$831.93
Choose 31573 for therapeutic medication injection, such as botulinum toxin. Choose 31574 when the injection augments vocal-fold volume.
On this page
CMS RVU26D · Effective 2026-10-01
31573 Laryngoscopy Medicare reimbursement rates in Nebraska
Reports flexible laryngoscopy used to deliver therapeutic injections to laryngeal structures, such as botulinum toxin for spasmodic dysphonia. Compare 31573 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 31573 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
$264.67
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$118.54
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.
Otolaryngology procedure
About 31573: Flexible laryngoscopy with therapeutic injection
Reports flexible laryngoscopy used to deliver therapeutic injections to laryngeal structures, such as botulinum toxin for spasmodic dysphonia.
An otolaryngologist or laryngologist passes a flexible scope to visualize the larynx and deliver one or more therapeutic injections. A common use is botulinum toxin injection for spasmodic dysphonia; medication may also be injected for another therapeutic purpose. The flexible approach distinguishes this service from injection performed during direct laryngoscopy. It is commonly performed in an office or procedural setting, with the record identifying the target and therapeutic agent.
Report the service when the flexible laryngoscopy and therapeutic injection are performed, not for diagnostic visualization alone or injection intended to augment vocal-fold volume. Document the approach, injection site, purpose, and medication. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. For a bilateral procedure, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 31573
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU2.37 · 28%
- Practice expense (office) RVU5.87 · 68%
- Malpractice RVU0.36 · 4%
3K
Medicare services in 2024 · #2180 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.
31573 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$316.60
Both describe therapeutic vocal-cord injection, but 31570 uses direct laryngoscopy; 31573 uses flexible laryngoscopy.
$472.01
31572 treats laryngeal lesions by ablation or destruction. 31573 delivers therapeutic injections instead.
$117.46
31575 is diagnostic flexible laryngoscopy. Report 31573 when the flexible examination includes therapeutic injection.
Compare 31573 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
$264.67
Facility
$118.54
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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 31573 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,606
- Code
- 31573
- Physician work
- 2.37
- Practice expense
- 5.87
- Malpractice
- 0.36
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.37 | × 1.000 | 2.3700 |
| Practice expense | 5.87 | × 0.923 | 5.4180 |
| Malpractice | 0.36 | × 0.378 | 0.1361 |
| Total RVUs | 7.9241 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$264.67
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.37 | 1 |
| Practice expense | 5.87 | 0.923 |
| Malpractice | 0.36 | 0.378 |
(2.37 × 1 + 5.87 × 0.923 + 0.36 × 0.378) × $33.4009 = $264.67
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.37 | 1 |
| Practice expense | 1.13 | 0.923 |
| Malpractice | 0.36 | 0.378 |
(2.37 × 1 + 1.13 × 0.923 + 0.36 × 0.378) × $33.4009 = $118.54
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.
31573 billing questions
How does 31573 differ from 31574?
31573 is for therapeutic injection, such as botulinum toxin. Use 31574 when the injection is intended to augment vocal-fold volume.
How does 31573 differ from 31570 or 31571?
31573 uses a flexible laryngoscope. Codes 31570 and 31571 describe therapeutic vocal-cord injection performed through direct laryngoscopy.
Can diagnostic laryngoscopy be reported separately?
The flexible visualization needed to perform the therapeutic injection is part of 31573. A separate diagnostic scope service should not be reported for that same work.
How is a bilateral injection reported?
For a bilateral procedure, report modifier 50; CMS pays 150% under the rule for this code.
What documentation supports 31573?
Document the flexible approach, laryngeal injection site, therapeutic purpose, and medication used. For assistant-at-surgery payment, the record must establish medical necessity.
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.
3,60331570,,Laryngoscope w/vc inj,A,,3.76,5.95,,1.52,,0.60,10.31,5.88,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31525,33.4009,09,0,99,0.00,0.00,0.00
3,60431571,,Laryngoscop w/vc inj + scope,A,,4.15,1.58,NA,1.58,,0.60,6.33,6.33,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31526,33.4009,09,0,99,0.00,0.00,0.00
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
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