No office rate
Use 31780 for cervical tracheal reconstruction and 31781 when the reconstructed tracheal segment is intrathoracic.
On this page
CMS RVU26D · Effective 2026-10-01
31780 Tracheal reconstruction Medicare reimbursement rates in Colorado
Reports reconstruction of the cervical trachea involving removal of a diseased segment and restoration of the airway, commonly for fixed tracheal narrowing. Compare 31780 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 31780 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1036.12
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Thoracic surgery
About 31780: Cervical tracheal resection and reconstruction
Reports reconstruction of the cervical trachea involving removal of a diseased segment and restoration of the airway, commonly for fixed tracheal narrowing.
This code represents surgical reconstruction of the cervical trachea when a segment is removed and the remaining airway is reconnected. It is commonly used for significant cervical tracheal stenosis or structural injury requiring segmental reconstruction. The operation is generally performed in a hospital operating room by a thoracic surgeon or an otolaryngologist with airway reconstruction expertise. The operative report should establish that the reconstructed portion is cervical and describe the resection and restoration of tracheal continuity.
Choose this code for cervical tracheal reconstruction rather than an intrathoracic tracheal or carinal reconstruction. Documentation should identify the diseased site, extent of resection, and reconstructive work. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 31780
- 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 RVU19.34 · 63%
- Practice expense (office) RVU8.69 · 28%
- Malpractice RVU2.82 · 9%
51
Medicare services in 2024 · #5343 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.
31780 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
31750 describes cervical tracheoplasty. This code is for cervical tracheal reconstruction involving segmental resection and restoration of continuity.
No office rate
31760 is intrathoracic tracheoplasty; this code concerns reconstruction of the cervical trachea.
No office rate
31766 is used when reconstruction involves the carina, the airway junction where the trachea divides into the main bronchi.
Compare 31780 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$1036.12
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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 31780 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
3,673
- Code
- 31780
- Physician work
- 19.34
- Practice expense
- 8.69
- Malpractice
- 2.82
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.34 | × 1.012 | 19.5721 |
| Practice expense | 8.69 | × 1.064 | 9.2462 |
| Malpractice | 2.82 | × 0.781 | 2.2024 |
| Total RVUs | 31.0207 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$1036.12
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.34 | 1.012 |
| Practice expense | 8.69 | 1.064 |
| Malpractice | 2.82 | 0.781 |
(19.34 × 1.012 + 8.69 × 1.064 + 2.82 × 0.781) × $33.4009 = $1036.12
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.
31780 billing questions
How do I distinguish this code from 31781?
This code is for reconstruction of the cervical trachea. Code 31781 is the corresponding code for intrathoracic tracheal reconstruction.
What documentation supports reporting this code?
The operative report should identify the cervical tracheal site and document segmental resection and reconstruction, including restoration of airway continuity.
Does the code include related postoperative care?
Yes. Medicare assigns a 90-day global period that includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How are other same-session procedures paid?
The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple-procedure reduction.
Should modifier 50 be used for bilateral reconstruction?
No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for the descriptor and anatomy.
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.
3,67031766,,Carinal reconstruction,A,,30.88,11.31,NA,11.31,,7.77,49.96,49.96,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67131770,,Repair/graft of bronchus,A,,22.95,8.80,NA,8.80,,5.77,37.52,37.52,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67231775,,Reconstruct bronchus,A,,23.98,9.57,NA,9.57,,6.04,39.59,39.59,0,090,0.10,0.76,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67331780,,Reconstruct windpipe,A,,19.34,8.69,NA,8.69,,2.82,30.85,30.85,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67431781,,Reconstruct windpipe,A,,24.23,8.91,NA,8.91,,3.54,36.68,36.68,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67531785,,Remove windpipe lesion,A,,17.89,7.01,NA,7.01,,2.61,27.51,27.51,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67631786,,Remove windpipe lesion,A,,24.78,9.72,NA,9.72,,6.24,40.74,40.74,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899