CPT code 31653: EBUS-guided sampling, three or more stations2026 Medicare rate & RVUs in Arkansas

In Arkansas, Medicare pays $1,219.28 for 31653 in the office and $205.61 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 31653 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 31653 covers

A pulmonologist or thoracic surgeon uses a bronchoscope with endobronchial ultrasound to visualize central chest lymph nodes or structures and guide needle sampling. The service is commonly performed to evaluate mediastinal or hilar adenopathy or stage lung cancer, often during a hospital or outpatient bronchoscopy. The code covers sampling at three or more distinct mediastinal and/or hilar stations or structures; repeated needle passes at one station do not by themselves establish the three-station threshold.

Report the code when the procedure documentation identifies at least three sampled stations or structures and supports EBUS-guided transbronchial needle aspiration. Use the one-to-two-station code when fewer stations are sampled. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 Arkansas compares for 31653

Across 109 of 109 payment localities, the office rate for 31653 runs from $1,219.28 in Arkansas to $1,949.70 in San Benito County, CA. Arkansas pays $1,219.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

31653 rates by state

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

See 31653 in every payment locality

How the 31653 rate is calculated

Each of 31653’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 31653

The CMS indicators that decide how 31653 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 31653

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

How 31653 has changed in Arkansas

Price 31653 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

• Acorn
• Adona
• Alexander
• Alicia
• Alix
• Alleene
• Allport
• Alma

Browse all communities in Arkansas

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