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CMS RVU26D · Effective 2026-10-01

31720 Airway clearance Medicare reimbursement rates in Connecticut

Reports initial therapeutic suctioning of the tracheobronchial tree to clear obstructing secretions or other material without bronchoscopic aspiration. Compare 31720 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 31720 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

$47.36

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.

Find 31720 in your payment locality →

Pulmonary procedure

About 31720: Initial tracheobronchial airway clearance

Reports initial therapeutic suctioning of the tracheobronchial tree to clear obstructing secretions or other material without bronchoscopic aspiration.

This service clears the tracheobronchial tree by therapeutic aspiration, commonly when retained mucus or other material is impairing airway patency or ventilation. A physician or other qualified practitioner may perform it at the bedside or in another acute-care setting, using an aspiration catheter through an artificial airway or by another appropriate nonbronchoscopic route. The clinical record should identify the airway problem, the material removed, and the therapeutic need for aspiration.

Use 31720 for the initial airway-clearance service; 31725 represents a subsequent service. The record should make clear which service was performed rather than counting each catheter pass as a separate encounter. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery reporting are not permitted.

CMS billing rules for 31720

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
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 RVU1.03 · 76%
  • Practice expense (office) RVU0.24 · 18%
  • Malpractice RVU0.09 · 7%

184

Medicare services in 2024 · #4391 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.

31720 compared with similar codes

Office rates for Connecticut, from the same CMS release.

31725

Airway clearance

Subsequent service

No office rate

31720 identifies the initial airway-clearance service; 31725 identifies a subsequent service.

31645

Bronchial aspiration

Initial therapeutic aspiration

$327.97

Use 31645 when initial therapeutic aspiration is performed bronchoscopically; 31720 is for nonbronchoscopic airway clearance.

31646

Bronchoscopic aspiration

Subsequent aspiration

No office rate

31646 describes subsequent bronchoscopic therapeutic aspiration, while 31725 describes subsequent nonbronchoscopic airway clearance.

Compare 31720 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

Office and facility base rates · shared scale starting at $0

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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 31720 in Connecticut.

PPRRVU2026_Oct_nonQPP.csv

3,664

Code
31720
Physician work
1.03
Practice expense
0.24
Malpractice
0.09

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 31720 in Connecticut
ComponentRVULocality factorAdjusted
Physician work1.03× 1.0201.0506
Practice expense0.24× 1.0770.2585
Malpractice0.09× 1.2100.1089
Total RVUs1.4180
Conversion factor× 33.4009

Facility rate, Connecticut$47.36

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.031.02
Practice expense0.241.077
Malpractice0.091.21

(1.03 × 1.02 + 0.24 × 1.077 + 0.09 × 1.21) × $33.4009 = $47.36

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.

31720 billing questions

When should 31720 be reported instead of 31725?

Use 31720 for the initial therapeutic aspiration service and 31725 for a subsequent service. Documentation should distinguish the services performed.

How is this different from bronchoscopic aspiration?

31720 describes therapeutic airway clearance without bronchoscopic aspiration. When the therapeutic aspiration is performed through a bronchoscope, consider the bronchoscopic service represented by 31645 or 31646, as appropriate.

Can each catheter pass be billed as a separate unit?

The code identifies an initial airway-clearance service, not an individual catheter pass. Document the therapeutic service and the airway problem being treated.

Does modifier 50 apply when both sides are cleared?

No. Modifier 50 is inappropriate for this airway-clearance service.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in the 0-day global period.

Can an assistant, co-surgeon, or surgical team be reported?

Medicare does not pay an assistant at surgery for 31720. Co-surgeons and team surgery are not permitted.

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 31720PPRRVU2026_Oct_nonQPP.csv, line 3,664 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)