Billing code 31760: TracheoplastyMedicare rate & RVUs

Reports operative repair or reconstruction of the trachea within the chest, such as treatment of intrathoracic tracheal stenosis or injury.

CMS RVU26DEffective Oct 1, 2026109 payment localities43 Medicare services in 2024

Medicare pays $1,313.99 for 31760 nationally in a facility.

Medicare rate · 31760

Tracheoplasty

Swap in your local Medicare rate.

Work RVUs
22.89
Total RVUs
39.34
Global days
090

National rate · 2026

$1,313.99

Facility setting, before claim adjustments.

See every locality for 31760 → · 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
  1. Medicare rate
  2. What 31760 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 31760 covers

A thoracic surgeon uses this service to repair or reconstruct the portion of the trachea located within the chest. A typical clinical setting is an operating room where the surgeon addresses intrathoracic narrowing or structural damage that requires operative reconstruction. The target is the trachea, not the cervical segment or the carina itself.

Choose the code from the operative anatomy and work performed, distinguishing intrathoracic tracheoplasty from cervical tracheoplasty and reconstruction centered on the carina or a bronchus. The operative report should identify the treated segment, the condition, and the reconstructive work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 31760 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

31760 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,185.97
Alaska*Unavailable$1,633.26
ArizonaUnavailable$1,275.26
ArkansasUnavailable$1,170.45
AtlantaUnavailable$1,360.61
AustinUnavailable$1,314.35
BakersfieldUnavailable$1,287.73
Baltimore/Surr. CntysUnavailable$1,397.83
BeaumontUnavailable$1,268.19
BrazoriaUnavailable$1,274.64

31760 rates by state

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

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Local rates. Clear comparisons.

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31760 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 31760 rate is calculated

Each of 31760’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 · 31760

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 22.89Practice expense 10.70Malpractice 5.75

39.3400 adjusted RVUs×$33.4009 conversion factor=$1,313.99

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 31760

31760 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 31760

Tracheoplasty

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.76/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 31760

Tracheoplasty

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

31760 without 51 · national facility

$1,313.99

Tracheoplasty

31760-51 · Second procedure: 50%

$657.00

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%).

When to use modifier 51

31760 compared with similar codes

Compare codes

31760 vs 31750 vs 31766 vs 31775: national Medicare rates

Swap in your local Medicare rate.

  • 31760
    Tracheoplasty · 22.89 wRVU
    —
  • 31750
    Tracheoplasty · 15.01 wRVU
    —
  • 31766
    Airway reconstruction · 30.88 wRVU
    —
  • 31775
    Bronchial reconstruction · 23.98 wRVU
    —

How to choose

31750Tracheoplasty
31750 is for the cervical trachea; 31760 is for the portion within the chest.
31766Airway reconstruction
31766 addresses reconstruction at the carina, where the trachea divides into the main bronchi. Use 31760 for reconstruction of the intrathoracic trachea away from that focus.
31775Bronchial reconstruction
31775 concerns bronchial reconstruction, while 31760 concerns the intrathoracic trachea. The operative report's target anatomy distinguishes them.

31760 billing questions

How do I distinguish this from cervical tracheoplasty?

Use 31760 when the reconstructed tracheal segment is intrathoracic. The cervical location points to 31750.

When is carinal reconstruction the better code?

Use the carinal reconstruction code when the operative reconstruction is centered on the tracheal bifurcation, rather than the intrathoracic trachea.

What documentation supports 31760?

The operative report should state the tracheal segment's intrathoracic location, the condition being treated, and the repair or reconstruction performed.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What happens when another procedure is performed in the same session?

CMS pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the other procedures.

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
RVUs for 31760PPRRVU2026_Oct_nonQPP.csv, line 3,669 (RVU26D)

Open CMS sourceHow we calculate rates

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