No office rate
31300 describes open laryngotomy access to remove a lesion. Choose 31540 for operative endoscopic laryngeal excision.
On this page
CMS RVU26D · Effective 2026-10-01
31300 Laryngeal lesion removal Medicare reimbursement rates in Florida
Reports open surgical removal of a laryngeal tumor or lesion through a laryngotomy when the surgeon uses an open rather than endoscopic approach. Compare 31300 office and facility rates across CMS payment localities in Florida.
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 31300 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1136.34–$1258.67
3 of 3 localities have a supported rate.
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.
Where 31300 pays more and less in Florida
Laryngeal surgery
About 31300: Open laryngotomy lesion excision
Reports open surgical removal of a laryngeal tumor or lesion through a laryngotomy when the surgeon uses an open rather than endoscopic approach.
An otolaryngologist or head and neck surgeon uses an open laryngotomy to reach and remove a tumor or other lesion of the larynx. The operation is generally performed in an operating room, often in a hospital facility, when the lesion is treated through an open surgical exposure rather than removed endoscopically. The excised tissue is typically submitted for pathologic examination.
Report this service when the operative note supports open access to the larynx and removal of a lesion; distinguish it from endoscopic excision and from partial or total laryngectomy. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery. 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 50% reduction. Modifier 50 is not appropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 31300
- 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 RVU15.51 · 46%
- Practice expense (office) RVU15.81 · 47%
- Malpractice RVU2.26 · 7%
55
Medicare services in 2024 · #5298 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.
31300 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
31367 is a partial laryngectomy code; 31300 describes lesion removal through laryngotomy without describing a partial laryngectomy.
No office rate
31360 represents total laryngectomy. Use 31300 when the operation removes a laryngeal lesion without removing the entire larynx.
Compare 31300 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1189.46
Miami →
Office / nonfacility
Unavailable
Facility
$1258.67
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1136.34
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31300 billing questions
How is this different from endoscopic laryngeal lesion excision?
Use 31300 when the surgeon reaches the larynx through an open laryngotomy. Direct operative laryngoscopy codes describe endoscopic access.
When should a partial laryngectomy code be considered instead?
Choose a partial laryngectomy code when the documented operation removes part of the larynx as a resection, rather than removing a lesion through laryngotomy.
What documentation supports 31300?
The operative report should establish the open laryngotomy approach, identify the laryngeal lesion, and describe its removal. A pathology report may support the submitted specimen but does not replace the operative details.
Can modifier 50 be used for lesions involving both sides?
No. Modifier 50 is not appropriate for this service.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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.
3,55231297,,Nsl/sins ndsc surg sphn sins,A,,2.38,44.10,,0.96,,0.36,46.84,3.70,0,000,0.00,0.00,0.00,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,55331298,,Nsl/sins ndsc surg frnt&sphn,A,,4.39,83.78,,1.45,,0.62,88.79,6.46,0,000,0.00,0.00,0.00,3,1,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
3,55431299,,Unlisted px accessory sinus,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
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