$377.88
Use 31628 for the primary lobe sampled by transbronchial lung biopsy. Add 31632 for each additional lobe sampled during the procedure.
On this page
CMS RVU26D · Effective 2026-10-01
31632 Lung biopsy Medicare reimbursement rates in Iowa
Reports transbronchial lung tissue sampling in an additional lobe during bronchoscopy, beyond the lobe covered by the primary biopsy code. Compare 31632 office and facility rates across CMS payment localities in Iowa.
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 31632 in Iowa?
Iowa 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
$64.41
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$40.88
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Bronchoscopy
About 31632: Additional-lobe transbronchial lung biopsy
Reports transbronchial lung tissue sampling in an additional lobe during bronchoscopy, beyond the lobe covered by the primary biopsy code.
A pulmonologist, interventional pulmonologist, or thoracic surgeon may take transbronchial lung tissue samples through a bronchoscope to evaluate findings such as pulmonary nodules or diffuse lung disease. This add-on represents sampling in an additional lobe beyond the lobe reported with the primary transbronchial lung biopsy service. It is commonly performed in a hospital bronchoscopy suite or operating room.
Report 31632 with 31628 when the bronchoscopist biopsies lung tissue in one or more additional lobes during the same procedure. The operative report should identify the lobes sampled and describe transbronchial lung tissue biopsy; the additional code is based on the additional lobe, not the number of specimens or biopsy passes. CMS classifies it as an add-on: it must be billed with a primary procedure and is paid within that procedure’s global period.
CMS billing rules for 31632
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.00 · 49%
- Practice expense (office) RVU0.98 · 48%
- Malpractice RVU0.08 · 4%
6.5K
Medicare services in 2024 · #1710 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.
31632 compared with similar codes
Office rates for Iowa, from the same CMS release.
$354.87
31625 describes bronchoscopic biopsy of airway tissue. 31632 is for transbronchial sampling of lung tissue in an additional lobe.
$80.44
31633 is the additional-lobe add-on for transbronchial needle aspiration biopsy; 31632 is for transbronchial lung tissue biopsy.
$458.92
31629 reports transbronchial needle aspiration biopsy. Choose the code family matching needle aspiration rather than lung tissue biopsy.
Compare 31632 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
Iowa →
Office / nonfacility
$64.41
Facility
$40.88
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.
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 31632 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
3,641
- Code
- 31632
- Physician work
- 1.00
- Practice expense
- 0.98
- Malpractice
- 0.08
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.00 | × 1.000 | 1.0000 |
| Practice expense | 0.98 | × 0.915 | 0.8967 |
| Malpractice | 0.08 | × 0.397 | 0.0318 |
| Total RVUs | 1.9285 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$64.41
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1 | 1 |
| Practice expense | 0.98 | 0.915 |
| Malpractice | 0.08 | 0.397 |
(1 × 1 + 0.98 × 0.915 + 0.08 × 0.397) × $33.4009 = $64.41
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1 | 1 |
| Practice expense | 0.21 | 0.915 |
| Malpractice | 0.08 | 0.397 |
(1 × 1 + 0.21 × 0.915 + 0.08 × 0.397) × $33.4009 = $40.88
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.
31632 billing questions
Can 31632 be reported by itself?
No. It is an add-on code and must be reported with the primary transbronchial lung biopsy code, 31628.
Is 31632 reported for each extra specimen or biopsy pass?
No. It represents transbronchial lung biopsy in an additional lobe. Document the lobe sampled; specimen or pass count alone does not establish another unit.
How does 31632 differ from 31628?
31628 reports transbronchial lung biopsy in the primary lobe. Use 31632 for biopsy sampling in each additional lobe during that procedure.
When should 31625 be considered instead?
31625 concerns bronchoscopic biopsy of airway tissue, such as a bronchial lesion. 31632 applies to transbronchial sampling of lung tissue in an additional lobe.
What documentation supports reporting 31632?
The bronchoscopy report should state that transbronchial lung tissue was sampled and identify the additional lobe or lobes biopsied.
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.
3,63831629,,Bronchoscopy/needle bx each,A,,3.66,10.86,,1.02,,0.36,14.88,5.04,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,63931630,,Bronchoscopy dilate/fx repr,A,,3.71,1.14,NA,1.14,,0.44,5.29,5.29,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,64031631,,Bronchoscopy dilate w/stent,A,,4.25,1.25,NA,1.25,,0.48,5.98,5.98,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,64131632,,Bronchoscopy/lung bx addl,A,,1.00,0.98,,0.21,,0.08,2.06,1.29,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,64231633,,Bronchoscopy/needle bx addl,A,,1.29,1.17,,0.27,,0.12,2.58,1.68,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,64331634,,Bronch w/balloon occlusion,A,,3.66,44.07,,1.08,,0.36,48.09,5.10,0,000,0.00,0.00,0.00,3,0,2,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,64431635,,Bronchoscopy w/fb removal,A,,3.33,6.01,,1.05,,0.36,9.70,4.74,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136