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CMS RVU26D · Effective 2026-10-01

31636 Bronchial stent Medicare reimbursement rates in Missouri

Bronchoscopic placement of a stent in an initial bronchus to maintain airway patency, such as for a narrowed or obstructed bronchus. Compare 31636 office and facility rates across CMS payment localities in Missouri.

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 31636 in Missouri?

Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$189.39–$193.47

3 of 3 localities have a supported rate.

Lowest: Rest Of Missouri

Highest: Metropolitan St. Louis

A spread of $4.08 per service.

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.

Find 31636 in your payment locality →

Where 31636 pays more and less in Missouri

Pulmonary endoscopy

About 31636: Bronchial stent placement by bronchoscopy

Bronchoscopic placement of a stent in an initial bronchus to maintain airway patency, such as for a narrowed or obstructed bronchus.

A pulmonologist or thoracic surgeon uses a bronchoscope to position and deploy a stent in a bronchus, commonly to keep an airway open when narrowing or obstruction limits airflow. The procedure is typically performed in a hospital or other procedural setting, often for airway compromise from a tumor or a benign stenosis. Fluoroscopic guidance may be used when needed. This code identifies stenting in the initial bronchus; a separate add-on code is available when another bronchus is stented during the same session.

Report the service when the record supports bronchoscopic stent placement and identifies the treated bronchus and reason for maintaining its patency. A minor-procedure 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Bilateral adjustment does not apply, and modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery; co-surgeons and team surgery are not permitted.

CMS billing rules for 31636

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 RVU4.19 · 72%
  • Practice expense (office) RVU1.22 · 21%
  • Malpractice RVU0.44 · 8%

882

Medicare services in 2024 · #3061 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.

31636 compared with similar codes

Office rates for Missouri, from the same CMS release.

31631

Airway stent

Tracheal stent placement

No office rate

Choose 31631 when the stent is placed in the trachea; 31636 is for a bronchus.

31637

Bronchial stent

Each additional bronchus

No office rate

31636 covers the initial bronchus stented. Use 31637 for an additional bronchus treated in the same session.

31638

Airway stent revision

Tracheal or bronchial stent

No office rate

31638 describes revision of an existing tracheal or bronchial stent, not initial bronchial stent placement.

31630

Bronchoscopy

Airway dilation without stent

No office rate

31630 is for bronchoscopic dilation of an airway; 31636 is reported when a stent is placed in a bronchus.

Compare 31636 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.

3 of 3 payment localities

Office and facility base rates · shared scale starting at $0

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31636 billing questions

When should 31636 be used instead of 31631?

Use 31636 for stent placement in a bronchus. Code 31631 is for placement in the trachea.

How is another stented bronchus reported?

When an additional bronchus is stented in the same session, report the applicable add-on code, 31637, with 31636.

Can modifier 50 be reported for stenting both sides?

No. CMS identifies bilateral adjustment as inapplicable to this service, and modifier 50 is inappropriate.

What documentation supports 31636?

Document bronchoscopic stent placement, the bronchus treated, and the clinical reason for maintaining airway patency. Record any additional bronchus treated when applicable.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant-at-surgery claim for this code. 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.

RVUs for 31636PPRRVU2026_Oct_nonQPP.csv, line 3,645 (RVU26D)