$80.97
31505 is an indirect diagnostic examination without biopsy. Choose 31510 when tissue is obtained during the indirect laryngoscopy.
On this page
CMS RVU26D · Effective 2026-10-01
31510 Laryngoscopy Medicare reimbursement rates in Kansas
An otolaryngologist uses an indirect laryngoscopic approach to inspect the larynx and obtain tissue from a suspicious area for biopsy. Compare 31510 office and facility rates across CMS payment localities in Kansas.
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 31510 in Kansas?
Kansas 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
$196.97
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$97.63
1 of 1 localities have a supported rate.
Payment area: Kansas
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.
Otolaryngology procedure
About 31510: Indirect laryngoscopy with biopsy
An otolaryngologist uses an indirect laryngoscopic approach to inspect the larynx and obtain tissue from a suspicious area for biopsy.
This service combines indirect visualization of the larynx with collection of tissue from a selected area for diagnostic examination. An otolaryngologist commonly performs it when an abnormal mucosal area or lesion needs tissue assessment, in an outpatient practice or a facility. The defining features are the indirect approach and biopsy; a diagnostic look without tissue sampling is a different service, as is a direct operative laryngoscopy.
Report the code when the documented service includes both indirect laryngeal examination and biopsy. The record should identify the indication and biopsy site, and support that tissue was obtained. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Bilateral adjustment is not appropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 31510
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.87 · 29%
- Practice expense (office) RVU4.31 · 67%
- Malpractice RVU0.26 · 4%
22
Medicare services in 2024 · #5864 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.
31510 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
31535 uses a direct operative approach with biopsy. 31510 is for biopsy performed through an indirect approach.
No office rate
31536 is a direct operative biopsy using an operating scope. The indirect approach distinguishes 31510.
Compare 31510 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
Kansas →
Office / nonfacility
$196.97
Facility
$97.63
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 31510 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
3,577
- Code
- 31510
- Physician work
- 1.87
- Practice expense
- 4.31
- Malpractice
- 0.26
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.87 | × 1.000 | 1.8700 |
| Practice expense | 4.31 | × 0.904 | 3.8962 |
| Malpractice | 0.26 | × 0.504 | 0.1310 |
| Total RVUs | 5.8973 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$196.97
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.87 | 1 |
| Practice expense | 4.31 | 0.904 |
| Malpractice | 0.26 | 0.504 |
(1.87 × 1 + 4.31 × 0.904 + 0.26 × 0.504) × $33.4009 = $196.97
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.87 | 1 |
| Practice expense | 1.02 | 0.904 |
| Malpractice | 0.26 | 0.504 |
(1.87 × 1 + 1.02 × 0.904 + 0.26 × 0.504) × $33.4009 = $97.63
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.
31510 billing questions
How is this different from 31505?
31505 is an indirect diagnostic laryngoscopy without biopsy. Report 31510 when the indirect examination also includes tissue sampling.
When would 31535 be a better fit?
31535 describes direct operative laryngoscopy with biopsy. Use 31510 for an indirect approach, not a direct operative examination.
Can the diagnostic laryngoscopy be billed separately from the biopsy?
The indirect examination is part of the service described by 31510. Do not separately report a diagnostic laryngoscopy for the same examination.
Should modifier 50 be used for biopsies on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50 to represent bilateral work.
What documentation supports reporting 31510?
Document the reason for examination, the indirect laryngoscopic approach, the laryngeal biopsy site, and that tissue was obtained.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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.
3,57431502,,Change of windpipe airway,A,,0.63,0.20,NA,0.20,,0.08,0.91,0.91,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,57531505,,Diagnostic laryngoscopy,A,,0.59,1.99,,0.68,,0.07,2.65,1.34,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,5763150F,,Forceps esoph biopsy done,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
3,57731510,,Laryngoscopy with biopsy,A,,1.87,4.31,,1.02,,0.26,6.44,3.15,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31505,33.4009,09,0,99,0.00,0.00,0.00
3,57831511,,Remove foreign body larynx,A,,2.11,3.90,,1.08,,0.30,6.31,3.49,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31505,33.4009,09,0,99,0.00,0.00,0.00
3,57931512,,Removal of larynx lesion,A,,2.02,4.18,,1.06,,0.29,6.49,3.37,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31505,33.4009,09,0,99,0.00,0.00,0.00
3,58031513,,Injection into vocal cord,A,,2.05,1.06,NA,1.06,,0.29,3.40,3.40,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31505,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958