$281.83
Choose 31623 when bronchial brushing is performed to collect a specimen. Diagnostic inspection with washing when performed is described by 31622.
On this page
CMS RVU26D · Effective 2026-10-01
31622 Bronchoscopy Medicare reimbursement rates in Nebraska
Reports diagnostic rigid or flexible bronchoscopy with airway inspection and bronchial washing when performed, without a separately described sampling or therapeutic procedure. Compare 31622 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 31622 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
$261.40
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$111.88
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.
Pulmonary procedures
About 31622: Diagnostic bronchoscopy with washing
Reports diagnostic rigid or flexible bronchoscopy with airway inspection and bronchial washing when performed, without a separately described sampling or therapeutic procedure.
A pulmonologist or other qualified physician uses a rigid or flexible bronchoscope to inspect the tracheobronchial tree for diagnostic purposes. The service may include bronchial washing: saline is introduced into an airway and retrieved for cytology or microbiology. Typical indications include evaluating hemoptysis, persistent cough, suspected airway lesions, or infection. Bronchoscopy is commonly performed in a hospital or ambulatory surgery center, with office use less frequent.
Report this code when the diagnostic examination, with washing if performed, is the service provided; document the indication, scope findings, and any washing collected. Use a more specific bronchoscopy code when brushings, lavage, or biopsy are performed. The 0-day global period includes same-day preoperative and postoperative care. For multiple procedures in one session, Medicare pays the highest-valued procedure in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 31622
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU2.47 · 29%
- Practice expense (office) RVU5.68 · 67%
- Malpractice RVU0.30 · 4%
30.4K
Medicare services in 2024 · #974 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.
31622 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$266.42
Choose 31624 for bronchoalveolar lavage, which samples distal airways and alveolar regions; 31622 describes diagnostic bronchoscopy with bronchial washing when performed.
$356.87
Choose 31625 when bronchial or endobronchial tissue is sampled by biopsy. Inspection and washing without that biopsy are described by 31622.
Compare 31622 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
$261.40
Facility
$111.88
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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 31622 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,631
- Code
- 31622
- Physician work
- 2.47
- Practice expense
- 5.68
- Malpractice
- 0.30
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.47 | × 1.000 | 2.4700 |
| Practice expense | 5.68 | × 0.923 | 5.2426 |
| Malpractice | 0.30 | × 0.378 | 0.1134 |
| Total RVUs | 7.8260 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$261.40
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.47 | 1 |
| Practice expense | 5.68 | 0.923 |
| Malpractice | 0.3 | 0.378 |
(2.47 × 1 + 5.68 × 0.923 + 0.3 × 0.378) × $33.4009 = $261.40
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.47 | 1 |
| Practice expense | 0.83 | 0.923 |
| Malpractice | 0.3 | 0.378 |
(2.47 × 1 + 0.83 × 0.923 + 0.3 × 0.378) × $33.4009 = $111.88
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.
31622 billing questions
When should 31622 be used instead of 31624?
Use 31622 for diagnostic airway inspection with bronchial washing when performed. Use 31624 when bronchoalveolar lavage is performed to sample more distal airways and alveolar regions.
Can 31622 be reported with a bronchoscopy biopsy code?
The diagnostic inspection is generally part of a more definitive bronchoscopic procedure and is not separately reported with it. Report the code for the biopsy service performed.
Does bronchial washing require a separate code?
No. Washing is included in 31622 when performed; the documentation should identify the washing and its purpose.
How does 31622 differ from 31623?
31622 covers diagnostic inspection with washing when performed. 31623 identifies bronchial brushing, so use it when a brush is used to collect a specimen.
What should the procedure note support?
Document the diagnostic indication, whether a rigid or flexible scope was used, the airway examination and findings, and any washing or other sampling performed.
How are other same-session procedures paid?
When multiple procedures are performed in one session, Medicare pays the highest-valued procedure in full and the others at 50%. Modifier 50 is inappropriate for 31622.
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.
3,62831613,,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
3,63331624,,Dx bronchoscope/lavage,A,,2.56,5.77,,0.82,,0.24,8.57,3.62,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,63431625,,Bronchoscopy w/biopsy(s),A,,3.03,8.17,,0.88,,0.30,11.50,4.21,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
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