No office rate
31300 concerns removal of a laryngeal lesion. Use 31395 only when the operative service includes reconstruction involving the larynx and pharynx.
On this page
CMS RVU26D · Effective 2026-10-01
31395 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2569.95
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.
Head and neck surgery
About 31395: Laryngeal and pharyngeal reconstruction
Reports major operative reconstruction involving the larynx and pharynx, typically to restore anatomy after a substantial head-and-neck defect.
This code represents major reconstruction of laryngeal and pharyngeal structures, rather than removal of a laryngeal lesion alone. An otolaryngologist or head-and-neck surgeon typically performs the operation in a hospital operating room, often when a substantial defect requires restoration of these connected structures. The operative report should make clear what anatomy was reconstructed and describe the reconstructive work performed.
Select the code based on the documented reconstruction, not simply because a laryngeal or pharyngeal resection occurred. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 31395
- 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 RVU42.71 · 56%
- Practice expense (office) RVU27.52 · 36%
- Malpractice RVU6.24 · 8%
29
Medicare services in 2024 · #5683 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.
31395 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
31360 is a laryngeal removal procedure. This code instead represents reconstructive work involving both the larynx and pharynx.
No office rate
31390 describes removal involving the larynx and pharynx. The distinguishing work for 31395 is reconstruction, not extirpation alone.
The same code, a different location
How does Chico compare?
31395 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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
Merced
California · 31395
Office
Unavailable
Facility
$2569.95
No comparable office rate is available.
Modesto
California · 31395
Office
Unavailable
Facility
$2569.95
No comparable office rate is available.
Napa
California · 31395
Office
Unavailable
Facility
$2833.80
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 31395
Office
Unavailable
Facility
$2682.83
No comparable office rate is available.
Redding
California · 31395
Office
Unavailable
Facility
$2569.95
No comparable office rate is available.
Rest Of California
California · 31395
Office
Unavailable
Facility
$2569.95
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 31395
Office
Unavailable
Facility
$2637.45
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 31395
Office
Unavailable
Facility
$2658.64
No comparable office rate is available.
Salinas
California · 31395
Office
Unavailable
Facility
$2647.83
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 31395
Office
Unavailable
Facility
$2681.67
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 31395
Office
Unavailable
Facility
$2953.80
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 31395
Office
Unavailable
Facility
$2946.72
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 31395
Office
Unavailable
Facility
$3020.66
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 31395
Office
Unavailable
Facility
$2991.69
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 31395
Office
Unavailable
Facility
$2609.48
No comparable office rate is available.
Santa Cruz-Watsonville
California · 31395
Office
Unavailable
Facility
$2685.04
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 31395
Office
Unavailable
Facility
$2649.99
No comparable office rate is available.
Santa Rosa-Petaluma
California · 31395
Office
Unavailable
Facility
$2709.83
No comparable office rate is available.
Stockton
California · 31395
Office
Unavailable
Facility
$2569.95
No comparable office rate is available.
Vallejo
California · 31395
Office
Unavailable
Facility
$2823.59
No comparable office rate is available.
Visalia
California · 31395
Office
Unavailable
Facility
$2569.95
No comparable office rate is available.
Yuba City
California · 31395
Office
Unavailable
Facility
$2569.95
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 31395
Office
Unavailable
Facility
$2818.37
No comparable office rate is available.
Miami
Florida · 31395
Office
Unavailable
Facility
$2910.53
No comparable office rate is available.
Chicago
Illinois · 31395
Office
Unavailable
Facility
$2838.65
No comparable office rate is available.
Manhattan
New York · 31395
Office
Unavailable
Facility
$2916.51
No comparable office rate is available.
Alaska*
Alaska · 31395
Office
Unavailable
Facility
$3233.61
No comparable office rate is available.
Alabama
Alabama · 31395
Office
Unavailable
Facility
$2348.81
No comparable office rate is available.
Arkansas
Arkansas · 31395
Office
Unavailable
Facility
$2323.48
No comparable office rate is available.
Arizona
Arizona · 31395
Office
Unavailable
Facility
$2495.66
No comparable office rate is available.
Colorado
Colorado · 31395
Office
Unavailable
Facility
$2584.47
No comparable office rate is available.
Connecticut
Connecticut · 31395
Office
Unavailable
Facility
$2697.24
No comparable office rate is available.
Delaware
Delaware · 31395
Office
Unavailable
Facility
$2529.22
No comparable office rate is available.
Fort Lauderdale
Florida · 31395
Office
Unavailable
Facility
$2734.52
No comparable office rate is available.
Rest Of Florida
Florida · 31395
Office
Unavailable
Facility
$2618.56
No comparable office rate is available.
Atlanta
Georgia · 31395
Office
Unavailable
Facility
$2615.05
No comparable office rate is available.
Rest Of Georgia
Georgia · 31395
Office
Unavailable
Facility
$2494.91
No comparable office rate is available.
Hawaii, Guam
Hawaii · 31395
Office
Unavailable
Facility
$2592.35
No comparable office rate is available.
Iowa
Iowa · 31395
Office
Unavailable
Facility
$2350.36
No comparable office rate is available.
Idaho
Idaho · 31395
Office
Unavailable
Facility
$2370.79
No comparable office rate is available.
East St. Louis
Illinois · 31395
Office
Unavailable
Facility
$2691.97
No comparable office rate is available.
Rest Of Illinois
Illinois · 31395
Office
Unavailable
Facility
$2591.54
No comparable office rate is available.
Suburban Chicago
Illinois · 31395
Office
Unavailable
Facility
$2749.87
No comparable office rate is available.
Indiana
Indiana · 31395
Office
Unavailable
Facility
$2379.94
No comparable office rate is available.
Kansas
Kansas · 31395
Office
Unavailable
Facility
$2362.55
No comparable office rate is available.
Kentucky
Kentucky · 31395
Office
Unavailable
Facility
$2434.42
No comparable office rate is available.
New Orleans
Louisiana · 31395
Office
Unavailable
Facility
$2528.28
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 31395
Office
Unavailable
Facility
$2439.71
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 31395
Office
Unavailable
Facility
$2768.05
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 31395
Office
Unavailable
Facility
$2583.40
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 31395
Office
Unavailable
Facility
$2693.49
No comparable office rate is available.
Rest Of Maryland
Maryland · 31395
Office
Unavailable
Facility
$2562.37
No comparable office rate is available.
Rest Of Maine
Maine · 31395
Office
Unavailable
Facility
$2401.85
No comparable office rate is available.
Southern Maine
Maine · 31395
Office
Unavailable
Facility
$2468.99
No comparable office rate is available.
Detroit
Michigan · 31395
Office
Unavailable
Facility
$2664.97
No comparable office rate is available.
Rest Of Michigan
Michigan · 31395
Office
Unavailable
Facility
$2501.08
No comparable office rate is available.
Minnesota
Minnesota · 31395
Office
Unavailable
Facility
$2434.09
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 31395
Office
Unavailable
Facility
$2493.30
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 31395
Office
Unavailable
Facility
$2510.46
No comparable office rate is available.
Rest Of Missouri
Missouri · 31395
Office
Unavailable
Facility
$2421.90
No comparable office rate is available.
Mississippi
Mississippi · 31395
Office
Unavailable
Facility
$2372.00
No comparable office rate is available.
Montana**
Montana · 31395
Office
Unavailable
Facility
$2553.75
No comparable office rate is available.
North Carolina
North Carolina · 31395
Office
Unavailable
Facility
$2417.34
No comparable office rate is available.
North Dakota**
North Dakota · 31395
Office
Unavailable
Facility
$2430.36
No comparable office rate is available.
Nebraska
Nebraska · 31395
Office
Unavailable
Facility
$2353.75
No comparable office rate is available.
New Hampshire
New Hampshire · 31395
Office
Unavailable
Facility
$2565.80
No comparable office rate is available.
Northern Nj
New Jersey · 31395
Office
Unavailable
Facility
$2805.28
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 31395
Office
Unavailable
Facility
$2716.01
No comparable office rate is available.
New Mexico
New Mexico · 31395
Office
Unavailable
Facility
$2519.77
No comparable office rate is available.
Nevada**
Nevada · 31395
Office
Unavailable
Facility
$2520.28
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 31395
Office
Unavailable
Facility
$2997.81
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 31395
Office
Unavailable
Facility
$2749.45
No comparable office rate is available.
Queens
New York · 31395
Office
Unavailable
Facility
$2904.88
No comparable office rate is available.
Rest Of New York
New York · 31395
Office
Unavailable
Facility
$2446.31
No comparable office rate is available.
Ohio
Ohio · 31395
Office
Unavailable
Facility
$2475.86
No comparable office rate is available.
Oklahoma
Oklahoma · 31395
Office
Unavailable
Facility
$2409.34
No comparable office rate is available.
Portland
Oregon · 31395
Office
Unavailable
Facility
$2625.67
No comparable office rate is available.
Rest Of Oregon
Oregon · 31395
Office
Unavailable
Facility
$2488.59
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 31395
Office
Unavailable
Facility
$2657.76
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 31395
Office
Unavailable
Facility
$2467.33
No comparable office rate is available.
Puerto Rico
Puerto Rico · 31395
Office
Unavailable
Facility
$2561.15
No comparable office rate is available.
Rhode Island
Rhode Island · 31395
Office
Unavailable
Facility
$2589.10
No comparable office rate is available.
South Carolina
South Carolina · 31395
Office
Unavailable
Facility
$2453.04
No comparable office rate is available.
South Dakota**
South Dakota · 31395
Office
Unavailable
Facility
$2415.77
No comparable office rate is available.
Tennessee
Tennessee · 31395
Office
Unavailable
Facility
$2374.02
No comparable office rate is available.
Austin
Texas · 31395
Office
Unavailable
Facility
$2586.57
No comparable office rate is available.
Beaumont
Texas · 31395
Office
Unavailable
Facility
$2456.64
No comparable office rate is available.
Brazoria
Texas · 31395
Office
Unavailable
Facility
$2511.45
No comparable office rate is available.
Dallas
Texas · 31395
Office
Unavailable
Facility
$2533.73
No comparable office rate is available.
Fort Worth
Texas · 31395
Office
Unavailable
Facility
$2527.25
No comparable office rate is available.
Galveston
Texas · 31395
Office
Unavailable
Facility
$2523.30
No comparable office rate is available.
Houston
Texas · 31395
Office
Unavailable
Facility
$2637.51
No comparable office rate is available.
Rest Of Texas
Texas · 31395
Office
Unavailable
Facility
$2487.07
No comparable office rate is available.
Utah
Utah · 31395
Office
Unavailable
Facility
$2477.76
No comparable office rate is available.
Virginia
Virginia · 31395
Office
Unavailable
Facility
$2477.26
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 31395
Office
Unavailable
Facility
$2561.15
No comparable office rate is available.
Vermont
Vermont · 31395
Office
Unavailable
Facility
$2442.01
No comparable office rate is available.
Rest Of Washington
Washington · 31395
Office
Unavailable
Facility
$2571.62
No comparable office rate is available.
Seattle (King Cnty)
Washington · 31395
Office
Unavailable
Facility
$2796.01
No comparable office rate is available.
Wisconsin
Wisconsin · 31395
Office
Unavailable
Facility
$2371.33
No comparable office rate is available.
West Virginia
West Virginia · 31395
Office
Unavailable
Facility
$2523.58
No comparable office rate is available.
Wyoming**
Wyoming · 31395
Office
Unavailable
Facility
$2499.98
No comparable office rate is available.
See how rates vary across the country
31395 · 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 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 31395 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2826.94
$2569.95 × 110% = $2826.94
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 31395 in Chico.
PPRRVU2026_Oct_nonQPP.csv
3,567
- Code
- 31395
- Physician work
- 42.71
- Practice expense
- 27.52
- Malpractice
- 6.24
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 42.71 | × 1.017 | 43.4361 |
| Practice expense | 27.52 | × 1.096 | 30.1619 |
| Malpractice | 6.24 | × 0.536 | 3.3446 |
| Total RVUs | 76.9426 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$2569.95
Open 31395 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 42.71 | 1.017 |
| Practice expense | 27.52 | 1.096 |
| Malpractice | 6.24 | 0.536 |
(42.71 × 1.017 + 27.52 × 1.096 + 6.24 × 0.536) × $33.4009 = $2569.95
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
31395 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $2569.95 | RVU26D |
| 2026-07-01 | Not available in this setting | $2569.95 | RVU26C |
| 2026-04-01 | Not available in this setting | $2569.95 | RVU26B |
| 2026-01-01 | Not available in this setting | $2569.95 | RVU26A |
| 2025-10-01 | Not available in this setting | $2882.03 | RVU25D |
| 2025-07-01 | Not available in this setting | $2882.03 | RVU25C |
| 2025-04-01 | Not available in this setting | $2882.03 | RVU25B |
| 2025-01-01 | Not available in this setting | $2882.03 | RVU25A |
31395 billing questions
How does this differ from a laryngectomy code?
This code describes reconstructive work involving the larynx and pharynx. Laryngectomy codes describe removal of laryngeal structures; the operative report must support the reconstruction for this code.
Does removal of a lesion support this code?
Not by itself. A laryngeal lesion removal, such as the service represented by 31300, is different from reconstruction involving the larynx and pharynx.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures performed in that session.
What documentation supports reporting this code?
The operative report should identify the laryngeal and pharyngeal anatomy reconstructed and describe the reconstructive work. It should distinguish that work from resection alone.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
3,56431380,,Partial removal of larynx,A,,24.93,22.44,NA,22.44,,3.63,51.00,51.00,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56531382,,Partial removal of larynx,A,,27.86,23.71,NA,23.71,,4.06,55.63,55.63,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56631390,,Removal of larynx & pharynx,A,,41.45,25.28,NA,25.28,,6.05,72.78,72.78,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56731395,,Reconstruct larynx & pharynx,A,,42.71,27.52,NA,27.52,,6.24,76.47,76.47,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56831400,,Revision of larynx,A,,11.31,15.00,NA,15.00,,1.65,27.96,27.96,0,090,0.10,0.76,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,5693140F,,Upper gi endo shows barrtts,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
3,5703141F,,Upper gi endo not barrtts,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
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536