Choose 31573 for therapeutic medication injection, such as botulinum toxin. Choose 31574 when the injection augments vocal-fold volume.
On this page
CMS RVU26D · Effective 2026-10-01
31573 in Redding
Office / nonfacility
$301.84
Base rate per service
Facility setting
$128.32
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 procedure
About 31573: Flexible laryngoscopy with therapeutic injection
Reports flexible laryngoscopy used to deliver therapeutic injections to laryngeal structures, such as botulinum toxin for spasmodic dysphonia.
An otolaryngologist or laryngologist passes a flexible scope to visualize the larynx and deliver one or more therapeutic injections. A common use is botulinum toxin injection for spasmodic dysphonia; medication may also be injected for another therapeutic purpose. The flexible approach distinguishes this service from injection performed during direct laryngoscopy. It is commonly performed in an office or procedural setting, with the record identifying the target and therapeutic agent.
Report the service when the flexible laryngoscopy and therapeutic injection are performed, not for diagnostic visualization alone or injection intended to augment vocal-fold volume. Document the approach, injection site, purpose, and medication. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. For a bilateral procedure, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 31573
- 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 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 RVU2.37 · 28%
- Practice expense (office) RVU5.87 · 68%
- Malpractice RVU0.36 · 4%
3K
Medicare services in 2024 · #2180 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.
31573 compared with similar codes
Office rates for Redding, from the same CMS release.
Both describe therapeutic vocal-cord injection, but 31570 uses direct laryngoscopy; 31573 uses flexible laryngoscopy.
31572 treats laryngeal lesions by ablation or destruction. 31573 delivers therapeutic injections instead.
31575 is diagnostic flexible laryngoscopy. Report 31573 when the flexible examination includes therapeutic injection.
The same code, a different location
How does Redding compare?
In Bakersfield, the office rate for 31573 is $302.87—$1.03 higher than the $301.84 rate in Redding. Both use the same code, release and participation basis.
31573 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
$301.84
$302.87
$1.03 higher than Redding
$301.84
The same base rate than Redding
$301.90
$0.06 higher than Redding
$301.84
The same base rate than Redding
$301.84
The same base rate than Redding
$20.49 higher than Redding
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 31573 ranges from $253.77 in Arkansas to $377.04 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
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 · 31573
Office
$301.84
Facility
$128.32
The same base rate than Redding for the office setting.
Merced
California · 31573
Office
$301.84
Facility
$128.32
The same base rate than Redding for the office setting.
Modesto
California · 31573
Office
$301.84
Facility
$128.32
The same base rate than Redding for the office setting.
Napa
California · 31573
Office
$348.67
Facility
$140.00
$46.83 higher than Redding for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 31573
Office
$320.61
Facility
$133.48
$18.77 higher than Redding for the office setting.
Rest Of California
California · 31573
Office
$301.84
Facility
$128.32
The same base rate than Redding for the office setting.
Riverside-San Bernardino-Ontario
California · 31573
Office
$305.73
Facility
$132.21
$3.89 higher than Redding for the office setting.
Sacramento-Roseville-Folsom
California · 31573
Office
$316.48
Facility
$132.35
$14.64 higher than Redding for the office setting.
Salinas
California · 31573
Office
$315.30
Facility
$131.80
$13.46 higher than Redding for the office setting.
San Diego-Chula Vista-Carlsbad
California · 31573
Office
$322.54
Facility
$133.19
$20.70 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 31573
Office
$368.65
Facility
$145.42
$66.81 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 31573
Office
$368.24
Facility
$145.01
$66.40 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 31573
Office
$377.04
Facility
$148.74
$75.20 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 31573
Office
$375.36
Facility
$147.07
$73.52 higher than Redding for the office setting.
San Luis Obispo-Paso Robles
California · 31573
Office
$310.27
Facility
$129.94
$8.43 higher than Redding for the office setting.
Santa Cruz-Watsonville
California · 31573
Office
$325.48
Facility
$133.13
$23.64 higher than Redding for the office setting.
Santa Maria-Santa Barbara
California · 31573
Office
$316.43
Facility
$131.83
$14.59 higher than Redding for the office setting.
Santa Rosa-Petaluma
California · 31573
Office
$328.75
Facility
$134.33
$26.91 higher than Redding for the office setting.
Stockton
California · 31573
Office
$301.84
Facility
$128.32
The same base rate than Redding for the office setting.
Vallejo
California · 31573
Office
$348.08
Facility
$139.41
$46.24 higher than Redding for the office setting.
Visalia
California · 31573
Office
$301.84
Facility
$128.32
The same base rate than Redding for the office setting.
Yuba City
California · 31573
Office
$301.84
Facility
$128.32
The same base rate than Redding for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 31573
Office
$327.78
Facility
$141.28
$25.94 higher than Redding for the office setting.
Miami
Florida · 31573
Office
$313.67
Facility
$148.86
$11.83 higher than Redding for the office setting.
Chicago
Illinois · 31573
Office
$304.35
Facility
$145.24
$2.51 higher than Redding for the office setting.
Manhattan
New York · 31573
Office
$331.12
Facility
$147.15
$29.28 higher than Redding for the office setting.
Alaska*
Alaska · 31573
Office
$334.17
Facility
$165.56
$32.33 higher than Redding for the office setting.
Alabama
Alabama · 31573
Office
$257.52
Facility
$118.99
$44.32 lower than Redding for the office setting.
Arkansas
Arkansas · 31573
Office
$253.77
Facility
$117.77
$48.07 lower than Redding for the office setting.
Arizona
Arizona · 31573
Office
$279.44
Facility
$126.03
$22.40 lower than Redding for the office setting.
Colorado
Colorado · 31573
Office
$298.11
Facility
$129.66
$3.73 lower than Redding for the office setting.
Connecticut
Connecticut · 31573
Office
$306.45
Facility
$135.94
$4.61 higher than Redding for the office setting.
Delaware
Delaware · 31573
Office
$284.08
Facility
$127.66
$17.76 lower than Redding for the office setting.
Fort Lauderdale
Florida · 31573
Office
$299.51
Facility
$139.13
$2.33 lower than Redding for the office setting.
Rest Of Florida
Florida · 31573
Office
$284.67
Facility
$133.32
$17.17 lower than Redding for the office setting.
Atlanta
Georgia · 31573
Office
$293.04
Facility
$132.19
$8.80 lower than Redding for the office setting.
Rest Of Georgia
Georgia · 31573
Office
$268.38
Facility
$127.16
$33.46 lower than Redding for the office setting.
Hawaii, Guam
Hawaii · 31573
Office
$309.05
Facility
$129.04
$7.21 higher than Redding for the office setting.
Iowa
Iowa · 31573
Office
$263.33
Facility
$118.47
$38.51 lower than Redding for the office setting.
Idaho
Idaho · 31573
Office
$265.23
Facility
$119.57
$36.61 lower than Redding for the office setting.
East St. Louis
Illinois · 31573
Office
$283.76
Facility
$138.10
$18.08 lower than Redding for the office setting.
Rest Of Illinois
Illinois · 31573
Office
$276.96
Facility
$132.41
$24.88 lower than Redding for the office setting.
Suburban Chicago
Illinois · 31573
Office
$302.38
Facility
$139.78
$0.54 higher than Redding for the office setting.
Indiana
Indiana · 31573
Office
$266.75
Facility
$119.99
$35.09 lower than Redding for the office setting.
Kansas
Kansas · 31573
Office
$262.46
Facility
$119.34
$39.38 lower than Redding for the office setting.
Kentucky
Kentucky · 31573
Office
$264.46
Facility
$123.72
$37.38 lower than Redding for the office setting.
New Orleans
Louisiana · 31573
Office
$277.32
Facility
$128.34
$24.52 lower than Redding for the office setting.
Rest Of Louisiana
Louisiana · 31573
Office
$264.20
Facility
$124.08
$37.64 lower than Redding for the office setting.
Metropolitan Boston
Massachusetts · 31573
Office
$327.21
Facility
$138.17
$25.37 higher than Redding for the office setting.
Rest Of Massachusetts
Massachusetts · 31573
Office
$296.46
Facility
$129.75
$5.38 lower than Redding for the office setting.
Baltimore/Surr. Cntys
Maryland · 31573
Office
$305.68
Facility
$135.80
$3.84 higher than Redding for the office setting.
Rest Of Maryland
Maryland · 31573
Office
$289.41
Facility
$129.19
$12.43 lower than Redding for the office setting.
Rest Of Maine
Maine · 31573
Office
$267.02
Facility
$121.36
$34.82 lower than Redding for the office setting.
Southern Maine
Maine · 31573
Office
$281.05
Facility
$124.15
$20.79 lower than Redding for the office setting.
Detroit
Michigan · 31573
Office
$288.63
Facility
$135.86
$13.21 lower than Redding for the office setting.
Rest Of Michigan
Michigan · 31573
Office
$271.74
Facility
$127.19
$30.10 lower than Redding for the office setting.
Minnesota
Minnesota · 31573
Office
$284.47
Facility
$121.56
$17.37 lower than Redding for the office setting.
Metropolitan Kansas City
Missouri · 31573
Office
$275.01
Facility
$126.35
$26.83 lower than Redding for the office setting.
Metropolitan St. Louis
Missouri · 31573
Office
$277.86
Facility
$127.14
$23.98 lower than Redding for the office setting.
Rest Of Missouri
Missouri · 31573
Office
$259.88
Facility
$123.41
$41.96 lower than Redding for the office setting.
Mississippi
Mississippi · 31573
Office
$256.86
Facility
$120.54
$44.98 lower than Redding for the office setting.
Montana**
Montana · 31573
Office
$287.22
Facility
$128.90
$14.62 lower than Redding for the office setting.
North Carolina
North Carolina · 31573
Office
$269.77
Facility
$122.06
$32.07 lower than Redding for the office setting.
North Dakota**
North Dakota · 31573
Office
$280.11
Facility
$121.79
$21.73 lower than Redding for the office setting.
Nebraska
Nebraska · 31573
Office
$264.67
Facility
$118.54
$37.17 lower than Redding for the office setting.
New Hampshire
New Hampshire · 31573
Office
$293.78
Facility
$128.97
$8.06 lower than Redding for the office setting.
Northern Nj
New Jersey · 31573
Office
$324.42
Facility
$140.77
$22.58 higher than Redding for the office setting.
Rest Of New Jersey
New Jersey · 31573
Office
$309.62
Facility
$136.73
$7.78 higher than Redding for the office setting.
New Mexico
New Mexico · 31573
Office
$273.39
Facility
$128.21
$28.45 lower than Redding for the office setting.
Nevada**
Nevada · 31573
Office
$285.44
Facility
$126.96
$16.40 lower than Redding for the office setting.
Nyc Suburbs/Long Island
New York · 31573
Office
$339.67
Facility
$151.43
$37.83 higher than Redding for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 31573
Office
$311.96
Facility
$138.60
$10.12 higher than Redding for the office setting.
Queens
New York · 31573
Office
$333.31
Facility
$146.18
$31.47 higher than Redding for the office setting.
Rest Of New York
New York · 31573
Office
$273.87
Facility
$123.47
$27.97 lower than Redding for the office setting.
Ohio
Ohio · 31573
Office
$270.29
Facility
$125.74
$31.55 lower than Redding for the office setting.
Oklahoma
Oklahoma · 31573
Office
$263.59
Facility
$122.21
$38.25 lower than Redding for the office setting.
Portland
Oregon · 31573
Office
$307.20
Facility
$131.31
$5.36 higher than Redding for the office setting.
Rest Of Oregon
Oregon · 31573
Office
$282.89
Facility
$125.21
$18.95 lower than Redding for the office setting.
Metropolitan Philadelphia
Pennsylvania · 31573
Office
$299.03
Facility
$134.22
$2.81 lower than Redding for the office setting.
Rest Of Pennsylvania
Pennsylvania · 31573
Office
$270.51
Facility
$125.17
$31.33 lower than Redding for the office setting.
Puerto Rico
Puerto Rico · 31573
Office
$289.22
Facility
$129.16
$12.62 lower than Redding for the office setting.
Rhode Island
Rhode Island · 31573
Office
$293.92
Facility
$130.38
$7.92 lower than Redding for the office setting.
South Carolina
South Carolina · 31573
Office
$270.54
Facility
$124.26
$31.30 lower than Redding for the office setting.
South Dakota**
South Dakota · 31573
Office
$279.26
Facility
$120.94
$22.58 lower than Redding for the office setting.
Tennessee
Tennessee · 31573
Office
$263.84
Facility
$119.93
$38.00 lower than Redding for the office setting.
Austin
Texas · 31573
Office
$297.41
Facility
$129.90
$4.43 lower than Redding for the office setting.
Beaumont
Texas · 31573
Office
$268.75
Facility
$124.68
$33.09 lower than Redding for the office setting.
Brazoria
Texas · 31573
Office
$283.47
Facility
$126.58
$18.37 lower than Redding for the office setting.
Dallas
Texas · 31573
Office
$285.47
Facility
$127.78
$16.37 lower than Redding for the office setting.
Fort Worth
Texas · 31573
Office
$283.66
Facility
$127.56
$18.18 lower than Redding for the office setting.
Galveston
Texas · 31573
Office
$284.44
Facility
$127.23
$17.40 lower than Redding for the office setting.
Houston
Texas · 31573
Office
$291.03
Facility
$133.82
$10.81 lower than Redding for the office setting.
Rest Of Texas
Texas · 31573
Office
$276.08
Facility
$125.84
$25.76 lower than Redding for the office setting.
Utah
Utah · 31573
Office
$274.26
Facility
$125.44
$27.58 lower than Redding for the office setting.
Virginia
Virginia · 31573
Office
$280.38
Facility
$124.75
$21.46 lower than Redding for the office setting.
Virgin Islands
United States Virgin Islands · 31573
Office
$289.22
Facility
$129.16
$12.62 lower than Redding for the office setting.
Vermont
Vermont · 31573
Office
$279.35
Facility
$122.61
$22.49 lower than Redding for the office setting.
Rest Of Washington
Washington · 31573
Office
$295.79
Facility
$129.08
$6.05 lower than Redding for the office setting.
Seattle (King Cnty)
Washington · 31573
Office
$333.51
Facility
$139.25
$31.67 higher than Redding for the office setting.
Wisconsin
Wisconsin · 31573
Office
$270.69
Facility
$119.02
$31.15 lower than Redding for the office setting.
West Virginia
West Virginia · 31573
Office
$266.75
Facility
$129.17
$35.09 lower than Redding for the office setting.
Wyoming**
Wyoming · 31573
Office
$284.12
Facility
$125.80
$17.72 lower than Redding for the office setting.
See how rates vary across the country
31573 · 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.
$253.77
$339.44
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $334.17 | 1 |
| AL | $257.52 | 1 |
| AR | $253.77 | 1 |
| AZ | $279.44 | 1 |
| CA | $301.84–$377.04 | 29 |
| CO | $298.11 | 1 |
| CT | $306.45 | 1 |
| DC | $327.78 | 1 |
| DE | $284.08 | 1 |
| FL | $284.67–$313.67 | 3 |
| GA | $268.38–$293.04 | 2 |
| GU | $309.05 | 1 |
| HI | $309.05 | 1 |
| IA | $263.33 | 1 |
| ID | $265.23 | 1 |
| IL | $276.96–$304.35 | 4 |
| IN | $266.75 | 1 |
| KS | $262.46 | 1 |
| KY | $264.46 | 1 |
| LA | $264.20–$277.32 | 2 |
| MA | $296.46–$327.21 | 2 |
| MD | $289.41–$327.78 | 3 |
| ME | $267.02–$281.05 | 2 |
| MI | $271.74–$288.63 | 2 |
| MN | $284.47 | 1 |
| MO | $259.88–$277.86 | 3 |
| MS | $256.86 | 1 |
| MT | $287.22 | 1 |
| NC | $269.77 | 1 |
| ND | $280.11 | 1 |
| NE | $264.67 | 1 |
| NH | $293.78 | 1 |
| NJ | $309.62–$324.42 | 2 |
| NM | $273.39 | 1 |
| NV | $285.44 | 1 |
| NY | $273.87–$339.67 | 5 |
| OH | $270.29 | 1 |
| OK | $263.59 | 1 |
| OR | $282.89–$307.20 | 2 |
| PA | $270.51–$299.03 | 2 |
| PR | $289.22 | 1 |
| RI | $293.92 | 1 |
| SC | $270.54 | 1 |
| SD | $279.26 | 1 |
| TN | $263.84 | 1 |
| TX | $268.75–$297.41 | 8 |
| UT | $274.26 | 1 |
| VA | $280.38–$327.78 | 2 |
| VI | $289.22 | 1 |
| VT | $279.35 | 1 |
| WA | $295.79–$333.51 | 2 |
| WI | $270.69 | 1 |
| WV | $266.75 | 1 |
| WY | $284.12 | 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.
Why are the office and facility amounts different?
For 31573 in Redding, the physician’s office rate is $301.84 and the facility-setting rate is $128.32: a difference of $173.52.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 31573 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$332.02
$301.84 × 110% = $332.02
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 31573 in Redding.
PPRRVU2026_Oct_nonQPP.csv
3,606
- Code
- 31573
- Physician work
- 2.37
- Practice expense
- 5.87
- Malpractice
- 0.36
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.37 | × 1.017 | 2.4103 |
| Practice expense | 5.87 | × 1.096 | 6.4335 |
| Malpractice | 0.36 | × 0.536 | 0.1930 |
| Total RVUs | 9.0368 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Redding$301.84
Open 31573 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.37 | 1.017 |
| Practice expense | 5.87 | 1.096 |
| Malpractice | 0.36 | 0.536 |
(2.37 × 1.017 + 5.87 × 1.096 + 0.36 × 0.536) × $33.4009 = $301.84
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.37 | 1.017 |
| Practice expense | 1.13 | 1.096 |
| Malpractice | 0.36 | 0.536 |
(2.37 × 1.017 + 1.13 × 1.096 + 0.36 × 0.536) × $33.4009 = $128.32
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
31573 · Office / nonfacility
$301.84
Effective 2026-10-01
The base rate is $11.45 higher than on 2025-10-01, moving from $290.39 to $301.84 (3.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$290.39changed to$301.84
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.43 changed to 2.37
- Practice expense RVU 5.78 changed to 5.87
- Malpractice RVU 0.35 changed to 0.36
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $290.39
Held through RVU25B, RVU25C, RVU25D.
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
31573 billing questions
How does 31573 differ from 31574?
31573 is for therapeutic injection, such as botulinum toxin. Use 31574 when the injection is intended to augment vocal-fold volume.
How does 31573 differ from 31570 or 31571?
31573 uses a flexible laryngoscope. Codes 31570 and 31571 describe therapeutic vocal-cord injection performed through direct laryngoscopy.
Can diagnostic laryngoscopy be reported separately?
The flexible visualization needed to perform the therapeutic injection is part of 31573. A separate diagnostic scope service should not be reported for that same work.
How is a bilateral injection reported?
For a bilateral procedure, report modifier 50; CMS pays 150% under the rule for this code.
What documentation supports 31573?
Document the flexible approach, laryngeal injection site, therapeutic purpose, and medication used. For assistant-at-surgery payment, the record must establish medical necessity.
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.
