No office rate
Use 31805 for an intrathoracic tracheal injury and 31800 for a cervical tracheal injury.
On this page
CMS RVU26D · Effective 2026-10-01
31805 Tracheal repair Medicare reimbursement rates in Guam
Operative repair of an injury to the intrathoracic trachea, reported when the surgeon repairs traumatic damage within the chest. Compare 31805 office and facility rates across CMS payment localities in Guam.
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 31805 in Guam?
Guam 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
$782.68
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Tracheal surgery
About 31805: Intrathoracic tracheal injury repair
Operative repair of an injury to the intrathoracic trachea, reported when the surgeon repairs traumatic damage within the chest.
Code 31805 describes operative repair of an injured portion of the trachea located within the chest. The injury may arise from blunt or penetrating trauma or occur during another procedure. A thoracic surgeon or another surgeon with the appropriate expertise performs the repair in an operating room, generally in a hospital setting. The code is distinguished from repair of an injury in the cervical trachea by the site of the injury.
Report the code when the operative documentation identifies an intrathoracic tracheal injury and describes its repair. The code has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 31805
- 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 RVU13.08 · 55%
- Practice expense (office) RVU7.43 · 31%
- Malpractice RVU3.29 · 14%
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.
31805 compared with similar codes
Office rates for Guam, from the same CMS release.
$473.45
31820 addresses closure of a tracheocutaneous fistula, not repair of an acute intrathoracic tracheal injury.
$643.68
31825 concerns repair associated with a tracheal defect; 31805 is selected for repair of an intrathoracic tracheal injury.
31899
No office rateUnlisted px trachea bronchi
Use 31805 when its specific injury-repair service applies; 31899 is for a tracheal or bronchial procedure without a specific code.
Compare 31805 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$782.68
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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 31805 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
3,678
- Code
- 31805
- Physician work
- 13.08
- Practice expense
- 7.43
- Malpractice
- 3.29
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.08 | × 1.000 | 13.0800 |
| Practice expense | 7.43 | × 1.137 | 8.4479 |
| Malpractice | 3.29 | × 0.579 | 1.9049 |
| Total RVUs | 23.4328 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$782.68
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.08 | 1 |
| Practice expense | 7.43 | 1.137 |
| Malpractice | 3.29 | 0.579 |
(13.08 × 1 + 7.43 × 1.137 + 3.29 × 0.579) × $33.4009 = $782.68
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.
31805 billing questions
How does 31805 differ from 31800?
31805 is for repair of an injury in the intrathoracic trachea. Code 31800 applies when the injury being repaired is in the cervical trachea.
Does the 90-day global include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be used for injuries involving both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How is 31805 paid when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard multiple-procedure reduction.
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.
3,67531785,,Remove windpipe lesion,A,,17.89,7.01,NA,7.01,,2.61,27.51,27.51,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67631786,,Remove windpipe lesion,A,,24.78,9.72,NA,9.72,,6.24,40.74,40.74,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67731800,,Repair of windpipe injury,A,,7.98,10.15,NA,10.15,,1.17,19.30,19.30,0,090,0.10,0.76,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67831805,,Repair of windpipe injury,A,,13.08,7.43,NA,7.43,,3.29,23.80,23.80,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67931820,,Closure of windpipe lesion,A,,4.52,8.14,,3.78,,0.69,13.35,8.99,0,090,0.10,0.76,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,68031825,,Repair of windpipe defect,A,,6.89,10.36,,4.95,,1.04,18.29,12.88,0,090,0.10,0.76,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,68131830,,Revise windpipe scar,A,,4.50,9.51,,4.76,,0.65,14.66,9.91,0,090,0.10,0.76,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014