CPT code 31652: EBUS node sampling, one or two stations2026 Medicare rate & RVUs in Puerto Rico
Reports bronchoscopy with endobronchial ultrasound-guided needle sampling of one or two mediastinal or hilar lymph node stations or structures.
In Puerto Rico, Medicare pays $1,368.35 for 31652 in the office and $198.27 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Puerto Rico 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. Puerto Rico pays $1,368.35. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$1,368.35
- Los Angeles, CA · California$1,575.36+$207.01
- Washington, DC area · District of Columbia$1,577.72+$209.37
- Miami, FL · Florida$1,426.39+$58.04
- Chicago, IL · Illinois$1,381.00+$12.65
- Manhattan, NY · New York$1,566.84+$198.49
- Alaska · Alaska$1,499.33+$130.98
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $1,466.01 | $197.56 |
| Merced, CACalifornia | $1,466.01 | $197.56 |
| Modesto, CACalifornia | $1,466.01 | $197.56 |
| Napa, CACalifornia | $1,737.74 | $212.37 |
| Oxnard, CACalifornia | $1,571.69 | $203.71 |
| Redding, CACalifornia | $1,466.01 | $197.56 |
| Rest of CaliforniaCalifornia | $1,466.01 | $197.56 |
| Riverside, CACalifornia | $1,470.70 | $202.26 |
| Sacramento, CACalifornia | $1,548.88 | $202.89 |
| Salinas, CACalifornia | $1,543.37 | $202.01 |
| San Diego, CACalifornia | $1,587.56 | $203.38 |
| Marin County, CACalifornia | $1,851.70 | $219.85 |
| San Francisco, CACalifornia | $1,851.21 | $219.36 |
| San Benito County, CACalifornia | $1,893.25 | $224.36 |
| Santa Clara County, CACalifornia | $1,891.25 | $222.37 |
| San Luis Obispo, CACalifornia | $1,517.42 | $199.21 |
| Santa Cruz, CACalifornia | $1,608.88 | $202.71 |
| Santa Maria, CACalifornia | $1,551.31 | $201.85 |
| Santa Rosa, CACalifornia | $1,625.73 | $204.52 |
| Stockton, CACalifornia | $1,466.01 | $197.56 |
| Vallejo, CACalifornia | $1,737.04 | $211.67 |
| Visalia, CACalifornia | $1,466.01 | $197.56 |
| Yuba City, CACalifornia | $1,466.01 | $197.56 |
| ColoradoColorado | $1,430.53 | $199.12 |
| ConnecticutConnecticut | $1,453.40 | $206.95 |
| DelawareDelaware | $1,340.34 | $196.88 |
| Fort Lauderdale, FLFlorida | $1,382.56 | $210.17 |
| Rest of FloridaFlorida | $1,310.02 | $203.60 |
| Atlanta, GAGeorgia | $1,377.86 | $202.00 |
| Rest of GeorgiaGeorgia | $1,229.02 | $196.68 |
| Hawaii, Guam, HIHawaii | $1,513.18 | $197.28 |
| IowaIowa | $1,245.11 | $186.14 |
| IdahoIdaho | $1,252.18 | $187.43 |
| East St. Louis, ILIllinois | $1,274.31 | $209.56 |
| Rest of IllinoisIllinois | $1,259.46 | $202.81 |
| Suburban Chicago, ILIllinois | $1,399.80 | $211.21 |
| IndianaIndiana | $1,260.74 | $187.88 |
| KansasKansas | $1,233.49 | $187.26 |
| KentuckyKentucky | $1,221.46 | $192.58 |
| New Orleans, LALouisiana | $1,286.81 | $197.75 |
| Rest of LouisianaLouisiana | $1,217.29 | $193.05 |
| Metropolitan Boston, MAMassachusetts | $1,591.76 | $209.90 |
| Rest of MassachusettsMassachusetts | $1,418.19 | $199.51 |
| Baltimore area, MDMaryland | $1,448.43 | $206.60 |
| Rest of MarylandMaryland | $1,370.03 | $198.80 |
| Rest of MaineMaine | $1,254.32 | $189.57 |
| Southern Maine, MEMaine | $1,339.35 | $192.42 |
| Detroit, MIMichigan | $1,323.41 | $206.58 |
| Rest of MichiganMichigan | $1,253.23 | $196.58 |
| MinnesotaMinnesota | $1,379.97 | $189.07 |
| Metropolitan Kansas City, MOMissouri | $1,282.14 | $195.39 |
| Metropolitan St. Louis, MOMissouri | $1,298.04 | $196.25 |
| Rest of MissouriMissouri | $1,190.02 | $192.39 |
| MississippiMississippi | $1,185.45 | $188.98 |
| MontanaMontana | $1,355.38 | $198.04 |
| North CarolinaNorth Carolina | $1,270.11 | $190.31 |
| North DakotaNorth Dakota | $1,346.88 | $189.54 |
| NebraskaNebraska | $1,254.40 | $186.18 |
| New HampshireNew Hampshire | $1,402.64 | $197.85 |
| Northern New JerseyNew Jersey | $1,556.86 | $214.34 |
| Rest of New JerseyNew Jersey | $1,472.62 | $208.81 |
| New MexicoNew Mexico | $1,259.05 | $197.77 |
| NevadaNevada | $1,354.21 | $195.71 |
| NYC suburbs and Long Island, NYNew York | $1,603.01 | $226.93 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,478.56 | $211.27 |
| Queens, NYNew York | $1,588.68 | $220.71 |
| Rest of New YorkNew York | $1,291.36 | $191.88 |
| OhioOhio | $1,251.49 | $194.84 |
| OklahomaOklahoma | $1,224.26 | $190.75 |
| Portland, OROregon | $1,486.78 | $200.98 |
| Rest of OregonOregon | $1,346.36 | $193.65 |
| Metropolitan Philadelphia, PAPennsylvania | $1,409.82 | $205.03 |
| Rest of PennsylvaniaPennsylvania | $1,256.57 | $194.13 |
| Rhode IslandRhode Island | $1,396.08 | $200.54 |
| South CarolinaSouth Carolina | $1,262.38 | $192.99 |
| South DakotaSouth Dakota | $1,345.87 | $188.53 |
| TennesseeTennessee | $1,239.95 | $187.92 |
| Austin, TXTexas | $1,423.42 | $198.95 |
| Beaumont, TXTexas | $1,246.77 | $193.59 |
| Brazoria, TXTexas | $1,342.65 | $195.72 |
| Dallas, TXTexas | $1,349.89 | $197.18 |
| Fort Worth, TXTexas | $1,338.12 | $196.98 |
| Galveston, TXTexas | $1,345.73 | $196.49 |
| Houston, TXTexas | $1,353.60 | $204.36 |
| Rest of TexasTexas | $1,293.03 | $194.72 |
| UtahUtah | $1,282.20 | $194.30 |
| VirginiaVirginia | $1,330.86 | $193.19 |
| Virgin Islands, VIUnited States Virgin Islands | $1,368.35 | $198.27 |
| VermontVermont | $1,336.36 | $190.59 |
| Rest of WashingtonWashington | $1,417.24 | $198.56 |
| King County, WAWashington | $1,631.48 | $211.42 |
| WisconsinWisconsin | $1,295.25 | $186.52 |
| West VirginiaWest Virginia | $1,204.96 | $199.23 |
| WyomingWyoming | $1,351.67 | $194.33 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,499.33 | 1 |
| AL | $1,199.71 | 1 |
| AR | $1,179.84 | 1 |
| AZ | $1,316.27 | 1 |
| CA | $1,466.01–$1,893.25 | 29 |
| CO | $1,430.53 | 1 |
| CT | $1,453.40 | 1 |
| DC | $1,577.72 | 1 |
| DE | $1,340.34 | 1 |
| FL | $1,310.02–$1,426.39 | 3 |
| GA | $1,229.02–$1,377.86 | 2 |
| GU | $1,513.18 | 1 |
| HI | $1,513.18 | 1 |
| IA | $1,245.11 | 1 |
| ID | $1,252.18 | 1 |
| IL | $1,259.46–$1,399.80 | 4 |
| IN | $1,260.74 | 1 |
| KS | $1,233.49 | 1 |
| KY | $1,221.46 | 1 |
| LA | $1,217.29–$1,286.81 | 2 |
| MA | $1,418.19–$1,591.76 | 2 |
| MD | $1,370.03–$1,577.72 | 3 |
| ME | $1,254.32–$1,339.35 | 2 |
| MI | $1,253.23–$1,323.41 | 2 |
| MN | $1,379.97 | 1 |
| MO | $1,190.02–$1,298.04 | 3 |
| MS | $1,185.45 | 1 |
| MT | $1,355.38 | 1 |
| NC | $1,270.11 | 1 |
| ND | $1,346.88 | 1 |
| NE | $1,254.40 | 1 |
| NH | $1,402.64 | 1 |
| NJ | $1,472.62–$1,556.86 | 2 |
| NM | $1,259.05 | 1 |
| NV | $1,354.21 | 1 |
| NY | $1,291.36–$1,603.01 | 5 |
| OH | $1,251.49 | 1 |
| OK | $1,224.26 | 1 |
| OR | $1,346.36–$1,486.78 | 2 |
| PA | $1,256.57–$1,409.82 | 2 |
| PR | $1,368.35 | 1 |
| RI | $1,396.08 | 1 |
| SC | $1,262.38 | 1 |
| SD | $1,345.87 | 1 |
| TN | $1,239.95 | 1 |
| TX | $1,246.77–$1,423.42 | 8 |
| UT | $1,282.20 | 1 |
| VA | $1,330.86–$1,577.72 | 2 |
| VI | $1,368.35 | 1 |
| VT | $1,336.36 | 1 |
| WA | $1,417.24–$1,631.48 | 2 |
| WI | $1,295.25 | 1 |
| WV | $1,204.96 | 1 |
| WY | $1,351.67 | 1 |
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
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 Puerto Rico 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
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.35 | × 1.000 | 4.3500 |
| Practice expense | 35.80 | × 1.011 | 36.1938 |
| Malpractice | 0.43 | × 0.985 | 0.4235 |
| Total RVUs | 40.9673 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$1368.35
Office: (4.35 × 1 + 35.8 × 1.011 + 0.43 × 0.985) × $33.4009 = $1368.35
Facility: (4.35 × 1 + 1.15 × 1.011 + 0.43 × 0.985) × $33.4009 = $198.27
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
| 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 | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| 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
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%).
How 31652 has changed in Puerto Rico
31652 · Office / nonfacility
$1368.35
Effective 2026-10-01
The base rate is $206.53 higher than on 2025-10-01, moving from $1161.82 to $1368.35 (17.8%).
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
$1161.82changed to$1368.35
- 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 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1242.22changed to$1161.82
- 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.
March 9, 2024
RVU24AR
$1221.95changed to$1242.22
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1286.90changed to$1221.95
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 32.84 changed to 32.22
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$1278.23changed to$1286.90
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$1376.33changed to$1278.23
- 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 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$1311.41changed to$1376.33
- 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.
January 1, 2021
RVU21A
$1135.62changed to$1311.41
- 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
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$993.73changed to$1135.62
- 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 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$855.26changed to$993.73
- 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.
January 1, 2018
RVU18AR1
$741.22changed to$855.26
- 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 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$692.38changed to$741.22
- 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 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
No ratechanged to$692.38
Held through RVU16B, RVU16C, RVU16D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,368.35 | $198.27 | RVU26D |
| 2026-07-01 | $1,368.35 | $198.27 | RVU26C |
| 2026-04-01 | $1,368.35 | $198.27 | RVU26B |
| 2026-01-01 | $1,368.35 | $198.27 | RVU26A |
| 2025-10-01 | $1,161.82 | $209.71 | RVU25D |
| 2025-07-01 | $1,161.82 | $209.71 | RVU25C |
| 2025-04-01 | $1,161.82 | $209.71 | RVU25B |
| 2025-01-01 | $1,161.82 | $209.71 | RVU25A |
| 2024-10-01 | $1,242.22 | $214.82 | RVU24D |
| 2024-07-01 | $1,242.22 | $214.82 | RVU24C |
| 2024-04-01 | $1,242.22 | $214.82 | RVU24B |
| 2024-03-09 | $1,242.22 | $214.82 | RVU24AR |
| 2024-01-01 | $1,221.95 | $211.31 | RVU24A |
| 2023-10-01 | $1,286.90 | $218.09 | RVU23D |
| 2023-07-01 | $1,278.23 | $217.89 | RVU23C |
| 2023-04-01 | $1,278.23 | $217.89 | RVU23B |
| 2023-01-01 | $1,278.23 | $217.89 | RVU23A |
| 2022-10-01 | $1,376.33 | $223.80 | RVU22D |
| 2022-07-01 | $1,376.33 | $223.80 | RVU22C |
| 2022-04-01 | $1,376.33 | $223.80 | RVU22B |
| 2022-01-01 | $1,376.33 | $223.80 | RVU22A |
| 2021-10-01 | $1,311.41 | $226.00 | RVU21D |
| 2021-07-01 | $1,311.41 | $226.00 | RVU21C |
| 2021-04-01 | $1,311.41 | $226.00 | RVU21B |
| 2021-01-01 | $1,311.41 | $226.00 | RVU21A |
| 2020-10-01 | $1,135.62 | $230.52 | RVU20D |
| 2020-07-01 | $1,135.62 | $230.52 | RVU20C |
| 2020-04-01 | $1,135.62 | $230.52 | RVU20B |
| 2020-01-01 | $1,135.62 | $230.52 | RVU20A |
| 2019-10-01 | $993.73 | $230.53 | RVU19D |
| 2019-07-01 | $993.73 | $230.53 | RVU19C |
| 2019-04-01 | $993.73 | $230.53 | RVU19B |
| 2019-01-01 | $993.73 | $230.53 | RVU19A |
| 2018-10-01 | $855.26 | $230.64 | RVU18D |
| 2018-07-01 | $855.26 | $230.64 | RVU18C |
| 2018-04-01 | $855.26 | $230.64 | RVU18B |
| 2018-01-01 | $855.26 | $230.64 | RVU18AR1 |
| 2017-10-01 | $741.22 | $217.13 | RVU17D |
| 2017-07-01 | $741.22 | $217.13 | RVU17C |
| 2017-04-01 | $741.22 | $217.13 | RVU17B |
| 2017-01-01 | $741.22 | $217.13 | RVU17A |
| 2016-10-01 | $692.38 | $213.79 | RVU16D |
| 2016-07-01 | $692.38 | $213.79 | RVU16C |
| 2016-04-01 | $692.38 | $213.79 | RVU16B |
| 2016-01-01 | $692.38 | $213.79 | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | 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
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
Fee sheets · Coming soon
Put 31652 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist