$1,067.75
Use 31627 for bronchoscopic navigation to a target. Use 31626 for placing fiducial markers; a procedure may include both services.
On this page
CMS RVU26D · Effective 2026-10-01
31626 Fiducial placement Medicare reimbursement rates in Nebraska
Reports bronchoscopic placement of one or more fiducial markers near a lung target for image-guided radiation treatment or lesion localization. Compare 31626 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 31626 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
$804.27
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$166.11
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.
Bronchoscopy
About 31626: Bronchoscopic fiducial marker placement
Reports bronchoscopic placement of one or more fiducial markers near a lung target for image-guided radiation treatment or lesion localization.
During flexible or rigid bronchoscopy, a pulmonologist or thoracic surgeon places one or more radiopaque fiducial markers in or near a pulmonary target. The markers provide a reference for later image-guided treatment, commonly stereotactic radiation, or for localizing a small lung lesion. The procedure is typically performed in a hospital bronchoscopy suite or operating room, often with imaging guidance and anesthesia support.
Report 31626 for marker placement, whether one or several markers are placed. Documentation should identify the target, marker number and locations, bronchoscopic approach, and clinical purpose. Navigation to a peripheral target or tissue sampling may also be performed and evaluated under the applicable bronchoscopy codes. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 31626
- 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
- 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 RVU3.81 · 15%
- Practice expense (office) RVU21.78 · 84%
- Malpractice RVU0.44 · 2%
3.8K
Medicare services in 2024 · #2031 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.
31626 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$379.93
31628 describes transbronchial lung biopsy, which obtains tissue. 31626 places markers for later localization or treatment.
$356.87
31625 describes bronchoscopic biopsy of an endobronchial or other airway lesion. 31626 describes marker deployment, not tissue sampling.
Compare 31626 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
$804.27
Facility
$166.11
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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 31626 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,635
- Code
- 31626
- Physician work
- 3.81
- Practice expense
- 21.78
- Malpractice
- 0.44
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.81 | × 1.000 | 3.8100 |
| Practice expense | 21.78 | × 0.923 | 20.1029 |
| Malpractice | 0.44 | × 0.378 | 0.1663 |
| Total RVUs | 24.0793 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$804.27
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.81 | 1 |
| Practice expense | 21.78 | 0.923 |
| Malpractice | 0.44 | 0.378 |
(3.81 × 1 + 21.78 × 0.923 + 0.44 × 0.378) × $33.4009 = $804.27
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.81 | 1 |
| Practice expense | 1.08 | 0.923 |
| Malpractice | 0.44 | 0.378 |
(3.81 × 1 + 1.08 × 0.923 + 0.44 × 0.378) × $33.4009 = $166.11
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.
31626 billing questions
Is 31626 reported once per marker?
No. The code includes placement of a single marker or multiple markers; document how many were placed and their locations.
How is 31626 different from navigational bronchoscopy?
31626 represents deployment of fiducial markers. 31627 represents navigational guidance to a bronchoscopic target; both services may be performed during the same procedure.
Can lung biopsy be reported with marker placement?
A distinct lung biopsy may be performed during the same bronchoscopy and considered under the applicable biopsy code. Document the tissue-sampling service separately from marker deployment.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
How does Medicare pay when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and the other procedures are paid at 50% under the standard multiple procedure reduction.
Can modifier 50 be used when markers are placed on both sides?
No. CMS identifies modifier 50 as inappropriate for this descriptor and anatomy.
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.
3,63231623,,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
3,63531626,,Bronchoscopy w/markers,A,,3.81,21.78,,1.08,,0.44,26.03,5.33,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,63631627,,Navigational bronchoscopy,A,,1.95,32.44,,0.40,,0.20,34.59,2.55,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,63731628,,Bronchoscopy/lung bx each,A,,3.46,8.44,,0.96,,0.33,12.23,4.75,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,63831629,,Bronchoscopy/needle bx each,A,,3.66,10.86,,1.02,,0.36,14.88,5.04,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
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