$205.87RVU23B
2023-01-01$1,103.97$205.87RVU23A
2022-10-01$1,172.93$210.19RVU22D
2022-07-01$1,172.93$210.19RVU22C
2022-04-01$1,172.93$210.19RVU22B
2022-01-01$1,172.93$210.19RVU22A
2021-10-01$1,118.84$212.17RVU21D
2021-07-01$1,118.84$212.17RVU21C
2021-04-01$1,118.84$212.17RVU21B
2021-01-01$1,118.84$212.17RVU21A
2020-10-01$984.17$215.56RVU20D
2020-07-01$984.17$215.56RVU20C
2020-04-01$984.17$215.56RVU20B
2020-01-01$984.17$215.56RVU20A
2019-10-01$873.23$213.86RVU19D
2019-07-01$873.23$213.86RVU19C
2019-04-01$873.23$213.86RVU19B
2019-01-01$873.23$213.86RVU19A
2018-10-01$753.76$214.12RVU18D
2018-07-01$753.76$214.12RVU18C
2018-04-01$753.76$214.12RVU18B
2018-01-01$753.76$214.12RVU18AR1
2017-10-01$746.36$215.53RVU17D
2017-07-01$746.36$215.53RVU17C
2017-04-01$746.36$215.53RVU17B
2017-01-01$746.36$215.53RVU17A
2016-10-01$814.41$227.88RVU16D
2016-07-01$814.41$227.88RVU16C
2016-04-01$814.41$227.88RVU16B
2016-01-01$814.41$227.88RVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 31652 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

31652 billing questions

How do I choose between 31652 and 31653?

Count the distinct mediastinal or hilar node stations or structures sampled with EBUS. Report 31652 for one or two; use 31653 for three or more.

Does each needle pass or specimen count as a separate unit?

No. The code selection is based on the number of distinct stations or structures sampled, not the number of passes or specimens.

Is EBUS guidance separately reported with 31652?

The EBUS guidance used for the nodal sampling is included in this service. Separately performed pathology or cytology analysis is a distinct service.

Can 31654 be reported in the same session?

31654 describes EBUS assessment of a peripheral lung lesion and is an add-on to a qualifying primary bronchoscopic procedure. It may be relevant when peripheral-lesion work is also performed and documented.

What does the 0-day global period mean for billing?

Same-day preoperative and postoperative care is included. CMS applies the standard multiple-procedure reduction when other procedures are performed in the same session.

Can modifier 50 or an assistant-at-surgery claim be used?

Modifier 50 is inappropriate for this code. CMS does not pay an assistant at surgery for this service; co-surgeon and team-surgery billing are also 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 31652PPRRVU2026_Oct_nonQPP.csv, line 3,657 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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