No office rate
31360 describes total laryngeal removal without radical neck dissection. This code describes partial removal with radical neck dissection.
On this page
CMS RVU26D · Effective 2026-10-01
31367 Partial laryngectomy Medicare reimbursement rates
Reports removal of part of the larynx with radical neck dissection, typically for selected laryngeal cancer when the operative plan preserves some laryngeal structure. Compare 31367 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 31367?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 31367 pays more and less
Otolaryngology surgery
About 31367: Partial laryngectomy with neck dissection
Reports removal of part of the larynx with radical neck dissection, typically for selected laryngeal cancer when the operative plan preserves some laryngeal structure.
An otolaryngologist or head and neck surgeon removes part of the larynx and performs a radical neck dissection during the same operation. This is generally a hospital operating-room procedure for selected laryngeal malignancies when the planned resection preserves some laryngeal structure. The code represents the combined operation, not a limited biopsy or removal of a small laryngeal lesion alone.
Choose the code from the operative report’s description of the laryngeal resection and neck dissection; document the tissues removed and the extent of each part of the procedure. The included radical neck dissection is not separately reported as another procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation. Do not append modifier 50 for bilateral work, and team-surgery payment is not permitted.
CMS billing rules for 31367
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU29.81 · 52%
- Practice expense (office) RVU23.39 · 41%
- Malpractice RVU4.34 · 8%
39
Medicare services in 2024 · #5516 by national volume
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.
31367 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
31365 is the total-laryngectomy option with radical neck dissection. Use this code when the laryngeal resection is partial.
No office rate
31300 concerns laryngotomy for a laryngeal lesion, not partial laryngectomy with radical neck dissection.
No office rate
31368 is a neighboring partial-laryngectomy code. Compare its full descriptor with the operative report rather than selecting by code proximity.
See how rates vary across the country
31367 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 31367 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $1761.32 |
| Alaska* | Office Unavailable | Facility $2405.42 |
| Arizona | Office Unavailable | Facility $1876.79 |
| Arkansas | Office Unavailable | Facility $1741.43 |
| Atlanta | Office Unavailable | Facility $1966.51 |
| Austin | Office Unavailable | Facility $1952.67 |
| Bakersfield | Office Unavailable | Facility $1959.13 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $2029.21 |
| Beaumont | Office Unavailable | Facility $1841.28 |
| Brazoria | Office Unavailable | Facility $1890.93 |
| Chicago | Office Unavailable | Facility $2120.49 |
| Chico | Office Unavailable | Facility $1946.55 |
| Colorado | Office Unavailable | Facility $1952.09 |
| Connecticut | Office Unavailable | Facility $2032.40 |
| Dallas | Office Unavailable | Facility $1907.14 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $2131.10 |
| Delaware | Office Unavailable | Facility $1902.85 |
| Detroit | Office Unavailable | Facility $1993.99 |
| East St. Louis | Office Unavailable | Facility $2006.38 |
| El Centro | Office Unavailable | Facility $1947.28 |
| Fort Lauderdale | Office Unavailable | Facility $2049.17 |
| Fort Worth | Office Unavailable | Facility $1901.21 |
| Fresno | Office Unavailable | Facility $1946.55 |
| Galveston | Office Unavailable | Facility $1899.45 |
| Hanford-Corcoran | Office Unavailable | Facility $1946.55 |
| Hawaii, Guam | Office Unavailable | Facility $1967.89 |
| Houston | Office Unavailable | Facility $1978.89 |
| Idaho | Office Unavailable | Facility $1782.99 |
| Indiana | Office Unavailable | Facility $1790.35 |
| Iowa | Office Unavailable | Facility $1768.07 |
| Kansas | Office Unavailable | Facility $1774.99 |
| Kentucky | Office Unavailable | Facility $1822.85 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $2056.97 |
| Madera | Office Unavailable | Facility $1946.55 |
| Manhattan | Office Unavailable | Facility $2197.12 |
| Merced | Office Unavailable | Facility $1946.55 |
| Metropolitan Boston | Office Unavailable | Facility $2098.33 |
| Metropolitan Kansas City | Office Unavailable | Facility $1870.90 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1999.82 |
| Metropolitan St. Louis | Office Unavailable | Facility $1884.68 |
| Miami | Office Unavailable | Facility $2175.56 |
| Minnesota | Office Unavailable | Facility $1842.49 |
| Mississippi | Office Unavailable | Facility $1775.46 |
| Modesto | Office Unavailable | Facility $1946.55 |
| Montana** | Office Unavailable | Facility $1921.60 |
| Napa | Office Unavailable | Facility $2161.73 |
| Nebraska | Office Unavailable | Facility $1771.57 |
| Nevada** | Office Unavailable | Facility $1898.46 |
| New Hampshire | Office Unavailable | Facility $1935.80 |
| New Mexico | Office Unavailable | Facility $1886.18 |
| New Orleans | Office Unavailable | Facility $1895.51 |
| North Carolina | Office Unavailable | Facility $1817.21 |
| North Dakota** | Office Unavailable | Facility $1835.78 |
| Northern Nj | Office Unavailable | Facility $2119.47 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $2257.50 |
| Ohio | Office Unavailable | Facility $1855.08 |
| Oklahoma | Office Unavailable | Facility $1805.97 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $2037.30 |
| Portland | Office Unavailable | Facility $1987.43 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $2071.35 |
| Puerto Rico | Office Unavailable | Facility $1928.31 |
| Queens | Office Unavailable | Facility $2191.87 |
| Redding | Office Unavailable | Facility $1946.55 |
| Rest Of California | Office Unavailable | Facility $1946.55 |
| Rest Of Florida | Office Unavailable | Facility $1960.43 |
| Rest Of Georgia | Office Unavailable | Facility $1865.35 |
| Rest Of Illinois | Office Unavailable | Facility $1935.53 |
| Rest Of Louisiana | Office Unavailable | Facility $1825.96 |
| Rest Of Maine | Office Unavailable | Facility $1804.59 |
| Rest Of Maryland | Office Unavailable | Facility $1929.33 |
| Rest Of Massachusetts | Office Unavailable | Facility $1949.80 |
| Rest Of Michigan | Office Unavailable | Facility $1872.62 |
| Rest Of Missouri | Office Unavailable | Facility $1810.31 |
| Rest Of New Jersey | Office Unavailable | Facility $2047.65 |
| Rest Of New York | Office Unavailable | Facility $1839.77 |
| Rest Of Oregon | Office Unavailable | Facility $1875.71 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1849.85 |
| Rest Of Texas | Office Unavailable | Facility $1867.98 |
| Rest Of Washington | Office Unavailable | Facility $1941.59 |
| Rhode Island | Office Unavailable | Facility $1950.93 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1993.50 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $2017.81 |
| Salinas | Office Unavailable | Facility $2009.71 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $2038.49 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $2258.37 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $2253.44 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $2309.46 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $2289.31 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1980.15 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $2043.50 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $2012.19 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $2062.62 |
| Seattle (King Cnty) | Office Unavailable | Facility $2122.49 |
| South Carolina | Office Unavailable | Facility $1840.77 |
| South Dakota** | Office Unavailable | Facility $1825.63 |
| Southern Maine | Office Unavailable | Facility $1861.37 |
| Stockton | Office Unavailable | Facility $1946.55 |
| Suburban Chicago | Office Unavailable | Facility $2061.86 |
| Tennessee | Office Unavailable | Facility $1783.68 |
| Utah | Office Unavailable | Facility $1860.23 |
| Vallejo | Office Unavailable | Facility $2154.63 |
| Vermont | Office Unavailable | Facility $1842.47 |
| Virgin Islands | Office Unavailable | Facility $1928.31 |
| Virginia | Office Unavailable | Facility $1865.99 |
| Visalia | Office Unavailable | Facility $1946.55 |
| West Virginia | Office Unavailable | Facility $1882.02 |
| Wisconsin | Office Unavailable | Facility $1788.76 |
| Wyoming** | Office Unavailable | Facility $1884.20 |
| Yuba City | Office Unavailable | Facility $1946.55 |
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31367 billing questions
How is this code different from a total laryngectomy?
This code describes removal of part of the larynx with radical neck dissection. A total laryngectomy removes the entire larynx, so select the code that matches the operation documented.
Is the radical neck dissection separately reported?
The neck dissection is included in this combined procedure. Do not report it again as a separate procedure for the same operative work.
Can modifier 50 be used for bilateral work?
No. CMS identifies modifier 50 as inappropriate for this code; do not use it to represent bilateral work.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,5573132F,,Doc ref upper gi endoscopy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,55831360,,Removal of larynx,A,,29.16,20.60,NA,20.60,,4.30,54.06,54.06,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,55931365,,Removal of larynx,A,,37.84,22.82,NA,22.82,,5.69,66.35,66.35,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56031367,,Partial removal of larynx,A,,29.81,23.39,NA,23.39,,4.34,57.54,57.54,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56131368,,Partial removal of larynx,A,,33.34,25.22,NA,25.22,,4.87,63.43,63.43,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56231370,,Partial removal of larynx,A,,26.88,23.47,NA,23.47,,3.92,54.27,54.27,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56331375,,Partial removal of larynx,A,,25.42,22.56,NA,22.56,,3.70,51.68,51.68,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00