No office rate
Both revise an established tracheostoma. Choose 31614 for complex reconstruction and 31613 for simple revision, supported by the operative work.
On this page
CMS RVU26D · Effective 2026-10-01
31614 Stoma revision Medicare reimbursement rates in Nebraska
Reported for complex surgical reconstruction of an established tracheostoma, such as when significant scarring, narrowing, or deformity requires more than simple revision. Compare 31614 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 31614 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
$592.08
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.
Airway surgery
About 31614: Complex tracheostoma reconstruction
Reported for complex surgical reconstruction of an established tracheostoma, such as when significant scarring, narrowing, or deformity requires more than simple revision.
An otolaryngologist or other airway surgeon revises an established tracheostoma when its shape, position, or surrounding tissue makes the opening difficult to maintain or use. Examples include substantial scar contracture or stomal narrowing. The operation may involve extensive release and reconstruction of the opening and surrounding tissues, typically in an operating-room setting. This is repair of an existing stoma, not creation of a new tracheostomy.
Select the complex revision rather than the simple revision based on the documented operative work and extent of reconstruction; the diagnosis alone does not establish complexity. The operative report should describe the stomal problem, tissue changes, and reconstructive steps. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 31614
- 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
- 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 RVU8.41 · 44%
- Practice expense (office) RVU9.59 · 50%
- Malpractice RVU1.23 · 6%
158
Medicare services in 2024 · #4522 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.
31614 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
31600 creates a planned tracheostomy; 31614 revises an opening that already exists.
$159.75
31615 describes tracheobronchoscopy through an established tracheostomy incision. It is an endoscopic examination, not surgical reconstruction of the stoma.
Compare 31614 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
$592.08
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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 31614 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,629
- Code
- 31614
- Physician work
- 8.41
- Practice expense
- 9.59
- Malpractice
- 1.23
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.41 | × 1.000 | 8.4100 |
| Practice expense | 9.59 | × 0.923 | 8.8516 |
| Malpractice | 1.23 | × 0.378 | 0.4649 |
| Total RVUs | 17.7265 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$592.08
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.41 | 1 |
| Practice expense | 9.59 | 0.923 |
| Malpractice | 1.23 | 0.378 |
(8.41 × 1 + 9.59 × 0.923 + 1.23 × 0.378) × $33.4009 = $592.08
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.
31614 billing questions
How do I distinguish this from 31613?
Use 31614 when the documented revision is complex and requires more extensive reconstruction; use 31613 for a simple revision. The operative report should support the level of work.
Is this used to create a new tracheostomy?
No. It revises an established tracheostoma. A procedure that creates a new tracheostomy is a different service, such as 31600 when appropriate.
Are related postoperative visits separately reported?
The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, Medicare pays the highest-valued procedure in full and other procedures at 50%.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeon and team-surgery billing 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.
3,62631611,,Constj trachesophgl fstl,A,,5.85,7.98,NA,7.98,,0.87,14.70,14.70,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,62731612,,Perq trchl pnxr ttrach aspir,A,,0.89,1.81,,0.22,,0.14,2.84,1.25,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,62831613,,Tracheostoma revj simple,A,,4.59,6.52,NA,6.52,,0.75,11.86,11.86,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,62931614,,Tracheostoma revj complex,A,,8.41,9.59,NA,9.59,,1.23,19.23,19.23,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,63031615,,Trcheobrnchsc est trachs inc,A,,1.79,3.14,,1.01,,0.25,5.18,3.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,63131622,,Dx bronchoscope/wash,A,,2.47,5.68,,0.83,,0.30,8.45,3.60,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,63231623,,Dx bronchoscope/brush,A,,2.56,6.27,,0.77,,0.24,9.07,3.57,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
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