Billing code 31554: LaryngoplastyMedicare rate & RVUs in Florida
Reports open laryngeal reconstruction for stenosis in a patient age 12 or older when the procedure is performed without a graft.
CMS doesn’t publish an office rate for 31554 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 31554 covers
An otolaryngologist performs this open reconstructive operation to enlarge or reshape a narrowed laryngeal airway in a patient age 12 or older. The procedure is for laryngeal stenosis and is distinguished by reconstruction without a graft; tracheotomy is included in the service. It is a substantive airway operation, not an endoscopic inspection or dilation alone.
Choose this code based on the patient’s age and the operative method, not simply the diagnosis of stenosis. The operative report should establish the laryngeal stenosis, the reconstructive work performed, the patient’s age, use or nonuse of a graft, and any tracheotomy. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related 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 multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon payment require supporting documentation; team surgery is not permitted.
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.
Where 31554 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,593.41 |
| Miami | Unavailable | $1,687.57 |
| Rest Of Florida | Unavailable | $1,522.88 |
How the 31554 rate is calculated
Each of 31554’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 31554
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 21.45Practice expense 20.35Malpractice 3.12
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 31554
31554 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 31554
Laryngoplasty
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 31554
Laryngoplasty
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
31554 without 51 · national facility
$1,500.37
Laryngoplasty
31554-51 · Second procedure: 50%
$750.19
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
31554 compared with similar codes
Compare codes
31554 vs 31552 vs 31553 vs 31529: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 31552Laryngoplasty
- Both codes describe laryngoplasty for stenosis in a patient age 12 or older. Use 31552 when a graft is used; use 31554 when reconstruction is performed without a graft.
- 31553Laryngoplasty
- Both describe laryngoplasty for stenosis without a graft. Code 31553 is for a patient under 12; 31554 is for a patient age 12 or older.
- 31529Laryngeal dilation
- Code 31529 represents endoscopic dilation of laryngeal stenosis. Code 31554 is for open laryngoplasty reconstruction without a graft in a patient age 12 or older.
31554 billing questions
How is this distinguished from the other laryngoplasty stenosis codes?
This code is for a patient age 12 or older whose laryngeal stenosis is reconstructed without a graft. The other codes in the group distinguish age and graft use.
Is tracheotomy included?
Yes. Tracheotomy is included in this laryngoplasty service; it should not be treated as a separate service merely because it was performed as part of the reconstruction.
Can this code be reported for endoscopic dilation of stenosis?
No. This code describes laryngoplasty for stenosis, not endoscopic dilation alone. Code 31529 is the related dilation procedure.
What should the operative report document?
Document the stenosis, the laryngeal reconstruction performed, the patient’s age, whether a graft was used, and any tracheotomy.
Can modifier 50 be used for bilateral work?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How are assistant and co-surgeon claims handled?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment requires supporting documentation, and 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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