No office rate
Both codes describe laryngoplasty for stenosis in a patient age 12 or older. Use 31552 when a graft is used; use 31554 when reconstruction is performed without a graft.
On this page
CMS RVU26D · Effective 2026-10-01
31554 Laryngoplasty Medicare reimbursement rates in Nebraska
Reports open laryngeal reconstruction for stenosis in a patient age 12 or older when the procedure is performed without a graft. Compare 31554 office and facility rates across CMS payment localities in Nebraska.
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 31554 in Nebraska?
Nebraska 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
No supported rate
Facility setting
$1383.21
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Laryngology surgery
About 31554: Adult laryngoplasty for laryngeal stenosis without graft
Reports open laryngeal reconstruction for stenosis in a patient age 12 or older when the procedure is performed without a graft.
An otolaryngologist performs this open reconstructive operation to enlarge or reshape a narrowed laryngeal airway in a patient age 12 or older. The procedure is for laryngeal stenosis and is distinguished by reconstruction without a graft; tracheotomy is included in the service. It is a substantive airway operation, not an endoscopic inspection or dilation alone.
Choose this code based on the patient’s age and the operative method, not simply the diagnosis of stenosis. The operative report should establish the laryngeal stenosis, the reconstructive work performed, the patient’s age, use or nonuse of a graft, and any tracheotomy. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon payment require supporting documentation; team surgery is not permitted.
CMS billing rules for 31554
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU21.45 · 48%
- Practice expense (office) RVU20.35 · 45%
- Malpractice RVU3.12 · 7%
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.
31554 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
Both describe laryngoplasty for stenosis without a graft. Code 31553 is for a patient under 12; 31554 is for a patient age 12 or older.
No office rate
Code 31529 represents endoscopic dilation of laryngeal stenosis. Code 31554 is for open laryngoplasty reconstruction without a graft in a patient age 12 or older.
Compare 31554 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$1383.21
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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 31554 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,599
- Code
- 31554
- Physician work
- 21.45
- Practice expense
- 20.35
- Malpractice
- 3.12
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.45 | × 1.000 | 21.4500 |
| Practice expense | 20.35 | × 0.923 | 18.7831 |
| Malpractice | 3.12 | × 0.378 | 1.1794 |
| Total RVUs | 41.4124 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$1383.21
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.45 | 1 |
| Practice expense | 20.35 | 0.923 |
| Malpractice | 3.12 | 0.378 |
(21.45 × 1 + 20.35 × 0.923 + 3.12 × 0.378) × $33.4009 = $1383.21
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.
31554 billing questions
How is this distinguished from the other laryngoplasty stenosis codes?
This code is for a patient age 12 or older whose laryngeal stenosis is reconstructed without a graft. The other codes in the group distinguish age and graft use.
Is tracheotomy included?
Yes. Tracheotomy is included in this laryngoplasty service; it should not be treated as a separate service merely because it was performed as part of the reconstruction.
Can this code be reported for endoscopic dilation of stenosis?
No. This code describes laryngoplasty for stenosis, not endoscopic dilation alone. Code 31529 is the related dilation procedure.
What should the operative report document?
Document the stenosis, the laryngeal reconstruction performed, the patient’s age, whether a graft was used, and any tracheotomy.
Can modifier 50 be used for bilateral work?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How are assistant and co-surgeon claims handled?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment requires supporting documentation, and team surgery is 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.
3,59631551,,Laryngoplasty laryngeal sten,A,,20.96,17.05,NA,17.05,,3.05,41.06,41.06,0,090,0.10,0.76,0.14,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,59731552,,Laryngoplasty laryngeal sten,A,,19.99,16.84,NA,16.84,,2.92,39.75,39.75,0,090,0.10,0.76,0.14,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,59831553,,Laryngoplasty laryngeal sten,A,,21.45,20.33,NA,20.33,,3.12,44.90,44.90,0,090,0.10,0.76,0.14,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,59931554,,Laryngoplasty laryngeal sten,A,,21.45,20.35,NA,20.35,,3.12,44.92,44.92,0,090,0.10,0.76,0.14,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,6003155F,,Cytogen test marrow b/4 tx,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
3,60131560,,Laryngoscop w/arytenoidectom,A,,5.31,1.80,NA,1.80,,0.79,7.90,7.90,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31525,33.4009,09,0,99,0.00,0.00,0.00
3,60231561,,Larynscop remve cart + scop,A,,5.84,1.93,NA,1.93,,0.85,8.62,8.62,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31526,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068