$249.39–$263.55
31575 is diagnostic flexible-scope visualization. Choose 31576 when a biopsy is performed during the laryngoscopy.
On this page
CMS RVU26D · Effective 2026-10-01
31575 Laryngoscopy Medicare reimbursement rates in Maine
Report this service for a flexible-scope examination of the larynx to evaluate symptoms such as hoarseness, voice change, or swallowing difficulty. Compare 31575 office and facility rates across CMS payment localities in Maine.
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 31575 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$118.24–$124.83
2 of 2 localities have a supported rate.
Facility setting
$57.40–$59.29
2 of 2 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.
Otolaryngology
About 31575: Flexible diagnostic larynx examination
Report this service for a flexible-scope examination of the larynx to evaluate symptoms such as hoarseness, voice change, or swallowing difficulty.
An otolaryngologist commonly passes a flexible scope through the nose to inspect the larynx and assess structures such as the vocal folds and their movement. In an office or facility setting, the examination may help evaluate hoarseness, voice change, throat symptoms, or swallowing complaints. This code represents diagnostic visualization, not an examination that includes biopsy, lesion removal, or injection treatment.
Document the reason for the examination, the scope examination performed, structures and findings observed, and relevant vocal fold movement. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not use modifier 50; CMS identifies bilateral adjustment as inappropriate for this service. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 31575
- 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 RVU0.92 · 24%
- Practice expense (office) RVU2.76 · 72%
- Malpractice RVU0.13 · 3%
540.3K
Medicare services in 2024 · #216 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.
31575 compared with similar codes
Office rates for Maine, from the same CMS release.
$181.96–$190.97
31579 includes stroboscopic assessment of vocal fold vibration. Use 31575 for flexible diagnostic examination without that assessment.
$282.69–$297.93
31578 describes laryngoscopy with lesion removal; 31575 is for diagnostic examination without removal.
$832.43–$890.09
31574 includes vocal fold augmentation injection. 31575 describes diagnostic visualization without the injection treatment.
Compare 31575 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$118.24
Facility
$57.40
Southern Maine →
Office / nonfacility
$124.83
Facility
$59.29
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31575 billing questions
When should 31575 be used instead of 31576?
Use 31575 for flexible-scope diagnostic visualization without biopsy. When the examination includes a biopsy, 31576 describes the biopsy service.
Can 31575 be reported when a lesion is removed?
When the scope examination includes lesion removal, use the code describing that treatment, such as 31578, rather than reporting a diagnostic-only service for the same examination.
What documentation supports 31575?
Record the indication, flexible-scope examination, structures visualized, findings, and relevant vocal fold movement.
Should modifier 50 be appended for both vocal folds?
No. CMS identifies bilateral adjustment as inappropriate for this service; do not append modifier 50.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to a 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for 31575. Co-surgeons and team surgery are 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.
3,60531572,,Largsc w/laser dstrj les,A,,2.93,11.96,,1.28,,0.43,15.32,4.64,0,000,0.00,0.00,0.00,3,1,0,0,0,9,31575,33.4009,09,0,99,0.00,0.00,0.00
3,60631573,,Largsc w/ther injection,A,,2.37,5.87,,1.13,,0.36,8.60,3.86,0,000,0.00,0.00,0.00,3,1,0,0,0,9,31575,33.4009,09,0,99,0.00,0.00,0.00
3,60731574,,Largsc w/njx augmentation,A,,2.37,24.27,,1.14,,0.36,27.00,3.87,0,000,0.00,0.00,0.00,3,1,0,0,0,9,31575,33.4009,09,0,99,0.00,0.00,0.00
3,60831575,,Diagnostic laryngoscopy,A,,0.92,2.76,,0.78,,0.13,3.81,1.83,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,60931576,,Laryngoscopy with biopsy,A,,1.84,5.94,,1.01,,0.26,8.04,3.11,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31575,33.4009,09,0,99,0.00,0.00,0.00
3,61031577,,Largsc w/rmvl foreign bdy(s),A,,2.14,5.87,,1.08,,0.34,8.35,3.56,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31575,33.4009,09,0,99,0.00,0.00,0.00
3,61131578,,Largsc w/removal lesion,A,,2.37,6.38,,1.14,,0.36,9.11,3.87,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31575,33.4009,09,0,99,0.00,0.00,0.00