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Billing code 31805: Tracheal repairMedicare rate & RVUs

Operative repair of an injury to the intrathoracic trachea, reported when the surgeon repairs traumatic damage within the chest.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $794.94 for 31805 nationally in a facility.

Medicare rate · 31805

Tracheal repair

Swap in your local Medicare rate.

Work RVUs
13.08
Total RVUs
23.80
Global days
090

National rate · 2026

$794.94

Facility setting, before claim adjustments.

See every locality for 31805 → · 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 31805 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 31805 covers

Code 31805 describes operative repair of an injured portion of the trachea located within the chest. The injury may arise from blunt or penetrating trauma or occur during another procedure. A thoracic surgeon or another surgeon with the appropriate expertise performs the repair in an operating room, generally in a hospital setting. The code is distinguished from repair of an injury in the cervical trachea by the site of the injury.

Report the code when the operative documentation identifies an intrathoracic tracheal injury and describes its repair. The code has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others 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. Modifier 50 is inappropriate for this code.

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 31805 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

31805 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$716.23
Alaska*Unavailable$980.17
ArizonaUnavailable$771.42
ArkansasUnavailable$706.65
AtlantaUnavailable$822.31
AustinUnavailable$797.68
BakersfieldUnavailable$784.10
Baltimore/Surr. CntysUnavailable$846.09
BeaumontUnavailable$764.80
BrazoriaUnavailable$772.03

31805 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.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
31805 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 31805 rate is calculated

Each of 31805’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 · 31805

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 13.08Practice expense 7.43Malpractice 3.29

23.8000 adjusted RVUs×$33.4009 conversion factor=$794.94

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

Payment rules and modifiers for 31805

31805 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 31805

Tracheal repair

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 · 31805

Tracheal repair

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

31805 without 51 · national facility

$794.94

Tracheal repair

31805-51 · Second procedure: 50%

$397.47

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

31805 compared with similar codes

Compare codes

31805 vs 31800 vs 31820 vs 31825 vs 31899: national Medicare rates

Swap in your local Medicare rate.

  • 31805
    Tracheal repair · 13.08 wRVU
    —
  • 31800
    Tracheal repair · 7.98 wRVU
    —
  • 31820
    Tracheal closure · 4.52 wRVU
    $445.90
  • 31825
    Tracheal defect repair · 6.89 wRVU
    $610.90
  • 31899
    · 0 wRVU
    —

How to choose

31800Tracheal repair
Use 31805 for an intrathoracic tracheal injury and 31800 for a cervical tracheal injury.
31820Tracheal closure
31820 addresses closure of a tracheocutaneous fistula, not repair of an acute intrathoracic tracheal injury.
31825Tracheal defect repair
31825 concerns repair associated with a tracheal defect; 31805 is selected for repair of an intrathoracic tracheal injury.
31899Unlisted px trachea bronchi
Use 31805 when its specific injury-repair service applies; 31899 is for a tracheal or bronchial procedure without a specific code.

Codes related to 31805

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

Codes related to 31805
CodeHow it relatesNational office range
Same family
31800Tracheal repairRepairs an injury in the cervical trachea rather than the intrathoracic trachea.No office rate
Used instead
31899Unlisted px trachea bronchiUnlisted tracheal or bronchial procedure code when no specific code describes the service.No office rate

31805 billing questions

How does 31805 differ from 31800?

31805 is for repair of an injury in the intrathoracic trachea. Code 31800 applies when the injury being repaired is in the cervical trachea.

Does the 90-day global include related postoperative care?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Should modifier 50 be used for injuries involving both sides?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

How is 31805 paid when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures performed in that session 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 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 31805PPRRVU2026_Oct_nonQPP.csv, line 3,678 (RVU26D)

Open CMS sourceHow we calculate rates

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