$1,353.30–$1,473.26
Use 31653 when EBUS-guided sampling covers three or more mediastinal or hilar stations or structures; 31652 covers one or two.
On this page
CMS RVU26D · Effective 2026-10-01
31652 EBUS node sampling Medicare reimbursement rates in Florida
Reports bronchoscopy with endobronchial ultrasound-guided needle sampling of one or two mediastinal or hilar lymph node stations or structures. Compare 31652 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 31652 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
$1310.02–$1426.39
3 of 3 localities have a supported rate.
Facility setting
$203.60–$221.60
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 31652 pays more and less in Florida
3 payment localities
$1310.02 to $1426.39
Pulmonary procedures
About 31652: EBUS-guided sampling of one or two node stations
Reports bronchoscopy with endobronchial ultrasound-guided needle sampling of one or two mediastinal or hilar lymph node stations or structures.
A pulmonologist or thoracic surgeon uses a bronchoscope with endobronchial ultrasound to locate mediastinal or hilar lymph nodes or other structures and guide needle sampling. The procedure is commonly performed in a hospital or outpatient endoscopy setting when evaluating suspected lung cancer, enlarged nodes, or other disease requiring tissue diagnosis. The ultrasound-guided sampling of one or two stations is reported with this code, whether one or multiple passes or specimens are taken from those stations.
Document the EBUS-guided targets and the number of distinct stations sampled; select the sibling code for three or more stations. The bronchoscopy and EBUS guidance for the nodal sampling are part of the service, while separately performed pathology or cytology analysis is distinct. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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 inappropriate. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 31652
- 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 RVU4.35 · 11%
- Practice expense (office) RVU35.80 · 88%
- Malpractice RVU0.43 · 1%
27.9K
Medicare services in 2024 · #999 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.
31652 compared with similar codes
Office rates for Florida, from the same CMS release.
$487.09–$530.26
31629 covers bronchoscopic transbronchial needle sampling without the EBUS-guided mediastinal or hilar nodal service. Choose based on the procedure performed and target sampled.
$401.63–$436.90
31628 is for bronchoscopic biopsy of lung tissue. Use 31652 for EBUS-guided needle sampling of mediastinal or hilar nodes or structures.
Compare 31652 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
$1382.56
Facility
$210.17
Miami →
Office / nonfacility
$1426.39
Facility
$221.60
Rest Of Florida →
Office / nonfacility
$1310.02
Facility
$203.60
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
31652 billing questions
How do I choose between 31652 and 31653?
Count the distinct mediastinal or hilar node stations or structures sampled with EBUS. Report 31652 for one or two; use 31653 for three or more.
Does each needle pass or specimen count as a separate unit?
No. The code selection is based on the number of distinct stations or structures sampled, not the number of passes or specimens.
Is EBUS guidance separately reported with 31652?
The EBUS guidance used for the nodal sampling is included in this service. Separately performed pathology or cytology analysis is a distinct service.
Can 31654 be reported in the same session?
31654 describes EBUS assessment of a peripheral lung lesion and is an add-on to a qualifying primary bronchoscopic procedure. It may be relevant when peripheral-lesion work is also performed and documented.
What does the 0-day global period mean for billing?
Same-day preoperative and postoperative care is included. CMS applies the standard multiple-procedure reduction when other procedures are performed in the same session.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. CMS does not pay an assistant at surgery for this service; co-surgeon and team-surgery billing are also 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.
3,65431648,,Bronchial valve remov init,A,,3.85,1.08,NA,1.08,,0.37,5.30,5.30,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,65531649,,Bronchial valve remov addl,A,,1.40,0.61,,0.31,,0.14,2.15,1.85,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65631651,,Bronchial valve addl insert,A,,1.54,0.64,,0.32,,0.15,2.33,2.01,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65731652,,Bronch ebus samplng 1/2 node,A,,4.35,35.80,,1.15,,0.43,40.58,5.93,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65831653,,Bronch ebus samplng 3/> node,A,,4.84,36.58,,1.25,,0.47,41.89,6.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65931654,,Bronch ebus ivntj perph les,A,,1.37,2.43,,0.29,,0.13,3.93,1.79,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66031660,,Bronch thermoplsty 1 lobe,A,,3.90,0.84,NA,0.84,,0.34,5.08,5.08,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00