Billing code 31627: Navigational bronchoscopyMedicare rate & RVUs
Add-on service for bronchoscopic computer-assisted navigation that guides instruments toward a lung target during a separately reported bronchoscopy procedure.
Medicare pays $1,155.34 for 31627 nationally in the office and $85.17 in a hospital or facility. Local office rates run $999.32–$1,638.32.
Medicare rate · 31627
Navigational bronchoscopy
Swap in your local Medicare rate.
- Work RVUs
- 1.95
- Total RVUs
- 34.59
- Global days
- ZZZ
National rate · 2026
$1,155.34
Office setting, before claim adjustments.
See every locality for 31627 → · 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 31627 covers
This service uses computer-assisted, image-guided navigation to direct a bronchoscope or instruments toward a planned lung target, often a peripheral pulmonary lesion that is difficult to reach with standard airway inspection. Pulmonologists and thoracic surgeons may use it during bronchoscopy to guide sampling or another bronchoscopic intervention in a hospital or outpatient setting.
Report 31627 with a primary bronchoscopy procedure, not by itself. The record should identify the target, describe use of the navigation system, and document the primary bronchoscopic service performed. For example, navigation may guide a transbronchial lung biopsy or needle biopsy; the biopsy procedure is reported separately when performed. CMS classifies 31627 as an add-on code, and payment falls within the primary procedure’s global period.
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 31627 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
$999.32 to $1638.32
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,017.00 | $80.60 |
| Alaska* | $1,255.33 | $115.61 |
| Arizona | $1,120.79 | $83.80 |
| Arkansas | $999.32 | $80.05 |
| Atlanta | $1,174.21 | $86.92 |
| Austin | $1,217.55 | $85.32 |
| Bakersfield | $1,257.98 | $85.08 |
| Baltimore/Surr. Cntys | $1,237.06 | $88.77 |
| Beaumont | $1,057.35 | $83.50 |
| Brazoria | $1,144.64 | $84.10 |
| Chicago | $1,169.86 | $94.35 |
| Chico | $1,257.36 | $84.46 |
| Colorado | $1,224.00 | $85.35 |
| Connecticut | $1,241.47 | $88.91 |
| Dallas | $1,150.64 | $84.76 |
| Dc + Md/Va Suburbs | $1,352.48 | $91.82 |
| Delaware | $1,141.99 | $84.66 |
| Detroit | $1,122.00 | $89.29 |
| East St. Louis | $1,075.43 | $90.88 |
| El Centro | $1,257.40 | $84.50 |
| Fort Lauderdale | $1,174.82 | $90.74 |
| Fort Worth | $1,139.89 | $84.71 |
| Fresno | $1,257.36 | $84.46 |
| Galveston | $1,147.12 | $84.45 |
| Hanford-Corcoran | $1,257.36 | $84.46 |
| Hawaii, Guam | $1,300.97 | $84.19 |
| Houston | $1,150.79 | $88.11 |
| Idaho | $1,065.13 | $80.58 |
| Indiana | $1,072.81 | $80.76 |
| Iowa | $1,059.21 | $80.01 |
| Kansas | $1,048.01 | $80.58 |
| Kentucky | $1,034.50 | $83.12 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $1,354.05 | $88.04 |
| Madera | $1,257.36 | $84.46 |
| Manhattan | $1,338.95 | $95.42 |
| Merced | $1,257.36 | $84.46 |
| Metropolitan Boston | $1,367.48 | $89.70 |
| Metropolitan Kansas City | $1,089.09 | $84.20 |
| Metropolitan Philadelphia | $1,202.22 | $88.18 |
| Metropolitan St. Louis | $1,103.34 | $84.54 |
| Miami | $1,209.98 | $95.93 |
| Minnesota | $1,182.06 | $80.86 |
| Mississippi | $1,002.98 | $81.57 |
| Modesto | $1,257.36 | $84.46 |
| Montana** | $1,155.32 | $85.16 |
| Napa | $1,500.71 | $90.24 |
| Nebraska | $1,067.75 | $79.99 |
| Nevada** | $1,155.31 | $84.07 |
| New Hampshire | $1,198.93 | $84.89 |
| New Mexico | $1,066.75 | $85.41 |
| New Orleans | $1,092.32 | $85.29 |
| North Carolina | $1,080.33 | $81.87 |
| North Dakota** | $1,151.37 | $81.20 |
| Northern Nj | $1,333.26 | $91.87 |
| Nyc Suburbs/Long Island | $1,370.02 | $97.59 |
| Ohio | $1,061.12 | $84.06 |
| Oklahoma | $1,037.91 | $82.25 |
| Oxnard-Thousand Oaks-Ventura | $1,351.84 | $86.91 |
| Portland | $1,274.94 | $85.99 |
| Poughkpsie/N Nyc Suburbs | $1,262.61 | $90.78 |
| Puerto Rico | $1,167.16 | $85.22 |
| Queens | $1,359.66 | $94.72 |
| Redding | $1,257.36 | $84.46 |
| Rest Of California | $1,257.36 | $84.46 |
| Rest Of Florida | $1,111.02 | $87.94 |
| Rest Of Georgia | $1,039.60 | $85.01 |
| Rest Of Illinois | $1,064.83 | $87.77 |
| Rest Of Louisiana | $1,030.45 | $83.36 |
| Rest Of Maine | $1,066.13 | $81.58 |
| Rest Of Maryland | $1,168.44 | $85.44 |
| Rest Of Massachusetts | $1,212.45 | $85.57 |
| Rest Of Michigan | $1,061.93 | $84.87 |
| Rest Of Missouri | $1,005.64 | $83.15 |
| Rest Of New Jersey | $1,258.27 | $89.65 |
| Rest Of New York | $1,099.18 | $82.52 |
| Rest Of Oregon | $1,149.02 | $83.13 |
| Rest Of Pennsylvania | $1,066.12 | $83.71 |
| Rest Of Texas | $1,099.43 | $83.84 |
| Rest Of Washington | $1,212.01 | $85.13 |
| Rhode Island | $1,191.61 | $86.13 |
| Riverside-San Bernardino-Ontario | $1,259.55 | $86.65 |
| Sacramento-Roseville-Folsom | $1,331.20 | $86.60 |
| Salinas | $1,326.54 | $86.22 |
| San Diego-Chula Vista-Carlsbad | $1,366.60 | $86.69 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,602.16 | $93.22 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,601.93 | $93.00 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,638.32 | $95.14 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,637.39 | $94.21 |
| San Luis Obispo-Paso Robles | $1,303.95 | $85.04 |
| Santa Cruz-Watsonville | $1,386.56 | $86.31 |
| Santa Maria-Santa Barbara | $1,333.93 | $86.11 |
| Santa Rosa-Petaluma | $1,401.24 | $87.07 |
| Seattle (King Cnty) | $1,403.33 | $90.24 |
| South Carolina | $1,071.99 | $83.15 |
| South Dakota** | $1,150.90 | $80.74 |
| Southern Maine | $1,143.12 | $82.59 |
| Stockton | $1,257.36 | $84.46 |
| Suburban Chicago | $1,190.21 | $91.15 |
| Tennessee | $1,053.64 | $80.86 |
| Utah | $1,089.64 | $83.69 |
| Vallejo | $1,500.39 | $89.91 |
| Vermont | $1,141.20 | $81.74 |
| Virgin Islands | $1,167.16 | $85.22 |
| Virginia | $1,134.95 | $82.98 |
| Visalia | $1,257.36 | $84.46 |
| West Virginia | $1,016.27 | $86.30 |
| Wisconsin | $1,105.21 | $79.99 |
| Wyoming** | $1,153.60 | $83.44 |
| Yuba City | $1,257.36 | $84.46 |
31627 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.
$999.32
$1,447.84
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 | $1,255.33 | 1 |
| AL | $1,017.00 | 1 |
| AR | $999.32 | 1 |
| AZ | $1,120.79 | 1 |
| CA | $1,257.36–$1,638.32 | 29 |
| CO | $1,224.00 | 1 |
| CT | $1,241.47 | 1 |
| DC | $1,352.48 | 1 |
| DE | $1,141.99 | 1 |
| FL | $1,111.02–$1,209.98 | 3 |
| GA | $1,039.60–$1,174.21 | 2 |
| GU | $1,300.97 | 1 |
| HI | $1,300.97 | 1 |
| IA | $1,059.21 | 1 |
| ID | $1,065.13 | 1 |
| IL | $1,064.83–$1,190.21 | 4 |
| IN | $1,072.81 | 1 |
| KS | $1,048.01 | 1 |
| KY | $1,034.50 | 1 |
| LA | $1,030.45–$1,092.32 | 2 |
| MA | $1,212.45–$1,367.48 | 2 |
| MD | $1,168.44–$1,352.48 | 3 |
| ME | $1,066.13–$1,143.12 | 2 |
| MI | $1,061.93–$1,122.00 | 2 |
| MN | $1,182.06 | 1 |
| MO | $1,005.64–$1,103.34 | 3 |
| MS | $1,002.98 | 1 |
| MT | $1,155.32 | 1 |
| NC | $1,080.33 | 1 |
| ND | $1,151.37 | 1 |
| NE | $1,067.75 | 1 |
| NH | $1,198.93 | 1 |
| NJ | $1,258.27–$1,333.26 | 2 |
| NM | $1,066.75 | 1 |
| NV | $1,155.31 | 1 |
| NY | $1,099.18–$1,370.02 | 5 |
| OH | $1,061.12 | 1 |
| OK | $1,037.91 | 1 |
| OR | $1,149.02–$1,274.94 | 2 |
| PA | $1,066.12–$1,202.22 | 2 |
| PR | $1,167.16 | 1 |
| RI | $1,191.61 | 1 |
| SC | $1,071.99 | 1 |
| SD | $1,150.90 | 1 |
| TN | $1,053.64 | 1 |
| TX | $1,057.35–$1,217.55 | 8 |
| UT | $1,089.64 | 1 |
| VA | $1,134.95–$1,352.48 | 2 |
| VI | $1,167.16 | 1 |
| VT | $1,141.20 | 1 |
| WA | $1,212.01–$1,403.33 | 2 |
| WI | $1,105.21 | 1 |
| WV | $1,016.27 | 1 |
| WY | $1,153.60 | 1 |
How the 31627 rate is calculated
Each of 31627’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 · 31627
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.95Practice expense 32.44Malpractice 0.20
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 31627
The CMS indicators that decide how 31627 is paid alongside other services.
CMS payment indicators · 31627
Navigational bronchoscopy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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. |
31627 compared with similar codes
Compare codes
31627 vs 31628 vs 31629 vs 31626 vs 31622: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 31628Lung biopsy
- 31628 reports transbronchial lung biopsy. 31627 reports computer-assisted navigation, an add-on that may guide the biopsy.
- 31629Bronchoscopic biopsy
- 31629 reports transbronchial needle biopsy. Use 31627 for computer-assisted navigation to the target, not for the needle sampling itself.
- 31626Fiducial placement
- 31626 reports bronchoscopic placement of markers. 31627 reports computer-assisted navigation; navigation alone does not establish marker placement.
- 31622Bronchoscopy
- 31622 reports diagnostic bronchoscopy with washing. 31627 is an add-on for computer-assisted navigation and requires a primary bronchoscopy procedure.
31627 billing questions
Can 31627 be reported by itself?
No. It is an add-on code and must be billed with a primary bronchoscopy procedure.
How does 31627 differ from 31628?
31627 captures computer-assisted navigation to a lung target. 31628 reports the transbronchial lung biopsy itself; report both when both services are performed and supported.
Does 31627 include the biopsy?
No. Navigation describes guidance to the target, while a biopsy or other therapeutic service is reported with its own primary procedure code when performed.
What documentation supports 31627?
Document the planned lung target, use of computer-assisted image-guided navigation, and the primary bronchoscopy procedure performed.
How is payment handled for this add-on code?
CMS treats 31627 as an add-on paid within the primary procedure’s global period. It must accompany a primary procedure.
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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