Billing code 31298: Sinus dilationMedicare rate & RVUs
Endoscopic dilation of frontal and sphenoid sinus openings is reported when both drainage pathways are treated during the same operative session.
Medicare pays $2,965.67 for 31298 nationally in the office and $215.77 in a hospital or facility. Local office rates run $2,561.06–$4,209.05.
Medicare rate · 31298
Sinus dilation
- Work RVUs
- 4.39
- Total RVUs
- 88.79
- Global days
- 000
National rate · 2026
$2,965.67
Office setting, before claim adjustments.
See every locality for 31298 →Billed by an NP, PA or therapist? →
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 10 sections
What 31298 covers
An otolaryngologist uses a nasal endoscope to access and enlarge the frontal and sphenoid sinus openings, commonly with a balloon catheter passed through the nasal cavity. The procedure may be performed for obstructed sinus drainage, including in patients with chronic rhinosinusitis, when the operative plan is dilation at both sites. It is typically performed in an operating or procedural setting; the record should identify each sinus treated and the dilation performed.
Report 31298 when both frontal and sphenoid openings are dilated during the operative session; single-sinus dilation codes distinguish treatment of only one site. Document the treated anatomy, laterality, and technique. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Related endoscopies performed together are subject to endoscopy-family pricing. For bilateral work, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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.
Where 31298 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$2561.06 to $4209.05
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $2,606.89 | $200.73 |
| Alaska* | $3,211.57 | $282.93 |
| Arizona | $2,875.94 | $211.29 |
| Arkansas | $2,561.06 | $198.90 |
| Atlanta | $3,015.04 | $221.15 |
| Austin | $3,125.90 | $216.51 |
| Bakersfield | $3,228.99 | $215.11 |
| Baltimore/Surr. Cntys | $3,177.20 | $226.56 |
| Beaumont | $2,712.35 | $209.94 |
| Brazoria | $2,937.10 | $211.95 |
| Chicago | $3,007.50 | $243.86 |
| Chico | $3,227.19 | $213.30 |
| Colorado | $3,141.98 | $216.09 |
| Connecticut | $3,188.42 | $226.78 |
| Dallas | $2,952.85 | $213.96 |
| Dc + Md/Va Suburbs | $3,474.03 | $234.65 |
| Delaware | $2,930.73 | $213.83 |
| Detroit | $2,881.93 | $228.28 |
| East St. Louis | $2,762.80 | $232.89 |
| El Centro | $3,227.29 | $213.41 |
| Fort Lauderdale | $3,018.78 | $233.13 |
| Fort Worth | $2,925.14 | $213.74 |
| Fresno | $3,227.19 | $213.30 |
| Galveston | $2,943.69 | $213.04 |
| Hanford-Corcoran | $3,227.19 | $213.30 |
| Hawaii, Guam | $3,340.32 | $213.69 |
| Houston | $2,955.04 | $224.39 |
| Idaho | $2,730.89 | $200.98 |
| Indiana | $2,750.74 | $201.59 |
| Iowa | $2,715.32 | $199.17 |
| Kansas | $2,686.76 | $200.85 |
| Kentucky | $2,653.29 | $208.63 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $3,476.81 | $223.69 |
| Madera | $3,227.19 | $213.30 |
| Manhattan | $3,440.51 | $245.14 |
| Merced | $3,227.19 | $213.30 |
| Metropolitan Boston | $3,512.28 | $228.90 |
| Metropolitan Kansas City | $2,794.49 | $212.34 |
| Metropolitan Philadelphia | $3,087.03 | $224.39 |
| Metropolitan St. Louis | $2,831.39 | $213.49 |
| Miami | $3,112.06 | $249.42 |
| Minnesota | $3,032.24 | $202.60 |
| Mississippi | $2,571.29 | $203.63 |
| Modesto | $3,227.19 | $213.30 |
| Montana** | $2,965.62 | $215.73 |
| Napa | $3,854.58 | $230.22 |
| Nebraska | $2,737.31 | $199.16 |
| Nevada** | $2,965.01 | $212.36 |
| New Hampshire | $3,077.81 | $215.17 |
| New Mexico | $2,737.57 | $215.91 |
| New Orleans | $2,803.38 | $215.73 |
| North Carolina | $2,770.70 | $205.05 |
| North Dakota** | $2,953.37 | $203.47 |
| Northern Nj | $3,424.04 | $234.16 |
| Nyc Suburbs/Long Island | $3,521.68 | $252.05 |
| Ohio | $2,722.38 | $211.72 |
| Oklahoma | $2,661.63 | $205.97 |
| Oxnard-Thousand Oaks-Ventura | $3,471.26 | $220.88 |
| Portland | $3,273.32 | $218.19 |
| Poughkpsie/N Nyc Suburbs | $3,242.45 | $231.32 |
| Puerto Rico | $2,996.14 | $215.99 |
| Queens | $3,493.50 | $243.12 |
| Redding | $3,227.19 | $213.30 |
| Rest Of California | $3,227.19 | $213.30 |
| Rest Of Florida | $2,852.96 | $224.06 |
| Rest Of Georgia | $2,667.42 | $214.52 |
| Rest Of Illinois | $2,733.87 | $223.22 |
| Rest Of Louisiana | $2,642.99 | $209.33 |
| Rest Of Maine | $2,733.97 | $204.07 |
| Rest Of Maryland | $2,999.01 | $216.12 |
| Rest Of Massachusetts | $3,112.12 | $216.48 |
| Rest Of Michigan | $2,724.88 | $214.23 |
| Rest Of Missouri | $2,578.96 | $208.55 |
| Rest Of New Jersey | $3,230.99 | $228.10 |
| Rest Of New York | $2,819.60 | $207.20 |
| Rest Of Oregon | $2,948.32 | $209.43 |
| Rest Of Pennsylvania | $2,735.06 | $210.66 |
| Rest Of Texas | $2,820.94 | $211.29 |
| Rest Of Washington | $3,110.93 | $215.29 |
| Rhode Island | $3,058.56 | $217.92 |
| Riverside-San Bernardino-Ontario | $3,233.90 | $220.01 |
| Sacramento-Roseville-Folsom | $3,417.46 | $219.33 |
| Salinas | $3,405.54 | $218.41 |
| San Diego-Chula Vista-Carlsbad | $3,509.05 | $220.18 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $4,115.71 | $238.35 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $4,115.00 | $237.65 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $4,209.05 | $243.70 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $4,206.17 | $240.82 |
| San Luis Obispo-Paso Robles | $3,347.52 | $215.39 |
| Santa Cruz-Watsonville | $3,560.78 | $219.65 |
| Santa Maria-Santa Barbara | $3,424.69 | $218.31 |
| Santa Rosa-Petaluma | $3,598.47 | $221.60 |
| Seattle (King Cnty) | $3,604.43 | $230.31 |
| South Carolina | $2,749.89 | $208.98 |
| South Dakota** | $2,951.92 | $202.02 |
| Southern Maine | $2,932.84 | $207.69 |
| Stockton | $3,227.19 | $213.30 |
| Suburban Chicago | $3,058.23 | $234.09 |
| Tennessee | $2,701.43 | $201.77 |
| Utah | $2,795.65 | $210.75 |
| Vallejo | $3,853.57 | $229.21 |
| Vermont | $2,927.45 | $205.06 |
| Virgin Islands | $2,996.14 | $215.99 |
| Virginia | $2,912.01 | $208.86 |
| Visalia | $3,227.19 | $213.30 |
| West Virginia | $2,608.01 | $218.35 |
| Wisconsin | $2,833.81 | $199.41 |
| Wyoming** | $2,960.28 | $210.39 |
| Yuba City | $3,227.19 | $213.30 |
31298 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.
$2,561.06
$3,718.12
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 | $3,211.57 | 1 |
| AL | $2,606.89 | 1 |
| AR | $2,561.06 | 1 |
| AZ | $2,875.94 | 1 |
| CA | $3,227.19–$4,209.05 | 29 |
| CO | $3,141.98 | 1 |
| CT | $3,188.42 | 1 |
| DC | $3,474.03 | 1 |
| DE | $2,930.73 | 1 |
| FL | $2,852.96–$3,112.06 | 3 |
| GA | $2,667.42–$3,015.04 | 2 |
| GU | $3,340.32 | 1 |
| HI | $3,340.32 | 1 |
| IA | $2,715.32 | 1 |
| ID | $2,730.89 | 1 |
| IL | $2,733.87–$3,058.23 | 4 |
| IN | $2,750.74 | 1 |
| KS | $2,686.76 | 1 |
| KY | $2,653.29 | 1 |
| LA | $2,642.99–$2,803.38 | 2 |
| MA | $3,112.12–$3,512.28 | 2 |
| MD | $2,999.01–$3,474.03 | 3 |
| ME | $2,733.97–$2,932.84 | 2 |
| MI | $2,724.88–$2,881.93 | 2 |
| MN | $3,032.24 | 1 |
| MO | $2,578.96–$2,831.39 | 3 |
| MS | $2,571.29 | 1 |
| MT | $2,965.62 | 1 |
| NC | $2,770.70 | 1 |
| ND | $2,953.37 | 1 |
| NE | $2,737.31 | 1 |
| NH | $3,077.81 | 1 |
| NJ | $3,230.99–$3,424.04 | 2 |
| NM | $2,737.57 | 1 |
| NV | $2,965.01 | 1 |
| NY | $2,819.60–$3,521.68 | 5 |
| OH | $2,722.38 | 1 |
| OK | $2,661.63 | 1 |
| OR | $2,948.32–$3,273.32 | 2 |
| PA | $2,735.06–$3,087.03 | 2 |
| PR | $2,996.14 | 1 |
| RI | $3,058.56 | 1 |
| SC | $2,749.89 | 1 |
| SD | $2,951.92 | 1 |
| TN | $2,701.43 | 1 |
| TX | $2,712.35–$3,125.90 | 8 |
| UT | $2,795.65 | 1 |
| VA | $2,912.01–$3,474.03 | 2 |
| VI | $2,996.14 | 1 |
| VT | $2,927.45 | 1 |
| WA | $3,110.93–$3,604.43 | 2 |
| WI | $2,833.81 | 1 |
| WV | $2,608.01 | 1 |
| WY | $2,960.28 | 1 |
How the 31298 rate is calculated
Each of 31298’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 · 31298
RVUs × geographic indexes × conversion factor
Work4.39
4.39 RVUs× 1.000 GPCI
Practice expense83.78
83.78 RVUs× 1.000 GPCI
Malpractice0.62
0.62 RVUs× 1.000 GPCI
Adjusted RVUs
88.7900
Conversion factor
$33.4009
Medicare rate
$2,965.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 31298
The CMS indicators that decide how 31298 is paid alongside other services.
CMS payment indicators · 31298
Sinus dilation
| 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 | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| 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 50 · payment effect
With and without the modifier
31298 without 50 · national office
$2,965.67
Sinus dilation
31298-50 · Bilateral: 150%
$4,448.51
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
31298 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 31296Sinus dilation
- 31296 describes dilation of the frontal sinus opening alone. Choose 31298 when the sphenoid opening is also dilated in the session.
- 31297Sinus dilation
- 31297 describes dilation of the sphenoid sinus opening alone. Choose 31298 when the frontal opening is also dilated in the session.
- 31276Frontal sinus endoscopy
- 31276 is frontal sinus endoscopic surgery involving tissue removal; 31298 describes dilation of the frontal and sphenoid openings.
- 31287Sphenoidotomy
- 31287 is endoscopic sphenoid sinus surgery without tissue removal, not dilation of both the sphenoid and frontal openings.
31298 billing questions
When should I choose 31298 over 31296 or 31297?
Use 31298 when the frontal and sphenoid sinus openings are both dilated. Codes 31296 and 31297 describe dilation at the frontal and sphenoid sites, respectively, when only one of those sites is treated.
Does 31298 include maxillary sinus dilation?
No. This code identifies dilation of the frontal and sphenoid openings. The maxillary sinus dilation code is 31295.
How should I report bilateral dilation?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. The operative documentation should support treatment on both sides.
How does payment work when related endoscopies are performed together?
CMS applies endoscopy-family pricing when related endoscopies are performed together. The same-day preoperative and postoperative care is included in the 0-day global period.
What documentation supports reporting 31298?
Document endoscopic dilation of both the frontal and sphenoid sinus openings, along with the treated side or sides and the technique performed. Assistant-at-surgery payment requires documentation of medical necessity.
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
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