$259.05
Choose 31622 for diagnostic bronchoscopy with or without cell washing. Choose 31623 when a brush is used to collect cells.
On this page
CMS RVU26D · Effective 2026-10-01
31623 Bronchoscopy Medicare reimbursement rates in Kansas
Reports bronchoscopic collection of airway cells with a brush for cytologic evaluation, such as sampling a suspicious endobronchial area. Compare 31623 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 31623 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
$278.87
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$112.80
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.
Pulmonary endoscopy
About 31623: Diagnostic bronchoscopy with brushing
Reports bronchoscopic collection of airway cells with a brush for cytologic evaluation, such as sampling a suspicious endobronchial area.
A pulmonologist or other qualified proceduralist advances a flexible or rigid bronchoscope into the airways and brushes a selected area to collect cells for cytology. The technique may be used when an airway abnormality, including a suspicious lesion, needs cellular evaluation. The brush specimen is distinct from tissue removed with biopsy forceps or fluid collected by washing or lavage.
Report 31623 when brushing is performed, and document the indication, sampled airway location, and collection method in the procedure record. CMS assigns this minor procedure a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 31623
- 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
- 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 RVU2.56 · 28%
- Practice expense (office) RVU6.27 · 69%
- Malpractice RVU0.24 · 3%
6.3K
Medicare services in 2024 · #1727 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.
31623 compared with similar codes
Office rates for Kansas, from the same CMS release.
$263.77
31624 represents bronchoscopic lavage, which collects a fluid specimen; 31623 represents cell collection with a brush.
$352.94
31625 is used for bronchoscopic biopsy with tissue sampling. Use 31623 for brush-collected cells submitted for cytology.
$375.96
31628 represents transbronchial lung biopsy, not airway brushing. The sampled tissue and collection method distinguish the services.
Compare 31623 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
$278.87
Facility
$112.80
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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 31623 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
3,632
- Code
- 31623
- Physician work
- 2.56
- Practice expense
- 6.27
- Malpractice
- 0.24
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.56 | × 1.000 | 2.5600 |
| Practice expense | 6.27 | × 0.904 | 5.6681 |
| Malpractice | 0.24 | × 0.504 | 0.1210 |
| Total RVUs | 8.3490 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$278.87
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.56 | 1 |
| Practice expense | 6.27 | 0.904 |
| Malpractice | 0.24 | 0.504 |
(2.56 × 1 + 6.27 × 0.904 + 0.24 × 0.504) × $33.4009 = $278.87
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.56 | 1 |
| Practice expense | 0.77 | 0.904 |
| Malpractice | 0.24 | 0.504 |
(2.56 × 1 + 0.77 × 0.904 + 0.24 × 0.504) × $33.4009 = $112.80
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.
31623 billing questions
How is brushing different from bronchial washing or lavage?
31623 represents cell collection with a brush. Washing and lavage collect fluid specimens and are represented by 31622 and 31624, respectively.
When should 31625 be considered instead?
Use 31625 when tissue is sampled with biopsy forceps. Brushing collects cells for cytology rather than a tissue specimen.
Can brushing be reported with another bronchoscopy procedure?
The procedure report should identify each technique performed and the sampled site. CMS applies endoscopy family pricing when related endoscopies are performed together.
Should modifier 50 be appended for brushing in both lungs?
No. The CMS bilateral adjustment does not apply to 31623, and modifier 50 is inappropriate.
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.
3,62931614,,Tracheostoma revj complex,A,,8.41,9.59,NA,9.59,,1.23,19.23,19.23,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,63031615,,Trcheobrnchsc est trachs inc,A,,1.79,3.14,,1.01,,0.25,5.18,3.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,63131622,,Dx bronchoscope/wash,A,,2.47,5.68,,0.83,,0.30,8.45,3.60,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,63231623,,Dx bronchoscope/brush,A,,2.56,6.27,,0.77,,0.24,9.07,3.57,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,63331624,,Dx bronchoscope/lavage,A,,2.56,5.77,,0.82,,0.24,8.57,3.62,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,63431625,,Bronchoscopy w/biopsy(s),A,,3.03,8.17,,0.88,,0.30,11.50,4.21,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,63531626,,Bronchoscopy w/markers,A,,3.81,21.78,,1.08,,0.44,26.03,5.33,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,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