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CMS RVU26D · Effective 2026-10-01

31623 in Redding

Office / nonfacility

$320.78

Base rate per service

Facility setting

$119.44

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.

Pulmonary endoscopy

About 31623: Diagnostic bronchoscopy with brushing

Reports bronchoscopic collection of airway cells with a brush for cytologic evaluation, such as sampling a suspicious endobronchial area.

A pulmonologist or other qualified proceduralist advances a flexible or rigid bronchoscope into the airways and brushes a selected area to collect cells for cytology. The technique may be used when an airway abnormality, including a suspicious lesion, needs cellular evaluation. The brush specimen is distinct from tissue removed with biopsy forceps or fluid collected by washing or lavage.

Report 31623 when brushing is performed, and document the indication, sampled airway location, and collection method in the procedure record. CMS assigns this minor procedure 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 inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 31623

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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.56 · 28%
  • Practice expense (office) RVU6.27 · 69%
  • Malpractice RVU0.24 · 3%

6.3K

Medicare services in 2024 · #1727 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.

31623 compared with similar codes

Office rates for Redding, from the same CMS release.

31622

Bronchoscopy

Diagnostic with washing

$297.20

Choose 31622 for diagnostic bronchoscopy with or without cell washing. Choose 31623 when a brush is used to collect cells.

31624

Bronchoscopy

Bronchoalveolar lavage

$302.48

31624 represents bronchoscopic lavage, which collects a fluid specimen; 31623 represents cell collection with a brush.

31625

Bronchoscopy biopsy

Airway tissue sampling

$407.38

31625 is used for bronchoscopic biopsy with tissue sampling. Use 31623 for brush-collected cells submitted for cytology.

31628

Lung biopsy

Single lobe

$432.41

31628 represents transbronchial lung biopsy, not airway brushing. The sampled tissue and collection method distinguish the services.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 31623 is $321.54—$0.76 higher than the $320.78 rate in Redding. Both use the same code, release and participation basis.

31623 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $320.78

  2. Bakersfield

    $321.54

    $0.76 higher than Redding

  3. Chico

    $320.78

    The same base rate than Redding

  4. El Centro

    $320.82

    $0.04 higher than Redding

  5. Fresno

    $320.78

    The same base rate than Redding

  6. Hanford-Corcoran

    $320.78

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $342.08

    $21.30 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, 31623 ranges from $269.53 in Arkansas to $401.20 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 · 31623

    Office

    $320.78

    Facility

    $119.44

    The same base rate than Redding for the office setting.

  • Merced

    California · 31623

    Office

    $320.78

    Facility

    $119.44

    The same base rate than Redding for the office setting.

  • Modesto

    California · 31623

    Office

    $320.78

    Facility

    $119.44

    The same base rate than Redding for the office setting.

  • Napa

    California · 31623

    Office

    $370.99

    Facility

    $128.86

    $50.21 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 31623

    Office

    $340.43

    Facility

    $123.29

    $19.65 higher than Redding for the office setting.

  • Rest Of California

    California · 31623

    Office

    $320.78

    Facility

    $119.44

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 31623

    Office

    $323.41

    Facility

    $122.07

    $2.63 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 31623

    Office

    $336.44

    Facility

    $122.79

    $15.66 higher than Redding for the office setting.

  • Salinas

    California · 31623

    Office

    $335.18

    Facility

    $122.26

    $14.40 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 31623

    Office

    $342.89

    Facility

    $123.18

    $22.11 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 31623

    Office

    $392.60

    Facility

    $133.57

    $71.82 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 31623

    Office

    $392.32

    Facility

    $133.30

    $71.54 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 31623

    Office

    $401.20

    Facility

    $136.30

    $80.42 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 31623

    Office

    $400.08

    Facility

    $135.18

    $79.30 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 31623

    Office

    $329.79

    Facility

    $120.55

    $9.01 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 31623

    Office

    $346.05

    Facility

    $122.85

    $25.27 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 31623

    Office

    $336.39

    Facility

    $122.19

    $15.61 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 31623

    Office

    $349.54

    Facility

    $123.95

    $28.76 higher than Redding for the office setting.

  • Stockton

    California · 31623

    Office

    $320.78

    Facility

    $119.44

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 31623

    Office

    $370.59

    Facility

    $128.47

    $49.81 higher than Redding for the office setting.

  • Visalia

    California · 31623

    Office

    $320.78

    Facility

    $119.44

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 31623

    Office

    $320.78

    Facility

    $119.44

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 31623

    Office

    $345.75

    Facility

    $129.34

    $24.97 higher than Redding for the office setting.

  • Miami

    Florida · 31623

    Office

    $323.79

    Facility

    $132.55

    $3.01 higher than Redding for the office setting.

  • Chicago

    Illinois · 31623

    Office

    $314.97

    Facility

    $130.35

    $5.81 lower than Redding for the office setting.

  • Manhattan

    New York · 31623

    Office

    $347.04

    Facility

    $133.58

    $26.26 higher than Redding for the office setting.

  • Alaska*

    Alaska · 31623

    Office

    $355.71

    Facility

    $160.07

    $34.93 higher than Redding for the office setting.

  • Alabama

    Alabama · 31623

    Office

    $273.29

    Facility

    $112.55

    $47.49 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 31623

    Office

    $269.53

    Facility

    $111.73

    $51.25 lower than Redding for the office setting.

  • Arizona

    Arizona · 31623

    Office

    $295.30

    Facility

    $117.29

    $25.48 lower than Redding for the office setting.

  • Colorado

    Colorado · 31623

    Office

    $315.62

    Facility

    $120.16

    $5.16 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 31623

    Office

    $322.47

    Facility

    $124.62

    $1.69 higher than Redding for the office setting.

  • Delaware

    Delaware · 31623

    Office

    $300.05

    Facility

    $118.55

    $20.73 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 31623

    Office

    $312.15

    Facility

    $126.05

    $8.63 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 31623

    Office

    $297.76

    Facility

    $122.14

    $23.02 lower than Redding for the office setting.

  • Atlanta

    Georgia · 31623

    Office

    $308.16

    Facility

    $121.52

    $12.62 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 31623

    Office

    $281.87

    Facility

    $118.00

    $38.91 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 31623

    Office

    $328.26

    Facility

    $119.39

    $7.48 higher than Redding for the office setting.

  • Iowa

    Iowa · 31623

    Office

    $280.31

    Facility

    $112.22

    $40.47 lower than Redding for the office setting.

  • Idaho

    Idaho · 31623

    Office

    $281.97

    Facility

    $112.96

    $38.81 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 31623

    Office

    $294.32

    Facility

    $125.31

    $26.46 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 31623

    Office

    $289.24

    Facility

    $121.52

    $31.54 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 31623

    Office

    $315.39

    Facility

    $126.72

    $5.39 lower than Redding for the office setting.

  • Indiana

    Indiana · 31623

    Office

    $283.54

    Facility

    $113.24

    $37.24 lower than Redding for the office setting.

  • Kansas

    Kansas · 31623

    Office

    $278.87

    Facility

    $112.80

    $41.91 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 31623

    Office

    $279.02

    Facility

    $115.71

    $41.76 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 31623

    Office

    $291.68

    Facility

    $118.81

    $29.10 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 31623

    Office

    $278.53

    Facility

    $115.95

    $42.25 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 31623

    Office

    $346.20

    Facility

    $126.85

    $25.42 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 31623

    Office

    $313.79

    Facility

    $120.35

    $6.99 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 31623

    Office

    $321.50

    Facility

    $124.39

    $0.72 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 31623

    Office

    $305.66

    Facility

    $119.75

    $15.12 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 31623

    Office

    $283.16

    Facility

    $114.15

    $37.62 lower than Redding for the office setting.

  • Southern Maine

    Maine · 31623

    Office

    $298.10

    Facility

    $116.05

    $22.68 lower than Redding for the office setting.

  • Detroit

    Michigan · 31623

    Office

    $301.12

    Facility

    $123.84

    $19.66 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 31623

    Office

    $285.76

    Facility

    $118.04

    $35.02 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 31623

    Office

    $303.38

    Facility

    $114.34

    $17.40 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 31623

    Office

    $289.99

    Facility

    $117.49

    $30.79 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 31623

    Office

    $292.91

    Facility

    $118.02

    $27.87 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 31623

    Office

    $273.84

    Facility

    $115.48

    $46.94 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 31623

    Office

    $271.74

    Facility

    $113.57

    $49.04 lower than Redding for the office setting.

  • Montana**

    Montana · 31623

    Office

    $302.93

    Facility

    $119.23

    $17.85 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 31623

    Office

    $286.02

    Facility

    $114.62

    $34.76 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 31623

    Office

    $298.18

    Facility

    $114.48

    $22.60 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 31623

    Office

    $281.83

    Facility

    $112.27

    $38.95 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 31623

    Office

    $310.53

    Facility

    $119.29

    $10.25 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 31623

    Office

    $342.39

    Facility

    $129.29

    $21.61 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 31623

    Office

    $326.41

    Facility

    $125.81

    $5.63 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 31623

    Office

    $287.18

    Facility

    $118.72

    $33.60 lower than Redding for the office setting.

  • Nevada**

    Nevada · 31623

    Office

    $301.82

    Facility

    $117.93

    $18.96 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 31623

    Office

    $354.87

    Facility

    $136.44

    $34.09 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 31623

    Office

    $328.37

    Facility

    $127.22

    $7.59 higher than Redding for the office setting.

  • Queens

    New York · 31623

    Office

    $350.08

    Facility

    $132.94

    $29.30 higher than Redding for the office setting.

  • Rest Of New York

    New York · 31623

    Office

    $290.09

    Facility

    $115.57

    $30.69 lower than Redding for the office setting.

  • Ohio

    Ohio · 31623

    Office

    $284.79

    Facility

    $117.07

    $35.99 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 31623

    Office

    $278.75

    Facility

    $114.70

    $42.03 lower than Redding for the office setting.

  • Portland

    Oregon · 31623

    Office

    $325.51

    Facility

    $121.41

    $4.73 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 31623

    Office

    $299.73

    Facility

    $116.76

    $21.05 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 31623

    Office

    $314.62

    Facility

    $123.38

    $6.16 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 31623

    Office

    $285.33

    Facility

    $116.69

    $35.45 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 31623

    Office

    $305.13

    Facility

    $119.40

    $15.65 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 31623

    Office

    $310.62

    Facility

    $120.85

    $10.16 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 31623

    Office

    $285.83

    Facility

    $116.08

    $34.95 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 31623

    Office

    $297.62

    Facility

    $113.92

    $23.16 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 31623

    Office

    $280.18

    Facility

    $113.19

    $40.60 lower than Redding for the office setting.

  • Austin

    Texas · 31623

    Office

    $314.35

    Facility

    $119.99

    $6.43 lower than Redding for the office setting.

  • Beaumont

    Texas · 31623

    Office

    $283.53

    Facility

    $116.36

    $37.25 lower than Redding for the office setting.

  • Brazoria

    Texas · 31623

    Office

    $299.98

    Facility

    $117.93

    $20.80 lower than Redding for the office setting.

  • Dallas

    Texas · 31623

    Office

    $301.74

    Facility

    $118.77

    $19.04 lower than Redding for the office setting.

  • Fort Worth

    Texas · 31623

    Office

    $299.75

    Facility

    $118.62

    $21.03 lower than Redding for the office setting.

  • Galveston

    Texas · 31623

    Office

    $300.79

    Facility

    $118.37

    $19.99 lower than Redding for the office setting.

  • Houston

    Texas · 31623

    Office

    $305.18

    Facility

    $122.76

    $15.60 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 31623

    Office

    $291.49

    Facility

    $117.15

    $29.29 lower than Redding for the office setting.

  • Utah

    Utah · 31623

    Office

    $289.56

    Facility

    $116.88

    $31.22 lower than Redding for the office setting.

  • Virginia

    Virginia · 31623

    Office

    $297.03

    Facility

    $116.45

    $23.75 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 31623

    Office

    $305.13

    Facility

    $119.40

    $15.65 lower than Redding for the office setting.

  • Vermont

    Vermont · 31623

    Office

    $296.89

    Facility

    $115.02

    $23.89 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 31623

    Office

    $313.24

    Facility

    $119.80

    $7.54 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 31623

    Office

    $353.29

    Facility

    $127.89

    $32.51 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 31623

    Office

    $288.60

    Facility

    $112.61

    $32.18 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 31623

    Office

    $278.97

    Facility

    $119.33

    $41.81 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 31623

    Office

    $300.86

    Facility

    $117.16

    $19.92 lower than Redding for the office setting.

See how rates vary across the country

31623 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$269.53

$360.99

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$355.711
AL$273.291
AR$269.531
AZ$295.301
CA$320.78–$401.2029
CO$315.621
CT$322.471
DC$345.751
DE$300.051
FL$297.76–$323.793
GA$281.87–$308.162
GU$328.261
HI$328.261
IA$280.311
ID$281.971
IL$289.24–$315.394
IN$283.541
KS$278.871
KY$279.021
LA$278.53–$291.682
MA$313.79–$346.202
MD$305.66–$345.753
ME$283.16–$298.102
MI$285.76–$301.122
MN$303.381
MO$273.84–$292.913
MS$271.741
MT$302.931
NC$286.021
ND$298.181
NE$281.831
NH$310.531
NJ$326.41–$342.392
NM$287.181
NV$301.821
NY$290.09–$354.875
OH$284.791
OK$278.751
OR$299.73–$325.512
PA$285.33–$314.622
PR$305.131
RI$310.621
SC$285.831
SD$297.621
TN$280.181
TX$283.53–$314.358
UT$289.561
VA$297.03–$345.752
VI$305.131
VT$296.891
WA$313.24–$353.292
WI$288.601
WV$278.971
WY$300.861

Explore 31623 on the national rate map →

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.

Browse all communities in California →

Why are the office and facility amounts different?

For 31623 in Redding, the physician’s office rate is $320.78 and the facility-setting rate is $119.44: a difference of $201.34.

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.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 31623 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$352.86

$320.78 × 110% = $352.86

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.

Compare your contract offer →

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 31623 in Redding.

PPRRVU2026_Oct_nonQPP.csv

3,632

Code
31623
Physician work
2.56
Practice expense
6.27
Malpractice
0.24

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 31623 in Redding
ComponentRVULocality factorAdjusted
Physician work2.56× 1.0172.6035
Practice expense6.27× 1.0966.8719
Malpractice0.24× 0.5360.1286
Total RVUs9.6041
Conversion factor× 33.4009

Office / nonfacility rate, Redding$320.78

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 31623 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.561.017
Practice expense6.271.096
Malpractice0.240.536

(2.56 × 1.017 + 6.27 × 1.096 + 0.24 × 0.536) × $33.4009 = $320.78

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.561.017
Practice expense0.771.096
Malpractice0.240.536

(2.56 × 1.017 + 0.77 × 1.096 + 0.24 × 0.536) × $33.4009 = $119.44

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

31623 · Office / nonfacility

$320.78

Effective 2026-10-01

The base rate is $42.26 higher than on 2025-10-01, moving from $278.52 to $320.78 (15.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $278.52changed to$320.78

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.63 changed to 2.56
    • Practice expense RVU 5.32 changed to 6.27
    • Malpractice RVU 0.23 changed to 0.24
    • 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.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $278.52

    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
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$320.78$119.44RVU26D
2026-07-01$320.78$119.44RVU26C
2026-04-01$320.78$119.44RVU26B
2026-01-01$320.78$119.44RVU26A
2025-10-01$278.52$126.49RVU25D
2025-07-01$278.52$126.49RVU25C
2025-04-01$278.52$126.49RVU25B
2025-01-01$278.52$126.49RVU25A

31623 billing questions

How is brushing different from bronchial washing or lavage?

31623 represents cell collection with a brush. Washing and lavage collect fluid specimens and are represented by 31622 and 31624, respectively.

When should 31625 be considered instead?

Use 31625 when tissue is sampled with biopsy forceps. Brushing collects cells for cytology rather than a tissue specimen.

Can brushing be reported with another bronchoscopy procedure?

The procedure report should identify each technique performed and the sampled site. CMS applies endoscopy family pricing when related endoscopies are performed together.

Should modifier 50 be appended for brushing in both lungs?

No. The CMS bilateral adjustment does not apply to 31623, and modifier 50 is inappropriate.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

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.

RVUs for 31623PPRRVU2026_Oct_nonQPP.csv, line 3,632 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet