$261.42
31525 describes direct diagnostic examination. This code is for a therapeutic purpose, not visualization alone.
On this page
CMS RVU26D · Effective 2026-10-01
31527 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$165.65
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.
Otolaryngology
About 31527: Direct therapeutic laryngoscopy
Reports direct laryngoscopy, with or without tracheoscopy, when the larynx is treated rather than examined solely for diagnosis.
An otolaryngologist performs direct visualization of the larynx, with tracheoscopy when needed, to carry out treatment. The procedure is generally performed in an operating-room setting, where the clinician can expose the larynx and treat a condition during the same session. The code covers a therapeutic laryngoscopic service; it is not the choice for an examination alone or when a more specific code describes the actual intervention, such as dilation, biopsy, foreign-body removal, or tumor excision.
Report the code when the operative note supports a therapeutic purpose and describes the laryngeal work performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is not appropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 31527
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU3.19 · 64%
- Practice expense (office) RVU1.34 · 27%
- Malpractice RVU0.46 · 9%
59
Medicare services in 2024 · #5254 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.
31527 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
31528 specifically describes laryngoscopic dilation. Use this code only when the treatment is not better represented by that specific dilation service.
No office rate
31535 applies when tissue is obtained by biopsy during direct laryngoscopy. Do not use this code in place of the biopsy service.
No office rate
31540 describes excision of a laryngeal tumor. Select it when tumor excision, rather than a more general therapeutic laryngoscopy, is performed.
The same code, a different location
How does Redding compare?
31527 across payment areas
Same release and payment basis · bars start at $0
Redding · 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.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 31527
Office
Unavailable
Facility
$165.65
No comparable office rate is available.
Merced
California · 31527
Office
Unavailable
Facility
$165.65
No comparable office rate is available.
Modesto
California · 31527
Office
Unavailable
Facility
$165.65
No comparable office rate is available.
Napa
California · 31527
Office
Unavailable
Facility
$180.06
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 31527
Office
Unavailable
Facility
$172.01
No comparable office rate is available.
Rest Of California
California · 31527
Office
Unavailable
Facility
$165.65
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 31527
Office
Unavailable
Facility
$170.63
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 31527
Office
Unavailable
Facility
$170.67
No comparable office rate is available.
Salinas
California · 31527
Office
Unavailable
Facility
$169.96
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 31527
Office
Unavailable
Facility
$171.60
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 31527
Office
Unavailable
Facility
$186.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 31527
Office
Unavailable
Facility
$186.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 31527
Office
Unavailable
Facility
$191.04
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 31527
Office
Unavailable
Facility
$188.91
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 31527
Office
Unavailable
Facility
$167.57
No comparable office rate is available.
Santa Cruz-Watsonville
California · 31527
Office
Unavailable
Facility
$171.40
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 31527
Office
Unavailable
Facility
$169.95
No comparable office rate is available.
Santa Rosa-Petaluma
California · 31527
Office
Unavailable
Facility
$172.94
No comparable office rate is available.
Stockton
California · 31527
Office
Unavailable
Facility
$165.65
No comparable office rate is available.
Vallejo
California · 31527
Office
Unavailable
Facility
$179.30
No comparable office rate is available.
Visalia
California · 31527
Office
Unavailable
Facility
$165.65
No comparable office rate is available.
Yuba City
California · 31527
Office
Unavailable
Facility
$165.65
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 31527
Office
Unavailable
Facility
$182.13
No comparable office rate is available.
Miami
Florida · 31527
Office
Unavailable
Facility
$192.00
No comparable office rate is available.
Chicago
Illinois · 31527
Office
Unavailable
Facility
$187.54
No comparable office rate is available.
Manhattan
New York · 31527
Office
Unavailable
Facility
$189.74
No comparable office rate is available.
Alaska*
Alaska · 31527
Office
Unavailable
Facility
$215.96
No comparable office rate is available.
Alabama
Alabama · 31527
Office
Unavailable
Facility
$154.41
No comparable office rate is available.
Arkansas
Arkansas · 31527
Office
Unavailable
Facility
$152.91
No comparable office rate is available.
Arizona
Arizona · 31527
Office
Unavailable
Facility
$163.07
No comparable office rate is available.
Colorado
Colorado · 31527
Office
Unavailable
Facility
$167.45
No comparable office rate is available.
Connecticut
Connecticut · 31527
Office
Unavailable
Facility
$175.47
No comparable office rate is available.
Delaware
Delaware · 31527
Office
Unavailable
Facility
$165.11
No comparable office rate is available.
Fort Lauderdale
Florida · 31527
Office
Unavailable
Facility
$179.67
No comparable office rate is available.
Rest Of Florida
Florida · 31527
Office
Unavailable
Facility
$172.43
No comparable office rate is available.
Atlanta
Georgia · 31527
Office
Unavailable
Facility
$170.79
No comparable office rate is available.
Rest Of Georgia
Georgia · 31527
Office
Unavailable
Facility
$164.79
No comparable office rate is available.
Hawaii, Guam
Hawaii · 31527
Office
Unavailable
Facility
$166.33
No comparable office rate is available.
Iowa
Iowa · 31527
Office
Unavailable
Facility
$153.60
No comparable office rate is available.
Idaho
Idaho · 31527
Office
Unavailable
Facility
$154.99
No comparable office rate is available.
East St. Louis
Illinois · 31527
Office
Unavailable
Facility
$178.67
No comparable office rate is available.
Rest Of Illinois
Illinois · 31527
Office
Unavailable
Facility
$171.43
No comparable office rate is available.
Suburban Chicago
Illinois · 31527
Office
Unavailable
Facility
$180.49
No comparable office rate is available.
Indiana
Indiana · 31527
Office
Unavailable
Facility
$155.51
No comparable office rate is available.
Kansas
Kansas · 31527
Office
Unavailable
Facility
$154.75
No comparable office rate is available.
Kentucky
Kentucky · 31527
Office
Unavailable
Facility
$160.40
No comparable office rate is available.
New Orleans
Louisiana · 31527
Office
Unavailable
Facility
$166.12
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 31527
Office
Unavailable
Facility
$160.88
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 31527
Office
Unavailable
Facility
$178.03
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 31527
Office
Unavailable
Facility
$167.63
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 31527
Office
Unavailable
Facility
$175.28
No comparable office rate is available.
Rest Of Maryland
Maryland · 31527
Office
Unavailable
Facility
$167.01
No comparable office rate is available.
Rest Of Maine
Maine · 31527
Office
Unavailable
Facility
$157.28
No comparable office rate is available.
Southern Maine
Maine · 31527
Office
Unavailable
Facility
$160.60
No comparable office rate is available.
Detroit
Michigan · 31527
Office
Unavailable
Facility
$175.64
No comparable office rate is available.
Rest Of Michigan
Michigan · 31527
Office
Unavailable
Facility
$164.76
No comparable office rate is available.
Minnesota
Minnesota · 31527
Office
Unavailable
Facility
$157.15
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 31527
Office
Unavailable
Facility
$163.59
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 31527
Office
Unavailable
Facility
$164.55
No comparable office rate is available.
Rest Of Missouri
Missouri · 31527
Office
Unavailable
Facility
$160.09
No comparable office rate is available.
Mississippi
Mississippi · 31527
Office
Unavailable
Facility
$156.44
No comparable office rate is available.
Montana**
Montana · 31527
Office
Unavailable
Facility
$166.64
No comparable office rate is available.
North Carolina
North Carolina · 31527
Office
Unavailable
Facility
$158.13
No comparable office rate is available.
North Dakota**
North Dakota · 31527
Office
Unavailable
Facility
$157.54
No comparable office rate is available.
Nebraska
Nebraska · 31527
Office
Unavailable
Facility
$153.67
No comparable office rate is available.
New Hampshire
New Hampshire · 31527
Office
Unavailable
Facility
$166.58
No comparable office rate is available.
Northern Nj
New Jersey · 31527
Office
Unavailable
Facility
$181.59
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 31527
Office
Unavailable
Facility
$176.54
No comparable office rate is available.
New Mexico
New Mexico · 31527
Office
Unavailable
Facility
$166.04
No comparable office rate is available.
Nevada**
Nevada · 31527
Office
Unavailable
Facility
$164.15
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 31527
Office
Unavailable
Facility
$195.12
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 31527
Office
Unavailable
Facility
$178.94
No comparable office rate is available.
Queens
New York · 31527
Office
Unavailable
Facility
$188.43
No comparable office rate is available.
Rest Of New York
New York · 31527
Office
Unavailable
Facility
$159.87
No comparable office rate is available.
Ohio
Ohio · 31527
Office
Unavailable
Facility
$162.90
No comparable office rate is available.
Oklahoma
Oklahoma · 31527
Office
Unavailable
Facility
$158.46
No comparable office rate is available.
Portland
Oregon · 31527
Office
Unavailable
Facility
$169.41
No comparable office rate is available.
Rest Of Oregon
Oregon · 31527
Office
Unavailable
Facility
$161.93
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 31527
Office
Unavailable
Facility
$173.39
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 31527
Office
Unavailable
Facility
$162.16
No comparable office rate is available.
Puerto Rico
Puerto Rico · 31527
Office
Unavailable
Facility
$166.93
No comparable office rate is available.
Rhode Island
Rhode Island · 31527
Office
Unavailable
Facility
$168.51
No comparable office rate is available.
South Carolina
South Carolina · 31527
Office
Unavailable
Facility
$160.96
No comparable office rate is available.
South Dakota**
South Dakota · 31527
Office
Unavailable
Facility
$156.47
No comparable office rate is available.
Tennessee
Tennessee · 31527
Office
Unavailable
Facility
$155.48
No comparable office rate is available.
Austin
Texas · 31527
Office
Unavailable
Facility
$167.73
No comparable office rate is available.
Beaumont
Texas · 31527
Office
Unavailable
Facility
$161.55
No comparable office rate is available.
Brazoria
Texas · 31527
Office
Unavailable
Facility
$163.74
No comparable office rate is available.
Dallas
Texas · 31527
Office
Unavailable
Facility
$165.27
No comparable office rate is available.
Fort Worth
Texas · 31527
Office
Unavailable
Facility
$165.02
No comparable office rate is available.
Galveston
Texas · 31527
Office
Unavailable
Facility
$164.57
No comparable office rate is available.
Houston
Texas · 31527
Office
Unavailable
Facility
$172.99
No comparable office rate is available.
Rest Of Texas
Texas · 31527
Office
Unavailable
Facility
$162.90
No comparable office rate is available.
Utah
Utah · 31527
Office
Unavailable
Facility
$162.42
No comparable office rate is available.
Virginia
Virginia · 31527
Office
Unavailable
Facility
$161.39
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 31527
Office
Unavailable
Facility
$166.93
No comparable office rate is available.
Vermont
Vermont · 31527
Office
Unavailable
Facility
$158.63
No comparable office rate is available.
Rest Of Washington
Washington · 31527
Office
Unavailable
Facility
$166.76
No comparable office rate is available.
Seattle (King Cnty)
Washington · 31527
Office
Unavailable
Facility
$179.35
No comparable office rate is available.
Wisconsin
Wisconsin · 31527
Office
Unavailable
Facility
$154.16
No comparable office rate is available.
West Virginia
West Virginia · 31527
Office
Unavailable
Facility
$167.43
No comparable office rate is available.
Wyoming**
Wyoming · 31527
Office
Unavailable
Facility
$162.68
No comparable office rate is available.
See how rates vary across the country
31527 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 31527 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$182.22
$165.65 × 110% = $182.22
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 31527 in Redding.
PPRRVU2026_Oct_nonQPP.csv
3,585
- Code
- 31527
- Physician work
- 3.19
- Practice expense
- 1.34
- Malpractice
- 0.46
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.19 | × 1.017 | 3.2442 |
| Practice expense | 1.34 | × 1.096 | 1.4686 |
| Malpractice | 0.46 | × 0.536 | 0.2466 |
| Total RVUs | 4.9594 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$165.65
Open 31527 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.19 | 1.017 |
| Practice expense | 1.34 | 1.096 |
| Malpractice | 0.46 | 0.536 |
(3.19 × 1.017 + 1.34 × 1.096 + 0.46 × 0.536) × $33.4009 = $165.65
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
31527 · 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 | $165.65 | RVU26D |
| 2026-07-01 | Not available in this setting | $165.65 | RVU26C |
| 2026-04-01 | Not available in this setting | $165.65 | RVU26B |
| 2026-01-01 | Not available in this setting | $165.65 | RVU26A |
| 2025-10-01 | Not available in this setting | $190.37 | RVU25D |
| 2025-07-01 | Not available in this setting | $190.37 | RVU25C |
| 2025-04-01 | Not available in this setting | $190.37 | RVU25B |
| 2025-01-01 | Not available in this setting | $190.37 | RVU25A |
31527 billing questions
When should this be reported instead of a diagnostic laryngoscopy?
Use this code when the direct laryngoscopy is performed for treatment. A direct examination performed only to evaluate the larynx is diagnostic and should be selected from the diagnostic laryngoscopy codes.
Can this code be used when the surgeon performs a more specific laryngeal procedure?
Choose the code that describes the intervention when the session includes a specifically coded service such as dilation, biopsy, foreign-body removal, or tumor excision. The operative note should identify the treatment performed.
Is modifier 50 appropriate for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so do not append modifier 50.
How are related endoscopies handled when performed in the same session?
Endoscopy family pricing applies when related endoscopies are performed together. Review the procedures performed in the session as a related endoscopy group.
What documentation supports assistant-at-surgery payment?
The record must document the medical necessity of the assistant's participation. Co-surgeons and team surgery are not permitted for this code under the CMS rules provided.
What care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care. The code does not include a separate global period for later visits.
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.
3,58231520,,Dx laryngoscopy newborn,A,,2.50,1.17,NA,1.17,,0.37,4.04,4.04,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,58331525,,Dx laryngoscopy excl nb,A,,2.56,4.58,,1.18,,0.38,7.52,4.12,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,58431526,,Dx laryngoscopy w/oper scope,A,,2.51,1.17,NA,1.17,,0.37,4.05,4.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,58531527,,Laryngoscopy for treatment,A,,3.19,1.34,NA,1.34,,0.46,4.99,4.99,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31525,33.4009,09,0,99,0.00,0.00,0.00
3,58631528,,Laryngoscopy and dilation,A,,2.31,1.08,NA,1.08,,0.35,3.74,3.74,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31525,33.4009,09,0,99,0.00,0.00,0.00
3,58731529,,Laryngoscopy and dilation,A,,2.61,1.14,NA,1.14,,0.38,4.13,4.13,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31525,33.4009,09,0,99,0.00,0.00,0.00
3,58831530,,Laryngoscopy w/fb removal,A,,3.30,1.37,NA,1.37,,0.51,5.18,5.18,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31525,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536