No office rate
31293 describes medial orbital wall decompression alone. Choose 31292 when the operative report also documents inferior orbital wall decompression.
On this page
CMS RVU26D · Effective 2026-10-01
31292 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$853.25
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 and sinus surgery
About 31292: Endoscopic medial and inferior orbital decompression
Endoscopic decompression of both the medial and inferior orbital walls, typically performed to relieve orbital pressure or proptosis.
An otolaryngologist or rhinologist uses a transnasal endoscope to remove bone from the medial and inferior walls of the orbit, creating additional space for orbital contents. The procedure may be used for orbital pressure or proptosis, including in patients with thyroid eye disease, and is generally performed in an operating room. The operative report should identify the walls decompressed and the endoscopic work performed.
Report 31292 when the documented decompression includes both the medial and inferior orbital walls; medial-wall decompression alone is distinguished by 31293. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When related endoscopies are performed together, endoscopy-family pricing applies. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 31292
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are 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 RVU15.50 · 61%
- Practice expense (office) RVU7.80 · 30%
- Malpractice RVU2.28 · 9%
87
Medicare services in 2024 · #4981 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.
31292 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
31294 is directed at optic nerve decompression. 31292 describes decompression of the medial and inferior orbital walls.
No office rate
31255 describes total ethmoid sinus surgery, not orbital wall decompression. Select based on the work documented and apply endoscopy-family pricing when related endoscopies are performed together.
The same code, a different location
How does El Centro compare?
31292 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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 · 31292
Office
Unavailable
Facility
$852.87
No comparable office rate is available.
Modesto
California · 31292
Office
Unavailable
Facility
$852.87
No comparable office rate is available.
Napa
California · 31292
Office
Unavailable
Facility
$932.39
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 31292
Office
Unavailable
Facility
$887.60
No comparable office rate is available.
Redding
California · 31292
Office
Unavailable
Facility
$852.87
No comparable office rate is available.
Rest Of California
California · 31292
Office
Unavailable
Facility
$852.87
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 31292
Office
Unavailable
Facility
$877.53
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 31292
Office
Unavailable
Facility
$880.16
No comparable office rate is available.
Salinas
California · 31292
Office
Unavailable
Facility
$876.53
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 31292
Office
Unavailable
Facility
$886.11
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 31292
Office
Unavailable
Facility
$969.19
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 31292
Office
Unavailable
Facility
$966.61
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 31292
Office
Unavailable
Facility
$991.16
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 31292
Office
Unavailable
Facility
$980.58
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 31292
Office
Unavailable
Facility
$864.07
No comparable office rate is available.
Santa Cruz-Watsonville
California · 31292
Office
Unavailable
Facility
$885.94
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 31292
Office
Unavailable
Facility
$876.80
No comparable office rate is available.
Santa Rosa-Petaluma
California · 31292
Office
Unavailable
Facility
$893.99
No comparable office rate is available.
Stockton
California · 31292
Office
Unavailable
Facility
$852.87
No comparable office rate is available.
Vallejo
California · 31292
Office
Unavailable
Facility
$928.66
No comparable office rate is available.
Visalia
California · 31292
Office
Unavailable
Facility
$852.87
No comparable office rate is available.
Yuba City
California · 31292
Office
Unavailable
Facility
$852.87
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 31292
Office
Unavailable
Facility
$937.33
No comparable office rate is available.
Miami
Florida · 31292
Office
Unavailable
Facility
$981.52
No comparable office rate is available.
Chicago
Illinois · 31292
Office
Unavailable
Facility
$957.94
No comparable office rate is available.
Manhattan
New York · 31292
Office
Unavailable
Facility
$974.36
No comparable office rate is available.
Alaska*
Alaska · 31292
Office
Unavailable
Facility
$1095.99
No comparable office rate is available.
Alabama
Alabama · 31292
Office
Unavailable
Facility
$788.78
No comparable office rate is available.
Arkansas
Arkansas · 31292
Office
Unavailable
Facility
$780.73
No comparable office rate is available.
Arizona
Arizona · 31292
Office
Unavailable
Facility
$835.35
No comparable office rate is available.
Colorado
Colorado · 31292
Office
Unavailable
Facility
$860.60
No comparable office rate is available.
Connecticut
Connecticut · 31292
Office
Unavailable
Facility
$900.80
No comparable office rate is available.
Delaware
Delaware · 31292
Office
Unavailable
Facility
$846.17
No comparable office rate is available.
Fort Lauderdale
Florida · 31292
Office
Unavailable
Facility
$919.31
No comparable office rate is available.
Rest Of Florida
Florida · 31292
Office
Unavailable
Facility
$881.24
No comparable office rate is available.
Atlanta
Georgia · 31292
Office
Unavailable
Facility
$875.42
No comparable office rate is available.
Rest Of Georgia
Georgia · 31292
Office
Unavailable
Facility
$840.88
No comparable office rate is available.
Hawaii, Guam
Hawaii · 31292
Office
Unavailable
Facility
$858.03
No comparable office rate is available.
Iowa
Iowa · 31292
Office
Unavailable
Facility
$786.33
No comparable office rate is available.
Idaho
Idaho · 31292
Office
Unavailable
Facility
$793.42
No comparable office rate is available.
East St. Louis
Illinois · 31292
Office
Unavailable
Facility
$910.77
No comparable office rate is available.
Rest Of Illinois
Illinois · 31292
Office
Unavailable
Facility
$874.60
No comparable office rate is available.
Suburban Chicago
Illinois · 31292
Office
Unavailable
Facility
$923.84
No comparable office rate is available.
Indiana
Indiana · 31292
Office
Unavailable
Facility
$796.23
No comparable office rate is available.
Kansas
Kansas · 31292
Office
Unavailable
Facility
$791.61
No comparable office rate is available.
Kentucky
Kentucky · 31292
Office
Unavailable
Facility
$819.00
No comparable office rate is available.
New Orleans
Louisiana · 31292
Office
Unavailable
Facility
$849.38
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 31292
Office
Unavailable
Facility
$821.24
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 31292
Office
Unavailable
Facility
$917.79
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 31292
Office
Unavailable
Facility
$861.03
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 31292
Office
Unavailable
Facility
$899.75
No comparable office rate is available.
Rest Of Maryland
Maryland · 31292
Office
Unavailable
Facility
$856.45
No comparable office rate is available.
Rest Of Maine
Maine · 31292
Office
Unavailable
Facility
$804.77
No comparable office rate is available.
Southern Maine
Maine · 31292
Office
Unavailable
Facility
$823.95
No comparable office rate is available.
Detroit
Michigan · 31292
Office
Unavailable
Facility
$897.52
No comparable office rate is available.
Rest Of Michigan
Michigan · 31292
Office
Unavailable
Facility
$841.55
No comparable office rate is available.
Minnesota
Minnesota · 31292
Office
Unavailable
Facility
$808.34
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 31292
Office
Unavailable
Facility
$836.75
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 31292
Office
Unavailable
Facility
$842.04
No comparable office rate is available.
Rest Of Missouri
Missouri · 31292
Office
Unavailable
Facility
$816.46
No comparable office rate is available.
Mississippi
Mississippi · 31292
Office
Unavailable
Facility
$798.31
No comparable office rate is available.
Montana**
Montana · 31292
Office
Unavailable
Facility
$854.24
No comparable office rate is available.
North Carolina
North Carolina · 31292
Office
Unavailable
Facility
$809.45
No comparable office rate is available.
North Dakota**
North Dakota · 31292
Office
Unavailable
Facility
$809.16
No comparable office rate is available.
Nebraska
Nebraska · 31292
Office
Unavailable
Facility
$786.97
No comparable office rate is available.
New Hampshire
New Hampshire · 31292
Office
Unavailable
Facility
$855.56
No comparable office rate is available.
Northern Nj
New Jersey · 31292
Office
Unavailable
Facility
$933.87
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 31292
Office
Unavailable
Facility
$906.46
No comparable office rate is available.
New Mexico
New Mexico · 31292
Office
Unavailable
Facility
$848.08
No comparable office rate is available.
Nevada**
Nevada · 31292
Office
Unavailable
Facility
$841.94
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 31292
Office
Unavailable
Facility
$1002.03
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 31292
Office
Unavailable
Facility
$918.43
No comparable office rate is available.
Queens
New York · 31292
Office
Unavailable
Facility
$968.60
No comparable office rate is available.
Rest Of New York
New York · 31292
Office
Unavailable
Facility
$818.75
No comparable office rate is available.
Ohio
Ohio · 31292
Office
Unavailable
Facility
$832.34
No comparable office rate is available.
Oklahoma
Oklahoma · 31292
Office
Unavailable
Facility
$809.54
No comparable office rate is available.
Portland
Oregon · 31292
Office
Unavailable
Facility
$872.10
No comparable office rate is available.
Rest Of Oregon
Oregon · 31292
Office
Unavailable
Facility
$830.74
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 31292
Office
Unavailable
Facility
$889.09
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 31292
Office
Unavailable
Facility
$828.84
No comparable office rate is available.
Puerto Rico
Puerto Rico · 31292
Office
Unavailable
Facility
$856.12
No comparable office rate is available.
Rhode Island
Rhode Island · 31292
Office
Unavailable
Facility
$864.60
No comparable office rate is available.
South Carolina
South Carolina · 31292
Office
Unavailable
Facility
$823.17
No comparable office rate is available.
South Dakota**
South Dakota · 31292
Office
Unavailable
Facility
$803.83
No comparable office rate is available.
Tennessee
Tennessee · 31292
Office
Unavailable
Facility
$795.43
No comparable office rate is available.
Austin
Texas · 31292
Office
Unavailable
Facility
$861.86
No comparable office rate is available.
Beaumont
Texas · 31292
Office
Unavailable
Facility
$825.54
No comparable office rate is available.
Brazoria
Texas · 31292
Office
Unavailable
Facility
$839.44
No comparable office rate is available.
Dallas
Texas · 31292
Office
Unavailable
Facility
$847.20
No comparable office rate is available.
Fort Worth
Texas · 31292
Office
Unavailable
Facility
$845.58
No comparable office rate is available.
Galveston
Texas · 31292
Office
Unavailable
Facility
$843.61
No comparable office rate is available.
Houston
Texas · 31292
Office
Unavailable
Facility
$885.35
No comparable office rate is available.
Rest Of Texas
Texas · 31292
Office
Unavailable
Facility
$833.72
No comparable office rate is available.
Utah
Utah · 31292
Office
Unavailable
Facility
$831.00
No comparable office rate is available.
Virginia
Virginia · 31292
Office
Unavailable
Facility
$827.58
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 31292
Office
Unavailable
Facility
$856.12
No comparable office rate is available.
Vermont
Vermont · 31292
Office
Unavailable
Facility
$814.17
No comparable office rate is available.
Rest Of Washington
Washington · 31292
Office
Unavailable
Facility
$856.73
No comparable office rate is available.
Seattle (King Cnty)
Washington · 31292
Office
Unavailable
Facility
$925.48
No comparable office rate is available.
Wisconsin
Wisconsin · 31292
Office
Unavailable
Facility
$790.75
No comparable office rate is available.
West Virginia
West Virginia · 31292
Office
Unavailable
Facility
$853.09
No comparable office rate is available.
Wyoming**
Wyoming · 31292
Office
Unavailable
Facility
$834.59
No comparable office rate is available.
See how rates vary across the country
31292 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 31292 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$938.58
$853.25 × 110% = $938.58
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 31292 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
3,547
- Code
- 31292
- Physician work
- 15.50
- Practice expense
- 7.80
- Malpractice
- 2.28
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.50 | × 1.017 | 15.7635 |
| Practice expense | 7.80 | × 1.096 | 8.5488 |
| Malpractice | 2.28 | × 0.541 | 1.2335 |
| Total RVUs | 25.5458 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$853.25
Open 31292 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.5 | 1.017 |
| Practice expense | 7.8 | 1.096 |
| Malpractice | 2.28 | 0.541 |
(15.5 × 1.017 + 7.8 × 1.096 + 2.28 × 0.541) × $33.4009 = $853.25
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
31292 · 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 | $853.25 | RVU26D |
| 2026-07-01 | Not available in this setting | $853.25 | RVU26C |
| 2026-04-01 | Not available in this setting | $853.25 | RVU26B |
| 2026-01-01 | Not available in this setting | $853.25 | RVU26A |
| 2025-10-01 | Not available in this setting | $970.37 | RVU25D |
| 2025-07-01 | Not available in this setting | $970.37 | RVU25C |
| 2025-04-01 | Not available in this setting | $970.37 | RVU25B |
| 2025-01-01 | Not available in this setting | $970.37 | RVU25A |
31292 billing questions
Is an optic nerve decompression reported with 31292?
31292 describes medial and inferior orbital wall decompression. A procedure directed at the optic nerve is represented by 31294, so select according to the operative target and work.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in 31292.
How is bilateral decompression reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
What if other nasal or sinus endoscopies are performed in the same session?
Document the distinct procedures performed. CMS applies endoscopy-family pricing when related endoscopies are performed together.
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.
3,54431288,,Nasal/sinus endoscopy surg,A,,4.00,1.35,NA,1.35,,0.58,5.93,5.93,0,000,0.00,0.00,0.00,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,54531290,,Nasal/sinus endoscopy surg,A,,18.14,8.73,NA,8.73,,2.84,29.71,29.71,0,010,0.10,0.80,0.10,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,54631291,,Nasal/sinus endoscopy surg,A,,19.07,9.50,NA,9.50,,3.67,32.24,32.24,0,010,0.10,0.80,0.10,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,54731292,,Nsl/sins ndsc med/inf dcmprn,A,,15.50,7.80,NA,7.80,,2.28,25.58,25.58,0,010,0.10,0.80,0.10,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,54831293,,Nsl/sins ndsc med&inf dcmprn,A,,17.03,8.12,NA,8.12,,2.49,27.64,27.64,0,010,0.10,0.80,0.10,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,54931294,,Nsl/sins ndsc surg on dcmprn,A,,19.80,8.80,NA,8.80,,2.90,31.50,31.50,0,010,0.10,0.80,0.10,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,55031295,,Nsl/sins ndsc surg max sins,A,,2.63,44.21,,1.02,,0.39,47.23,4.04,0,000,0.00,0.00,0.00,3,1,2,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664