No office rate
Use 31800 for an injury repaired in the cervical trachea; 31805 describes repair of an intrathoracic tracheal injury.
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CMS RVU26D · Effective 2026-10-01
31800 Tracheal repair Medicare reimbursement rates in Maine
Reports operative repair of an injured cervical trachea, such as a traumatic neck laceration, when the repair is performed at the neck level. Compare 31800 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 31800 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
No supported rate
Facility setting
$602.74–$627.17
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.
Airway surgery
About 31800: Cervical tracheal injury repair
Reports operative repair of an injured cervical trachea, such as a traumatic neck laceration, when the repair is performed at the neck level.
This code describes operative repair of an injured segment of the cervical trachea. Typical cases include a traumatic laceration of the windpipe in the neck; the injury may follow penetrating or blunt trauma or occur during another procedure. An otolaryngologist, head and neck surgeon, thoracic surgeon, or trauma surgeon typically performs the repair in an operating room, usually in a hospital setting.
Select this code when the operative report identifies the injury and places the repair in the cervical trachea; use the intrathoracic injury code when the repaired segment is within the chest. Documentation should establish the injury’s location and the work performed to restore the tracheal wall. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 31800
- 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 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 RVU7.98 · 41%
- Practice expense (office) RVU10.15 · 53%
- Malpractice RVU1.17 · 6%
34
Medicare services in 2024 · #5581 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.
31800 compared with similar codes
Office rates for Maine, from the same CMS release.
$415.44–$434.95
31820 is for closing a tracheostomy or fistula without plastic repair, not for repairing a traumatic cervical tracheal injury.
$570.09–$594.97
31825 addresses closure of a tracheostomy or fistula with plastic repair; 31800 is selected for repair of an injured cervical trachea.
$456.04–$478.79
31830 revises a tracheostomy scar. It is not the code for repairing an acute injury to the cervical trachea.
Compare 31800 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
Unavailable
Facility
$602.74
Southern Maine →
Office / nonfacility
Unavailable
Facility
$627.17
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31800 billing questions
How does this differ from 31805?
The distinction is the injury’s location: this code is for repair in the cervical trachea, while 31805 is for repair within the chest. The operative report should identify the repaired segment.
Can modifier 50 be reported for a tracheal injury on one side?
No. The descriptor and anatomy make bilateral reporting with modifier 50 inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care.
When is an assistant at surgery payable?
Medicare pays an assistant at surgery only when the record documents medical necessity. Co-surgeons and team surgery are not permitted for this code.
What documentation supports reporting this code?
The operative report should describe the tracheal injury, establish that the repaired segment is cervical, and document the repair performed.
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.
3,67431781,,Reconstruct windpipe,A,,24.23,8.91,NA,8.91,,3.54,36.68,36.68,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67531785,,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