$201.69
31231 describes diagnostic nasal endoscopy without sphenoid sinusoscopy. Report 31235 when the documented examination specifically reaches the sphenoid sinus.
On this page
CMS RVU26D · Effective 2026-10-01
31235 in Austin
Office / nonfacility
$321.36
Base rate per service
Facility setting
$139.01
Base rate per service
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.
Nasal endoscopy
About 31235: Diagnostic sphenoid sinus endoscopy
ENT clinicians report diagnostic sphenoid sinus endoscopy to inspect the sphenoid sinus through the nose when evaluating suspected or known sinus disease.
An otolaryngologist passes an endoscope through the nasal passage to examine the sphenoid sinus. The diagnostic view can help assess suspected sphenoid sinus inflammation, a lesion, or other findings identified during evaluation of sinus symptoms or imaging. The service is performed in settings such as an ENT office or operating room when the purpose is diagnostic visualization rather than sphenoid sinus surgery.
Report the code when documentation supports examination of the sphenoid sinus, not merely a general nasal examination or visualization of another sinus. If the same session includes related nasal or sinus endoscopies, CMS endoscopy-family pricing applies. The code has a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 identifies bilateral performance and CMS pays it at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 31235
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.57 · 28%
- Practice expense (office) RVU6.35 · 68%
- Malpractice RVU0.37 · 4%
385
Medicare services in 2024 · #3768 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.
31235 compared with similar codes
Office rates for Austin, from the same CMS release.
$282.65
31233 is diagnostic endoscopy of the maxillary sinus; 31235 is selected for diagnostic examination of the sphenoid sinus.
No office rate
31287 describes surgical sphenoidotomy, not diagnostic visualization alone. Choose it when the operative work includes sphenoid surgery.
No office rate
31288 applies when sphenoid surgery includes tissue removal. Diagnostic sphenoid sinusoscopy without that surgical work is distinguished by 31235.
The same code, a different location
How does Austin compare?
In Beaumont, the office rate for 31235 is $290.33—$31.03 lower than the $321.36 rate in Austin. Both use the same code, release and participation basis.
31235 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
$321.36
$290.33
$31.03 lower than Austin
$306.35
$15.01 lower than Austin
$308.46
$12.90 lower than Austin
$306.50
$14.86 lower than Austin
$307.37
$13.99 lower than Austin
$314.14
$7.22 lower than Austin
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 31235 ranges from $274.40 in Arkansas to $407.75 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 31235
Office
$298.28
Facility
$134.72
$23.08 lower than Austin for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 31235
Office
$348.47
Facility
$144.59
$27.11 higher than Austin for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 31235
Office
$354.08
Facility
$151.05
$32.72 higher than Austin for the office setting.
Miami
Florida · 31235
Office
$337.89
Facility
$158.47
$16.53 higher than Austin for the office setting.
Chicago
Illinois · 31235
Office
$327.96
Facility
$154.75
$6.60 higher than Austin for the office setting.
Manhattan
New York · 31235
Office
$357.39
Facility
$157.12
$36.03 higher than Austin for the office setting.
Alaska*
Alaska · 31235
Office
$361.45
Facility
$177.90
$40.09 higher than Austin for the office setting.
Alabama
Alabama · 31235
Office
$278.42
Facility
$127.61
$42.94 lower than Austin for the office setting.
Arkansas
Arkansas · 31235
Office
$274.40
Facility
$126.35
$46.96 lower than Austin for the office setting.
Arizona
Arizona · 31235
Office
$301.94
Facility
$134.93
$19.42 lower than Austin for the office setting.
Bakersfield
California · 31235
Office
$327.45
Facility
$138.56
$6.09 higher than Austin for the office setting.
Chico
California · 31235
Office
$326.38
Facility
$137.49
$5.02 higher than Austin for the office setting.
El Centro
California · 31235
Office
$326.44
Facility
$137.55
$5.08 higher than Austin for the office setting.
Fresno
California · 31235
Office
$326.38
Facility
$137.49
$5.02 higher than Austin for the office setting.
Hanford-Corcoran
California · 31235
Office
$326.38
Facility
$137.49
$5.02 higher than Austin for the office setting.
Madera
California · 31235
Office
$326.38
Facility
$137.49
$5.02 higher than Austin for the office setting.
Merced
California · 31235
Office
$326.38
Facility
$137.49
$5.02 higher than Austin for the office setting.
Modesto
California · 31235
Office
$326.38
Facility
$137.49
$5.02 higher than Austin for the office setting.
Napa
California · 31235
Office
$377.07
Facility
$149.91
$55.71 higher than Austin for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 31235
Office
$346.64
Facility
$142.92
$25.28 higher than Austin for the office setting.
Redding
California · 31235
Office
$326.38
Facility
$137.49
$5.02 higher than Austin for the office setting.
Rest Of California
California · 31235
Office
$326.38
Facility
$137.49
$5.02 higher than Austin for the office setting.
Riverside-San Bernardino-Ontario
California · 31235
Office
$330.38
Facility
$141.49
$9.02 higher than Austin for the office setting.
Sacramento-Roseville-Folsom
California · 31235
Office
$342.22
Facility
$141.78
$20.86 higher than Austin for the office setting.
Salinas
California · 31235
Office
$340.94
Facility
$141.19
$19.58 higher than Austin for the office setting.
San Diego-Chula Vista-Carlsbad
California · 31235
Office
$348.78
Facility
$142.65
$27.42 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 31235
Office
$398.72
Facility
$155.71
$77.36 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 31235
Office
$398.30
Facility
$155.29
$76.94 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 31235
Office
$407.75
Facility
$159.22
$86.39 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 31235
Office
$406.03
Facility
$157.50
$84.67 higher than Austin for the office setting.
San Luis Obispo-Paso Robles
California · 31235
Office
$335.50
Facility
$139.20
$14.14 higher than Austin for the office setting.
Santa Cruz-Watsonville
California · 31235
Office
$351.96
Facility
$142.56
$30.60 higher than Austin for the office setting.
Santa Maria-Santa Barbara
California · 31235
Office
$342.17
Facility
$141.21
$20.81 higher than Austin for the office setting.
Santa Rosa-Petaluma
California · 31235
Office
$355.49
Facility
$143.85
$34.13 higher than Austin for the office setting.
Stockton
California · 31235
Office
$326.38
Facility
$137.49
$5.02 higher than Austin for the office setting.
Vallejo
California · 31235
Office
$376.46
Facility
$149.31
$55.10 higher than Austin for the office setting.
Visalia
California · 31235
Office
$326.38
Facility
$137.49
$5.02 higher than Austin for the office setting.
Yuba City
California · 31235
Office
$326.38
Facility
$137.49
$5.02 higher than Austin for the office setting.
Colorado
Colorado · 31235
Office
$322.19
Facility
$138.81
$0.83 higher than Austin for the office setting.
Connecticut
Connecticut · 31235
Office
$330.94
Facility
$145.32
$9.58 higher than Austin for the office setting.
Delaware
Delaware · 31235
Office
$306.93
Facility
$136.65
$14.43 lower than Austin for the office setting.
Fort Lauderdale
Florida · 31235
Office
$323.04
Facility
$148.45
$1.68 higher than Austin for the office setting.
Rest Of Florida
Florida · 31235
Office
$307.18
Facility
$142.41
$14.18 lower than Austin for the office setting.
Atlanta
Georgia · 31235
Office
$316.43
Facility
$141.32
$4.93 lower than Austin for the office setting.
Rest Of Georgia
Georgia · 31235
Office
$289.76
Facility
$136.03
$31.60 lower than Austin for the office setting.
Hawaii, Guam
Hawaii · 31235
Office
$334.15
Facility
$138.19
$12.79 higher than Austin for the office setting.
Iowa
Iowa · 31235
Office
$284.81
Facility
$127.12
$36.55 lower than Austin for the office setting.
Idaho
Idaho · 31235
Office
$286.81
Facility
$128.25
$34.55 lower than Austin for the office setting.
East St. Louis
Illinois · 31235
Office
$305.86
Facility
$147.30
$15.50 lower than Austin for the office setting.
Rest Of Illinois
Illinois · 31235
Office
$298.80
Facility
$141.45
$22.56 lower than Austin for the office setting.
Suburban Chicago
Illinois · 31235
Office
$326.16
Facility
$149.16
$4.80 higher than Austin for the office setting.
Indiana
Indiana · 31235
Office
$288.46
Facility
$128.69
$32.90 lower than Austin for the office setting.
Kansas
Kansas · 31235
Office
$283.80
Facility
$128.00
$37.56 lower than Austin for the office setting.
Kentucky
Kentucky · 31235
Office
$285.70
Facility
$132.48
$35.66 lower than Austin for the office setting.
New Orleans
Louisiana · 31235
Office
$299.46
Facility
$137.28
$21.90 lower than Austin for the office setting.
Rest Of Louisiana
Louisiana · 31235
Office
$285.38
Facility
$132.86
$35.98 lower than Austin for the office setting.
Metropolitan Boston
Massachusetts · 31235
Office
$353.60
Facility
$147.82
$32.24 higher than Austin for the office setting.
Rest Of Massachusetts
Massachusetts · 31235
Office
$320.40
Facility
$138.92
$0.96 lower than Austin for the office setting.
Baltimore/Surr. Cntys
Maryland · 31235
Office
$330.08
Facility
$145.15
$8.72 higher than Austin for the office setting.
Rest Of Maryland
Maryland · 31235
Office
$312.68
Facility
$138.27
$8.68 lower than Austin for the office setting.
Rest Of Maine
Maine · 31235
Office
$288.66
Facility
$130.09
$32.70 lower than Austin for the office setting.
Southern Maine
Maine · 31235
Office
$303.83
Facility
$133.03
$17.53 lower than Austin for the office setting.
Detroit
Michigan · 31235
Office
$311.35
Facility
$145.03
$10.01 lower than Austin for the office setting.
Rest Of Michigan
Michigan · 31235
Office
$293.44
Facility
$136.08
$27.92 lower than Austin for the office setting.
Minnesota
Minnesota · 31235
Office
$307.74
Facility
$130.40
$13.62 lower than Austin for the office setting.
Metropolitan Kansas City
Missouri · 31235
Office
$297.07
Facility
$135.24
$24.29 lower than Austin for the office setting.
Metropolitan St. Louis
Missouri · 31235
Office
$300.14
Facility
$136.06
$21.22 lower than Austin for the office setting.
Rest Of Missouri
Missouri · 31235
Office
$280.70
Facility
$132.14
$40.66 lower than Austin for the office setting.
Mississippi
Mississippi · 31235
Office
$277.59
Facility
$129.20
$43.77 lower than Austin for the office setting.
Montana**
Montana · 31235
Office
$310.27
Facility
$137.92
$11.09 lower than Austin for the office setting.
North Carolina
North Carolina · 31235
Office
$291.62
Facility
$130.82
$29.74 lower than Austin for the office setting.
North Dakota**
North Dakota · 31235
Office
$302.95
Facility
$130.60
$18.41 lower than Austin for the office setting.
Nebraska
Nebraska · 31235
Office
$286.28
Facility
$127.20
$35.08 lower than Austin for the office setting.
New Hampshire
New Hampshire · 31235
Office
$317.45
Facility
$138.03
$3.91 lower than Austin for the office setting.
Northern Nj
New Jersey · 31235
Office
$350.48
Facility
$150.55
$29.12 higher than Austin for the office setting.
Rest Of New Jersey
New Jersey · 31235
Office
$334.44
Facility
$146.23
$13.08 higher than Austin for the office setting.
New Mexico
New Mexico · 31235
Office
$295.17
Facility
$137.13
$26.19 lower than Austin for the office setting.
Nevada**
Nevada · 31235
Office
$308.44
Facility
$135.92
$12.92 lower than Austin for the office setting.
Nyc Suburbs/Long Island
New York · 31235
Office
$366.47
Facility
$161.54
$45.11 higher than Austin for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 31235
Office
$336.90
Facility
$148.18
$15.54 higher than Austin for the office setting.
Queens
New York · 31235
Office
$359.85
Facility
$156.14
$38.49 higher than Austin for the office setting.
Rest Of New York
New York · 31235
Office
$296.02
Facility
$132.29
$25.34 lower than Austin for the office setting.
Ohio
Ohio · 31235
Office
$291.94
Facility
$134.59
$29.42 lower than Austin for the office setting.
Oklahoma
Oklahoma · 31235
Office
$284.84
Facility
$130.94
$36.52 lower than Austin for the office setting.
Portland
Oregon · 31235
Office
$332.05
Facility
$140.57
$10.69 higher than Austin for the office setting.
Rest Of Oregon
Oregon · 31235
Office
$305.78
Facility
$134.12
$15.58 lower than Austin for the office setting.
Metropolitan Philadelphia
Pennsylvania · 31235
Office
$322.92
Facility
$143.51
$1.56 higher than Austin for the office setting.
Rest Of Pennsylvania
Pennsylvania · 31235
Office
$292.22
Facility
$134.01
$29.14 lower than Austin for the office setting.
Puerto Rico
Puerto Rico · 31235
Office
$312.44
Facility
$138.20
$8.92 lower than Austin for the office setting.
Rhode Island
Rhode Island · 31235
Office
$317.59
Facility
$139.55
$3.77 lower than Austin for the office setting.
South Carolina
South Carolina · 31235
Office
$292.32
Facility
$133.07
$29.04 lower than Austin for the office setting.
South Dakota**
South Dakota · 31235
Office
$302.09
Facility
$129.74
$19.27 lower than Austin for the office setting.
Tennessee
Tennessee · 31235
Office
$285.27
Facility
$128.61
$36.09 lower than Austin for the office setting.
Utah
Utah · 31235
Office
$296.31
Facility
$134.30
$25.05 lower than Austin for the office setting.
Virginia
Virginia · 31235
Office
$303.06
Facility
$133.64
$18.30 lower than Austin for the office setting.
Virgin Islands
United States Virgin Islands · 31235
Office
$312.44
Facility
$138.20
$8.92 lower than Austin for the office setting.
Vermont
Vermont · 31235
Office
$302.07
Facility
$131.44
$19.29 lower than Austin for the office setting.
Rest Of Washington
Washington · 31235
Office
$319.70
Facility
$138.21
$1.66 lower than Austin for the office setting.
Seattle (King Cnty)
Washington · 31235
Office
$360.47
Facility
$149.00
$39.11 higher than Austin for the office setting.
Wisconsin
Wisconsin · 31235
Office
$292.83
Facility
$127.72
$28.53 lower than Austin for the office setting.
West Virginia
West Virginia · 31235
Office
$287.84
Facility
$138.07
$33.52 lower than Austin for the office setting.
Wyoming**
Wyoming · 31235
Office
$307.08
Facility
$134.73
$14.28 lower than Austin for the office setting.
See how rates vary across the country
31235 · 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.
$274.40
$367.07
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $361.45 | 1 |
| AL | $278.42 | 1 |
| AR | $274.40 | 1 |
| AZ | $301.94 | 1 |
| CA | $326.38–$407.75 | 29 |
| CO | $322.19 | 1 |
| CT | $330.94 | 1 |
| DC | $354.08 | 1 |
| DE | $306.93 | 1 |
| FL | $307.18–$337.89 | 3 |
| GA | $289.76–$316.43 | 2 |
| GU | $334.15 | 1 |
| HI | $334.15 | 1 |
| IA | $284.81 | 1 |
| ID | $286.81 | 1 |
| IL | $298.80–$327.96 | 4 |
| IN | $288.46 | 1 |
| KS | $283.80 | 1 |
| KY | $285.70 | 1 |
| LA | $285.38–$299.46 | 2 |
| MA | $320.40–$353.60 | 2 |
| MD | $312.68–$354.08 | 3 |
| ME | $288.66–$303.83 | 2 |
| MI | $293.44–$311.35 | 2 |
| MN | $307.74 | 1 |
| MO | $280.70–$300.14 | 3 |
| MS | $277.59 | 1 |
| MT | $310.27 | 1 |
| NC | $291.62 | 1 |
| ND | $302.95 | 1 |
| NE | $286.28 | 1 |
| NH | $317.45 | 1 |
| NJ | $334.44–$350.48 | 2 |
| NM | $295.17 | 1 |
| NV | $308.44 | 1 |
| NY | $296.02–$366.47 | 5 |
| OH | $291.94 | 1 |
| OK | $284.84 | 1 |
| OR | $305.78–$332.05 | 2 |
| PA | $292.22–$322.92 | 2 |
| PR | $312.44 | 1 |
| RI | $317.59 | 1 |
| SC | $292.32 | 1 |
| SD | $302.09 | 1 |
| TN | $285.27 | 1 |
| TX | $290.33–$321.36 | 8 |
| UT | $296.31 | 1 |
| VA | $303.06–$354.08 | 2 |
| VI | $312.44 | 1 |
| VT | $302.07 | 1 |
| WA | $319.70–$360.47 | 2 |
| WI | $292.83 | 1 |
| WV | $287.84 | 1 |
| WY | $307.08 | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 31235 in Austin
Multiple payment areas
- 31235 in Barton Creek
- 31235 in Bee Cave
- 31235 in Briarcliff
- 31235 in Cedar Park
Multiple payment areas
- 31235 in Creedmoor
Multiple payment areas
- 31235 in Elgin
Multiple payment areas
- 31235 in Garfield
Why are the office and facility amounts different?
For 31235 in Austin, the physician’s office rate is $321.36 and the facility-setting rate is $139.01: a difference of $182.35.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 31235 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$353.50
$321.36 × 110% = $353.50
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 31235 in Austin.
PPRRVU2026_Oct_nonQPP.csv
3,526
- Code
- 31235
- Physician work
- 2.57
- Practice expense
- 6.35
- Malpractice
- 0.37
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.57 | × 1.002 | 2.5751 |
| Practice expense | 6.35 | × 1.058 | 6.7183 |
| Malpractice | 0.37 | × 0.886 | 0.3278 |
| Total RVUs | 9.6213 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Austin$321.36
Open 31235 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.57 | 1.002 |
| Practice expense | 6.35 | 1.058 |
| Malpractice | 0.37 | 0.886 |
(2.57 × 1.002 + 6.35 × 1.058 + 0.37 × 0.886) × $33.4009 = $321.36
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.57 | 1.002 |
| Practice expense | 1.19 | 1.058 |
| Malpractice | 0.37 | 0.886 |
(2.57 × 1.002 + 1.19 × 1.058 + 0.37 × 0.886) × $33.4009 = $139.01
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
31235 · Office / nonfacility
$321.36
Effective 2026-10-01
The base rate is $13.31 higher than on 2025-10-01, moving from $308.05 to $321.36 (4.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$308.05changed to$321.36
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.64 changed to 2.57
- Practice expense RVU 6.24 changed to 6.35
- Malpractice RVU 0.39 changed to 0.37
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 1.046 changed to 1.058
- Malpractice GPCI 0.914 changed to 0.886
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $308.05
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
31235 billing questions
How does this differ from diagnostic nasal endoscopy, 31231?
31235 includes diagnostic examination of the sphenoid sinus. Use 31231 for a diagnostic nasal examination that does not include sphenoid sinusoscopy.
How does this differ from diagnostic maxillary sinus endoscopy, 31233?
The distinction is the sinus examined: 31235 documents sphenoid sinusoscopy, while 31233 addresses maxillary sinusoscopy.
Can diagnostic sphenoid endoscopy be separately reported with sphenoid surgery?
When the same session proceeds to sphenoid surgery, compare the documented operative service with the surgical code, such as 31287 or 31288. Do not assume the diagnostic examination is separately reportable.
What modifier identifies bilateral performance?
Use modifier 50 for bilateral performance; CMS pays this procedure at 150% when reported bilaterally.
What documentation supports reporting 31235?
Document that the endoscope was used to examine the sphenoid sinus and record the diagnostic findings. A note describing only general nasal inspection does not establish sphenoid sinusoscopy.
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.
3,52331230,,Removal of upper jaw,A,,30.05,17.80,NA,17.80,,4.38,52.23,52.23,0,090,0.10,0.76,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,52431231,,Nasal endoscopy dx,A,,1.07,4.56,,0.41,,0.16,5.79,1.64,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,52531233,,Nsl/sins ndsc dx max sinusc,A,,2.13,5.73,,1.08,,0.30,8.16,3.51,0,000,0.00,0.00,0.00,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,52631235,,Nsl/sins ndsc dx sphn sinusc,A,,2.57,6.35,,1.19,,0.37,9.29,4.13,0,000,0.00,0.00,0.00,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,52731237,,Nsl/sins ndsc surg bx polypc,A,,2.54,5.07,,1.23,,0.37,7.98,4.14,0,000,0.00,0.00,0.00,3,1,1,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,52831238,,Nsl/sins ndsc srg nsl hemrrg,A,,2.67,4.73,,1.26,,0.39,7.79,4.32,0,000,0.00,0.00,0.00,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,52931239,,Nsl/sinus endoscopy surg dcr,A,,8.81,5.91,NA,5.91,,0.99,15.71,15.71,0,010,0.10,0.80,0.10,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858