No office rate
Both describe total laryngectomy, but 31365 includes radical neck dissection. Use 31360 when that dissection is not part of the procedure.
On this page
CMS RVU26D · Effective 2026-10-01
31360 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1768.31
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.
Head and neck surgery
About 31360: Total laryngectomy without radical neck dissection
Reports complete removal of the larynx without radical neck dissection, commonly for advanced laryngeal cancer or selected salvage treatment.
An otolaryngologist or head and neck surgeon removes the entire larynx, rather than excising only a lesion or preserving part of the organ. The operation is commonly performed in a hospital for laryngeal cancer, including selected cases requiring salvage surgery after prior treatment. After total removal, the airway opens through a permanent neck stoma; the patient no longer breathes through the nose and mouth. This code is for the laryngeal removal without radical neck dissection as part of the coded procedure.
Choose this code when the operative report supports removal of the entire larynx and does not document the radical neck dissection represented by 31365. Distinguish it from partial laryngectomy codes by the extent of laryngeal tissue removed, and from 31390 when the pharynx is also removed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for removal of the single larynx. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 31360
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU29.16 · 54%
- Practice expense (office) RVU20.60 · 38%
- Malpractice RVU4.30 · 8%
527
Medicare services in 2024 · #3510 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.
31360 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
31367 is a partial laryngectomy option. Use 31360 when the operative report supports removal of the entire larynx.
No office rate
31390 is the laryngopharyngeal removal option. Distinguish it from 31360 when the pharynx is also removed.
The same code, a different location
How does Wyoming** compare?
31360 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 31360
Office
Unavailable
Facility
$1657.31
No comparable office rate is available.
Arkansas
Arkansas · 31360
Office
Unavailable
Facility
$1638.98
No comparable office rate is available.
Arizona
Arizona · 31360
Office
Unavailable
Facility
$1763.64
No comparable office rate is available.
Bakersfield
California · 31360
Office
Unavailable
Facility
$1834.05
No comparable office rate is available.
Chico
California · 31360
Office
Unavailable
Facility
$1821.62
No comparable office rate is available.
El Centro
California · 31360
Office
Unavailable
Facility
$1822.34
No comparable office rate is available.
Fresno
California · 31360
Office
Unavailable
Facility
$1821.62
No comparable office rate is available.
Hanford-Corcoran
California · 31360
Office
Unavailable
Facility
$1821.62
No comparable office rate is available.
Madera
California · 31360
Office
Unavailable
Facility
$1821.62
No comparable office rate is available.
Merced
California · 31360
Office
Unavailable
Facility
$1821.62
No comparable office rate is available.
Modesto
California · 31360
Office
Unavailable
Facility
$1821.62
No comparable office rate is available.
Napa
California · 31360
Office
Unavailable
Facility
$2015.15
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 31360
Office
Unavailable
Facility
$1904.00
No comparable office rate is available.
Redding
California · 31360
Office
Unavailable
Facility
$1821.62
No comparable office rate is available.
Rest Of California
California · 31360
Office
Unavailable
Facility
$1821.62
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 31360
Office
Unavailable
Facility
$1868.13
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 31360
Office
Unavailable
Facility
$1886.23
No comparable office rate is available.
Salinas
California · 31360
Office
Unavailable
Facility
$1878.61
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 31360
Office
Unavailable
Facility
$1903.95
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 31360
Office
Unavailable
Facility
$2102.58
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 31360
Office
Unavailable
Facility
$2097.70
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 31360
Office
Unavailable
Facility
$2150.27
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 31360
Office
Unavailable
Facility
$2130.31
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 31360
Office
Unavailable
Facility
$1851.21
No comparable office rate is available.
Santa Cruz-Watsonville
California · 31360
Office
Unavailable
Facility
$1907.40
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 31360
Office
Unavailable
Facility
$1880.50
No comparable office rate is available.
Santa Rosa-Petaluma
California · 31360
Office
Unavailable
Facility
$1925.11
No comparable office rate is available.
Stockton
California · 31360
Office
Unavailable
Facility
$1821.62
No comparable office rate is available.
Vallejo
California · 31360
Office
Unavailable
Facility
$2008.11
No comparable office rate is available.
Visalia
California · 31360
Office
Unavailable
Facility
$1821.62
No comparable office rate is available.
Yuba City
California · 31360
Office
Unavailable
Facility
$1821.62
No comparable office rate is available.
Colorado
Colorado · 31360
Office
Unavailable
Facility
$1829.92
No comparable office rate is available.
Connecticut
Connecticut · 31360
Office
Unavailable
Facility
$1908.27
No comparable office rate is available.
Delaware
Delaware · 31360
Office
Unavailable
Facility
$1787.76
No comparable office rate is available.
Fort Lauderdale
Florida · 31360
Office
Unavailable
Facility
$1930.65
No comparable office rate is available.
Rest Of Florida
Florida · 31360
Office
Unavailable
Facility
$1847.62
No comparable office rate is available.
Atlanta
Georgia · 31360
Office
Unavailable
Facility
$1848.45
No comparable office rate is available.
Rest Of Georgia
Georgia · 31360
Office
Unavailable
Facility
$1758.92
No comparable office rate is available.
Hawaii, Guam
Hawaii · 31360
Office
Unavailable
Facility
$1839.45
No comparable office rate is available.
Iowa
Iowa · 31360
Office
Unavailable
Facility
$1660.56
No comparable office rate is available.
Idaho
Idaho · 31360
Office
Unavailable
Facility
$1674.92
No comparable office rate is available.
East St. Louis
Illinois · 31360
Office
Unavailable
Facility
$1896.24
No comparable office rate is available.
Rest Of Illinois
Illinois · 31360
Office
Unavailable
Facility
$1826.65
No comparable office rate is available.
Suburban Chicago
Illinois · 31360
Office
Unavailable
Facility
$1941.93
No comparable office rate is available.
Indiana
Indiana · 31360
Office
Unavailable
Facility
$1681.60
No comparable office rate is available.
Kansas
Kansas · 31360
Office
Unavailable
Facility
$1668.36
No comparable office rate is available.
Kentucky
Kentucky · 31360
Office
Unavailable
Facility
$1717.07
No comparable office rate is available.
New Orleans
Louisiana · 31360
Office
Unavailable
Facility
$1784.59
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 31360
Office
Unavailable
Facility
$1720.49
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 31360
Office
Unavailable
Facility
$1963.27
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 31360
Office
Unavailable
Facility
$1828.55
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 31360
Office
Unavailable
Facility
$1905.50
No comparable office rate is available.
Rest Of Maryland
Maryland · 31360
Office
Unavailable
Facility
$1811.87
No comparable office rate is available.
Rest Of Maine
Maine · 31360
Office
Unavailable
Facility
$1696.32
No comparable office rate is available.
Southern Maine
Maine · 31360
Office
Unavailable
Facility
$1746.46
No comparable office rate is available.
Detroit
Michigan · 31360
Office
Unavailable
Facility
$1880.10
No comparable office rate is available.
Rest Of Michigan
Michigan · 31360
Office
Unavailable
Facility
$1764.32
No comparable office rate is available.
Minnesota
Minnesota · 31360
Office
Unavailable
Facility
$1724.50
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 31360
Office
Unavailable
Facility
$1760.38
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 31360
Office
Unavailable
Facility
$1772.91
No comparable office rate is available.
Rest Of Missouri
Missouri · 31360
Office
Unavailable
Facility
$1706.97
No comparable office rate is available.
Mississippi
Mississippi · 31360
Office
Unavailable
Facility
$1672.53
No comparable office rate is available.
Montana**
Montana · 31360
Office
Unavailable
Facility
$1805.37
No comparable office rate is available.
North Carolina
North Carolina · 31360
Office
Unavailable
Facility
$1707.70
No comparable office rate is available.
North Dakota**
North Dakota · 31360
Office
Unavailable
Facility
$1720.34
No comparable office rate is available.
Nebraska
Nebraska · 31360
Office
Unavailable
Facility
$1663.34
No comparable office rate is available.
New Hampshire
New Hampshire · 31360
Office
Unavailable
Facility
$1815.91
No comparable office rate is available.
Northern Nj
New Jersey · 31360
Office
Unavailable
Facility
$1986.87
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 31360
Office
Unavailable
Facility
$1921.84
No comparable office rate is available.
New Mexico
New Mexico · 31360
Office
Unavailable
Facility
$1777.41
No comparable office rate is available.
Nevada**
Nevada · 31360
Office
Unavailable
Facility
$1782.36
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 31360
Office
Unavailable
Facility
$2121.12
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 31360
Office
Unavailable
Facility
$1945.01
No comparable office rate is available.
Queens
New York · 31360
Office
Unavailable
Facility
$2056.70
No comparable office rate is available.
Rest Of New York
New York · 31360
Office
Unavailable
Facility
$1728.59
No comparable office rate is available.
Ohio
Ohio · 31360
Office
Unavailable
Facility
$1746.94
No comparable office rate is available.
Oklahoma
Oklahoma · 31360
Office
Unavailable
Facility
$1700.00
No comparable office rate is available.
Portland
Oregon · 31360
Office
Unavailable
Facility
$1860.84
No comparable office rate is available.
Rest Of Oregon
Oregon · 31360
Office
Unavailable
Facility
$1760.24
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 31360
Office
Unavailable
Facility
$1879.11
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 31360
Office
Unavailable
Facility
$1741.33
No comparable office rate is available.
Puerto Rico
Puerto Rico · 31360
Office
Unavailable
Facility
$1811.07
No comparable office rate is available.
Rhode Island
Rhode Island · 31360
Office
Unavailable
Facility
$1831.35
No comparable office rate is available.
South Carolina
South Carolina · 31360
Office
Unavailable
Facility
$1731.82
No comparable office rate is available.
South Dakota**
South Dakota · 31360
Office
Unavailable
Facility
$1710.29
No comparable office rate is available.
Tennessee
Tennessee · 31360
Office
Unavailable
Facility
$1676.54
No comparable office rate is available.
Austin
Texas · 31360
Office
Unavailable
Facility
$1831.13
No comparable office rate is available.
Beaumont
Texas · 31360
Office
Unavailable
Facility
$1733.53
No comparable office rate is available.
Brazoria
Texas · 31360
Office
Unavailable
Facility
$1775.65
No comparable office rate is available.
Dallas
Texas · 31360
Office
Unavailable
Facility
$1791.27
No comparable office rate is available.
Fort Worth
Texas · 31360
Office
Unavailable
Facility
$1786.26
No comparable office rate is available.
Galveston
Texas · 31360
Office
Unavailable
Facility
$1783.92
No comparable office rate is available.
Houston
Texas · 31360
Office
Unavailable
Facility
$1862.63
No comparable office rate is available.
Rest Of Texas
Texas · 31360
Office
Unavailable
Facility
$1756.63
No comparable office rate is available.
Utah
Utah · 31360
Office
Unavailable
Facility
$1749.72
No comparable office rate is available.
Virginia
Virginia · 31360
Office
Unavailable
Facility
$1751.73
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 31360
Office
Unavailable
Facility
$1811.07
No comparable office rate is available.
Vermont
Vermont · 31360
Office
Unavailable
Facility
$1727.82
No comparable office rate is available.
Rest Of Washington
Washington · 31360
Office
Unavailable
Facility
$1820.46
No comparable office rate is available.
Seattle (King Cnty)
Washington · 31360
Office
Unavailable
Facility
$1984.26
No comparable office rate is available.
Wisconsin
Wisconsin · 31360
Office
Unavailable
Facility
$1677.37
No comparable office rate is available.
West Virginia
West Virginia · 31360
Office
Unavailable
Facility
$1777.42
No comparable office rate is available.
See how rates vary across the country
31360 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 31360 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1945.14
$1768.31 × 110% = $1945.14
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 31360 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,558
- Code
- 31360
- Physician work
- 29.16
- Practice expense
- 20.60
- Malpractice
- 4.30
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.16 | × 1.000 | 29.1600 |
| Practice expense | 20.60 | × 1.000 | 20.6000 |
| Malpractice | 4.30 | × 0.740 | 3.1820 |
| Total RVUs | 52.9420 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1768.31
Open 31360 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 29.16 | 1 |
| Practice expense | 20.6 | 1 |
| Malpractice | 4.3 | 0.74 |
(29.16 × 1 + 20.6 × 1 + 4.3 × 0.74) × $33.4009 = $1768.31
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
31360 · 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 | $1768.31 | RVU26D |
| 2026-07-01 | Not available in this setting | $1768.31 | RVU26C |
| 2026-04-01 | Not available in this setting | $1768.31 | RVU26B |
| 2026-01-01 | Not available in this setting | $1768.31 | RVU26A |
| 2025-10-01 | Not available in this setting | $1957.27 | RVU25D |
| 2025-07-01 | Not available in this setting | $1957.27 | RVU25C |
| 2025-04-01 | Not available in this setting | $1957.27 | RVU25B |
| 2025-01-01 | Not available in this setting | $1957.27 | RVU25A |
31360 billing questions
How do I distinguish 31360 from 31365?
Use 31360 for total laryngectomy without radical neck dissection. Use 31365 when the operative procedure includes the radical neck dissection represented by that code.
When is a partial laryngectomy code more appropriate?
Choose a partial laryngectomy code when the surgeon removes only part of the larynx. The operative report should establish the extent of removal.
Does 31360 include removal of the pharynx?
This code describes total laryngeal removal without the pharyngeal removal represented by 31390. When the pharynx is also removed, compare the operative details with 31390.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can assistant or co-surgeon services be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate because the procedure removes the single larynx.
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.
3,55531300,,Removal of larynx lesion,A,,15.51,15.81,NA,15.81,,2.26,33.58,33.58,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,5563130F,,Upper gi endoscopy performed,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,5573132F,,Doc ref upper gi endoscopy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,55831360,,Removal of larynx,A,,29.16,20.60,NA,20.60,,4.30,54.06,54.06,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,55931365,,Removal of larynx,A,,37.84,22.82,NA,22.82,,5.69,66.35,66.35,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56031367,,Partial removal of larynx,A,,29.81,23.39,NA,23.39,,4.34,57.54,57.54,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56131368,,Partial removal of larynx,A,,33.34,25.22,NA,25.22,,4.87,63.43,63.43,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,