$276.88
Use 31241 when the surgeon ligates the sphenopalatine artery endoscopically. Code 31238 describes endoscopic control of nasal hemorrhage without specifying that artery ligation.
On this page
CMS RVU26D · Effective 2026-10-01
31241 Artery ligation Medicare reimbursement rates in Connecticut
Reports endoscopic ligation of the sphenopalatine artery to control significant posterior nasal bleeding, typically when less invasive measures have not controlled epistaxis. Compare 31241 office and facility rates across CMS payment localities in Connecticut.
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 31241 in Connecticut?
Connecticut 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
$392.03
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
Nasal endoscopy
About 31241: Endoscopic sphenopalatine artery ligation
Reports endoscopic ligation of the sphenopalatine artery to control significant posterior nasal bleeding, typically when less invasive measures have not controlled epistaxis.
An otolaryngologist uses a nasal endoscope to reach and ligate the sphenopalatine artery for surgical control of posterior epistaxis. The procedure is commonly performed in a facility operating room when bleeding has persisted or recurred despite measures such as packing or cautery. The operative report should identify the endoscopic approach, the artery ligated, the side treated, and the indication for definitive surgical control.
Report this code for the endoscopic artery-ligation service, not for diagnostic inspection alone or packing alone. CMS assigns 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 bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 31241
- 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 RVU7.80 · 70%
- Practice expense (office) RVU2.23 · 20%
- Malpractice RVU1.14 · 10%
359
Medicare services in 2024 · #3827 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.
31241 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$423.99
Code 30905 is for initial posterior nasal hemorrhage control with packing or cautery. Code 31241 describes endoscopic surgical ligation of the sphenopalatine artery.
$206.96
Code 31231 is diagnostic nasal endoscopy. It does not describe the endoscopic surgical ligation used to control posterior epistaxis under 31241.
Compare 31241 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$392.03
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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 31241 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
3,531
- Code
- 31241
- Physician work
- 7.80
- Practice expense
- 2.23
- Malpractice
- 1.14
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.80 | × 1.020 | 7.9560 |
| Practice expense | 2.23 | × 1.077 | 2.4017 |
| Malpractice | 1.14 | × 1.210 | 1.3794 |
| Total RVUs | 11.7371 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$392.03
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.8 | 1.02 |
| Practice expense | 2.23 | 1.077 |
| Malpractice | 1.14 | 1.21 |
(7.8 × 1.02 + 2.23 × 1.077 + 1.14 × 1.21) × $33.4009 = $392.03
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.
31241 billing questions
How does this differ from 31238?
31241 identifies endoscopic ligation of the sphenopalatine artery. Use 31238 for endoscopic control of nasal hemorrhage when the documented procedure is not this specified artery ligation.
Can nasal packing be reported with this procedure?
Packing alone is not the artery-ligation service described by 31241. The operative documentation should establish that the sphenopalatine artery was ligated endoscopically.
How should bilateral ligation be reported?
For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.
Is an assistant surgeon payable?
Assistant-at-surgery payment is allowed only when the record documents medical necessity. CMS does not permit co-surgeon or team-surgery payment for this code.
What is included in the global period?
The code has a 0-day global period. Same-day preoperative and postoperative care is included.
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.
3,52831238,,Nsl/sins ndsc srg nsl hemrrg,A,,2.67,4.73,,1.26,,0.39,7.79,4.32,0,000,0.00,0.00,0.00,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,52931239,,Nsl/sinus endoscopy surg dcr,A,,8.81,5.91,NA,5.91,,0.99,15.71,15.71,0,010,0.10,0.80,0.10,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,53031240,,Nsl/sns ndsc cnch bull rescj,A,,2.54,1.18,NA,1.18,,0.37,4.09,4.09,0,000,0.00,0.00,0.00,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,53131241,,Nsl/sns ndsc lig sphnptn art,A,,7.80,2.23,NA,2.23,,1.14,11.17,11.17,0,000,0.00,0.00,0.00,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,53231242,,Nsl/sinus ndsc rf abltj pnn,A,,2.63,68.70,,1.02,,0.39,71.72,4.04,0,000,0.00,0.00,0.00,3,2,1,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,53331243,,Nsl/sinus ndsc cryoabltj pnn,A,,2.63,66.62,,1.02,,0.39,69.64,4.04,0,000,0.00,0.00,0.00,3,2,1,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,53431253,,Nsl/sins ndsc total,A,,8.78,2.51,NA,2.51,,1.29,12.58,12.58,0,000,0.00,0.00,0.00,3,1,1,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808