CPT code 31002: Sinus irrigation2026 Medicare rate & RVUs in Redding
Reports lavage of the sphenoid sinus, typically by an otolaryngologist treating retained secretions or inflammatory material in that sinus.
In Redding, Medicare pays $174.81 for 31002 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 31002 nationwide
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 11 sections
What 31002 covers
This service involves introducing irrigation fluid into the sphenoid sinus and flushing or clearing its contents. Otolaryngologists typically perform it for a patient with sphenoid sinus disease and retained secretions, often in an office or outpatient setting. The record should identify the sphenoid sinus treated and describe the irrigation performed; symptoms or a diagnosis alone do not establish that lavage occurred.
Report the code for the sphenoid sinus irrigation itself, rather than for operative exploration or creation of a sinus opening. If both sphenoid sinuses are treated, CMS recognizes bilateral reporting with modifier 50, paid at 150%. The service has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are 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.
How Redding compares for 31002
Across 109 of 109 payment localities, the facility rate for 31002 runs from $150.56 in Arkansas to $214.37 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). Redding pays $174.81. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding · this page$174.81
- Bakersfield · California$175.40+$0.59
- Chico · California$174.81
- El Centro · California$174.84+$0.03
- Fresno · California$174.81
- Hanford-Corcoran · California$174.81
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$185.61+$10.80
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MaderaCalifornia | — | $174.81 |
| MercedCalifornia | — | $174.81 |
| ModestoCalifornia | — | $174.81 |
| NapaCalifornia | — | $199.14 |
| Oxnard-Thousand Oaks-VenturaCalifornia | — | $184.42 |
| Rest Of CaliforniaCalifornia | — | $174.81 |
| Riverside-San Bernardino-OntarioCalifornia | — | $176.88 |
| Sacramento-Roseville-FolsomCalifornia | — | $182.53 |
| SalinasCalifornia | — | $181.83 |
| San Diego-Chula Vista-CarlsbadCalifornia | — | $185.40 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | — | $209.82 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | — | $209.60 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | — | $214.37 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | — | $213.49 |
| San Luis Obispo-Paso RoblesCalifornia | — | $178.99 |
| Santa Cruz-WatsonvilleCalifornia | — | $186.63 |
| Santa Maria-Santa BarbaraCalifornia | — | $182.31 |
| Santa Rosa-PetalumaCalifornia | — | $188.47 |
| StocktonCalifornia | — | $174.81 |
| VallejoCalifornia | — | $198.83 |
| VisaliaCalifornia | — | $174.81 |
| Yuba CityCalifornia | — | $174.81 |
| Dc + Md/Va SuburbsDistrict of Columbia | — | $188.80 |
| MiamiFlorida | — | $181.03 |
| ChicagoIllinois | — | $176.49 |
| ManhattanNew York | — | $190.89 |
| Alaska*Alaska | — | $202.70 |
| AlabamaAlabama | — | $152.43 |
| ArkansasArkansas | — | $150.56 |
| ArizonaArizona | — | $163.41 |
| ColoradoColorado | — | $172.93 |
| ConnecticutConnecticut | — | $177.43 |
| DelawareDelaware | — | $165.85 |
| Fort LauderdaleFlorida | — | $173.73 |
| Rest Of FloridaFlorida | — | $166.25 |
| AtlantaGeorgia | — | $170.36 |
| Rest Of GeorgiaGeorgia | — | $158.06 |
| Hawaii, GuamHawaii | — | $177.98 |
| IowaIowa | — | $155.25 |
| IdahoIdaho | — | $156.22 |
| East St. LouisIllinois | — | $166.00 |
| Rest Of IllinoisIllinois | — | $162.46 |
| Suburban ChicagoIllinois | — | $175.31 |
| IndianaIndiana | — | $156.98 |
| KansasKansas | — | $154.86 |
| KentuckyKentucky | — | $156.01 |
| New OrleansLouisiana | — | $162.47 |
| Rest Of LouisianaLouisiana | — | $155.89 |
| Metropolitan BostonMassachusetts | — | $188.11 |
| Rest Of MassachusettsMassachusetts | — | $172.22 |
| Baltimore/Surr. CntysMaryland | — | $176.96 |
| Rest Of MarylandMaryland | — | $168.62 |
| Rest Of MaineMaine | — | $157.16 |
| Southern MaineMaine | — | $164.12 |
| DetroitMichigan | — | $168.29 |
| Rest Of MichiganMichigan | — | $159.70 |
| MinnesotaMinnesota | — | $165.69 |
| Metropolitan Kansas CityMissouri | — | $161.26 |
| Metropolitan St. LouisMissouri | — | $162.69 |
| Rest Of MissouriMissouri | — | $153.76 |
| MississippiMississippi | — | $152.17 |
| Montana**Montana | — | $167.33 |
| North CarolinaNorth Carolina | — | $158.54 |
| North Dakota**North Dakota | — | $163.57 |
| NebraskaNebraska | — | $155.91 |
| New HampshireNew Hampshire | — | $170.53 |
| Northern NjNew Jersey | — | $187.34 |
| Rest Of New JerseyNew Jersey | — | $179.45 |
| New MexicoNew Mexico | — | $160.55 |
| Nevada**Nevada | — | $166.38 |
| Nyc Suburbs/Long IslandNew York | — | $195.23 |
| Poughkpsie/N Nyc SuburbsNew York | — | $180.78 |
| QueensNew York | — | $191.92 |
| Rest Of New YorkNew York | — | $160.59 |
| OhioOhio | — | $158.93 |
| OklahomaOklahoma | — | $155.52 |
| PortlandOregon | — | $177.52 |
| Rest Of OregonOregon | — | $165.06 |
| Metropolitan PhiladelphiaPennsylvania | — | $173.70 |
| Rest Of PennsylvaniaPennsylvania | — | $159.02 |
| Puerto RicoPuerto Rico | — | $168.31 |
| Rhode IslandRhode Island | — | $171.07 |
| South CarolinaSouth Carolina | — | $159.00 |
| South Dakota**South Dakota | — | $163.12 |
| TennesseeTennessee | — | $155.56 |
| AustinTexas | — | $172.38 |
| BeaumontTexas | — | $158.14 |
| BrazoriaTexas | — | $165.58 |
| DallasTexas | — | $166.62 |
| Fort WorthTexas | — | $165.73 |
| GalvestonTexas | — | $166.08 |
| HoustonTexas | — | $169.55 |
| Rest Of TexasTexas | — | $161.77 |
| UtahUtah | — | $160.86 |
| VirginiaVirginia | — | $163.82 |
| Virgin IslandsUnited States Virgin Islands | — | $168.31 |
| VermontVermont | — | $163.23 |
| Rest Of WashingtonWashington | — | $171.80 |
| Seattle (King Cnty)Washington | — | $191.43 |
| WisconsinWisconsin | — | $158.86 |
| West VirginiaWest Virginia | — | $157.34 |
| Wyoming**Wyoming | — | $165.69 |
31002 rates by state
Office rate range in each state. Select a state to see its payment localities.
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 every state and territory as a table
| State / territory | Office 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 |
How the 31002 rate is calculated
Each of 31002’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 · 31002
RVUs × geographic indexes × conversion factor
Work1.91
1.91 RVUs× 1.000 GPCI
Practice expense2.91
2.91 RVUs× 1.000 GPCI
Malpractice0.19
0.19 RVUs× 1.000 GPCI
Adjusted RVUs
5.0100
Conversion factor
$33.4009
Medicare rate
$167.34
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Redding inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,494
- Code
- 31002
- Physician work
- 1.91
- Practice expense
- 2.91
- Malpractice
- 0.19
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.91 | × 1.017 | 1.9425 |
| Practice expense | 2.91 | × 1.096 | 3.1894 |
| Malpractice | 0.19 | × 0.536 | 0.1018 |
| Total RVUs | 5.2337 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$174.81
Facility: (1.91 × 1.017 + 2.91 × 1.096 + 0.19 × 0.536) × $33.4009 = $174.81
Payment rules and modifiers for 31002
31002 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 31002
Sinus irrigation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 31002
Sinus irrigation
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
31002 without 50 · national facility
$167.34
Sinus irrigation
31002-50 · Bilateral: 150%
$251.01
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 31002 has changed in Redding
31002 · 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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $174.81 | RVU26D |
| 2026-07-01 | Not available in this setting | $174.81 | RVU26C |
| 2026-04-01 | Not available in this setting | $174.81 | RVU26B |
| 2026-01-01 | Not available in this setting | $174.81 | RVU26A |
| 2025-10-01 | Not available in this setting | $189.88 | RVU25D |
| 2025-07-01 | Not available in this setting | $189.88 | RVU25C |
| 2025-04-01 | Not available in this setting | $189.88 | RVU25B |
| 2025-01-01 | Not available in this setting | $189.88 | RVU25A |
| 2024-10-01 | Not available in this setting | $198.87 | RVU24D |
| 2024-07-01 | Not available in this setting | $198.87 | RVU24C |
| 2024-04-01 | Not available in this setting | $198.87 | RVU24B |
| 2024-03-09 | Not available in this setting | $198.87 | RVU24AR |
| 2024-01-01 | Not available in this setting | $195.62 | RVU24A |
| 2023-10-01 | Not available in this setting | $203.76 | RVU23D |
| 2023-07-01 | Not available in this setting | $203.76 | RVU23C |
| 2023-04-01 | Not available in this setting | $203.76 | RVU23B |
| 2023-01-01 | Not available in this setting | $203.76 | RVU23A |
| 2022-10-01 | Not available in this setting | $208.04 | RVU22D |
| 2022-07-01 | Not available in this setting | $208.04 | RVU22C |
| 2022-04-01 | Not available in this setting | $208.04 | RVU22B |
| 2022-01-01 | Not available in this setting | $208.04 | RVU22A |
| 2021-10-01 | Not available in this setting | $207.32 | RVU21D |
| 2021-07-01 | Not available in this setting | $207.32 | RVU21C |
| 2021-04-01 | Not available in this setting | $207.32 | RVU21B |
| 2021-01-01 | Not available in this setting | $207.32 | RVU21A |
| 2020-10-01 | Not available in this setting | $201.53 | RVU20D |
| 2020-07-01 | Not available in this setting | $201.53 | RVU20C |
| 2020-04-01 | Not available in this setting | $201.53 | RVU20B |
| 2020-01-01 | Not available in this setting | $201.53 | RVU20A |
| 2019-10-01 | Not available in this setting | $200.94 | RVU19D |
| 2019-07-01 | Not available in this setting | $200.94 | RVU19C |
| 2019-04-01 | Not available in this setting | $200.94 | RVU19B |
| 2019-01-01 | Not available in this setting | $200.94 | RVU19A |
| 2018-10-01 | Not available in this setting | $196.85 | RVU18D |
| 2018-07-01 | Not available in this setting | $196.85 | RVU18C |
| 2018-04-01 | Not available in this setting | $196.85 | RVU18B |
| 2018-01-01 | Not available in this setting | $196.85 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $201.37 | RVU17D |
| 2017-07-01 | Not available in this setting | $201.37 | RVU17C |
| 2017-04-01 | Not available in this setting | $201.37 | RVU17B |
| 2017-01-01 | Not available in this setting | $201.37 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Redding rate applies
Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
31002 billing questions
How is sphenoid irrigation different from sphenoid exploration?
Use this code when the documented service is irrigation of the sphenoid sinus. Exploration is a different operative service and should be selected when exploration, rather than lavage, was performed.
Can modifier 50 be reported when both sphenoid sinuses are irrigated?
Yes. CMS identifies the procedure as bilateral with modifier 50, paid at 150%; document that irrigation was performed on both sides.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
How does the multiple-procedure reduction work?
When procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
What documentation supports reporting this code?
Document the sphenoid sinus treated and the irrigation performed. A diagnosis of sinusitis without documentation of lavage does not describe this service.
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
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