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.

CMS RVU26DEffective Oct 1, 2026One payment locality304 Medicare services in 2024

In Redding, Medicare pays $174.81 for 31002 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$174.81Hospital or facility

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.

We’ll open 31002 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding
  2. What 31002 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

31002 in Redding vs other payment areas
  1. Redding · this page$174.81
  2. Bakersfield · California$175.40+$0.59
  3. Chico · California$174.81
  4. El Centro · California$174.84+$0.03
  5. Fresno · California$174.81
  6. Hanford-Corcoran · California$174.81

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

31002 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
31002 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

See 31002 in every payment locality

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
Facility calculation for 31002 in Redding
ComponentRVULocality factorAdjusted
Physician work1.91× 1.0171.9425
Practice expense2.91× 1.0963.1894
Malpractice0.19× 0.5360.1018
Total RVUs5.2337
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

Open 31002 in the RVU calculator

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

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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).

When to use modifier 50

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.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$174.81RVU26D
2026-07-01Not available in this setting$174.81RVU26C
2026-04-01Not available in this setting$174.81RVU26B
2026-01-01Not available in this setting$174.81RVU26A
2025-10-01Not available in this setting$189.88RVU25D
2025-07-01Not available in this setting$189.88RVU25C
2025-04-01Not available in this setting$189.88RVU25B
2025-01-01Not available in this setting$189.88RVU25A
2024-10-01Not available in this setting$198.87RVU24D
2024-07-01Not available in this setting$198.87RVU24C
2024-04-01Not available in this setting$198.87RVU24B
2024-03-09Not available in this setting$198.87RVU24AR
2024-01-01Not available in this setting$195.62RVU24A
2023-10-01Not available in this setting$203.76RVU23D
2023-07-01Not available in this setting$203.76RVU23C
2023-04-01Not available in this setting$203.76RVU23B
2023-01-01Not available in this setting$203.76RVU23A
2022-10-01Not available in this setting$208.04RVU22D
2022-07-01Not available in this setting$208.04RVU22C
2022-04-01Not available in this setting$208.04RVU22B
2022-01-01Not available in this setting$208.04RVU22A
2021-10-01Not available in this setting$207.32RVU21D
2021-07-01Not available in this setting$207.32RVU21C
2021-04-01Not available in this setting$207.32RVU21B
2021-01-01Not available in this setting$207.32RVU21A
2020-10-01Not available in this setting$201.53RVU20D
2020-07-01Not available in this setting$201.53RVU20C
2020-04-01Not available in this setting$201.53RVU20B
2020-01-01Not available in this setting$201.53RVU20A
2019-10-01Not available in this setting$200.94RVU19D
2019-07-01Not available in this setting$200.94RVU19C
2019-04-01Not available in this setting$200.94RVU19B
2019-01-01Not available in this setting$200.94RVU19A
2018-10-01Not available in this setting$196.85RVU18D
2018-07-01Not available in this setting$196.85RVU18C
2018-04-01Not available in this setting$196.85RVU18B
2018-01-01Not available in this setting$196.85RVU18AR1
2017-10-01Not available in this setting$201.37RVU17D
2017-07-01Not available in this setting$201.37RVU17C
2017-04-01Not available in this setting$201.37RVU17B
2017-01-01Not available in this setting$201.37RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 31002 for an earlier date of service

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.

Browse all communities in California

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
RVUs for 31002PPRRVU2026_Oct_nonQPP.csv, line 3,494 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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