No office rate
Choose 31640 when the bronchoscopic tumor treatment removes tissue by excision. Choose 31641 for tumor destruction or stenosis relief without excision.
On this page
CMS RVU26D · Effective 2026-10-01
31641 Therapeutic bronchoscopy Medicare reimbursement rates in Nebraska
Report this therapeutic bronchoscopy for destruction of an airway tumor or relief of stenosis using a method other than excision. Compare 31641 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 31641 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
$210.83
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 endoscopy
About 31641: Bronchoscopic destruction of airway obstruction
Report this therapeutic bronchoscopy for destruction of an airway tumor or relief of stenosis using a method other than excision.
This service treats an obstructing endobronchial tumor or narrowed airway through a rigid or flexible bronchoscope, using a destructive technique rather than excision. A pulmonologist, interventional pulmonologist, or thoracic surgeon may use methods such as laser treatment, thermal ablation, or cryotherapy to restore airway patency. It is commonly performed in a hospital or other procedural setting for malignant or benign airway obstruction.
Select the code when the documented treatment destroys tumor or relieves stenosis without removing the tissue by excision; use the operative report to identify the airway site, obstruction, and technique. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. Modifier 50 is inappropriate, and no bilateral adjustment applies. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 31641
- 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 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 RVU4.89 · 73%
- Practice expense (office) RVU1.34 · 20%
- Malpractice RVU0.49 · 7%
6.1K
Medicare services in 2024 · #1741 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.
31641 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
31630 describes bronchoscopic dilation of an airway. This code describes tumor destruction or stenosis relief by a method other than excision.
No office rate
31631 is used when bronchoscopic dilation includes stent placement. This code is for non-excisional tumor destruction or stenosis relief, not stent placement.
Compare 31641 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
$210.83
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 31641 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,649
- Code
- 31641
- Physician work
- 4.89
- Practice expense
- 1.34
- Malpractice
- 0.49
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.89 | × 1.000 | 4.8900 |
| Practice expense | 1.34 | × 0.923 | 1.2368 |
| Malpractice | 0.49 | × 0.378 | 0.1852 |
| Total RVUs | 6.3120 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$210.83
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.89 | 1 |
| Practice expense | 1.34 | 0.923 |
| Malpractice | 0.49 | 0.378 |
(4.89 × 1 + 1.34 × 0.923 + 0.49 × 0.378) × $33.4009 = $210.83
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.
31641 billing questions
When should this code be chosen over 31640?
Use this code when the airway tumor is destroyed or stenosis is relieved without excision. Code 31640 describes bronchoscopic tumor excision.
How does this differ from bronchoscopic dilation?
This code represents tumor destruction or stenosis relief by a method other than excision. Codes 31630 and 31631 describe dilation, with 31631 involving stent placement.
What documentation supports reporting this service?
Document the airway location and obstruction, the therapeutic method, and how the procedure treated the tumor or stenosis. The record should distinguish destruction or non-excisional stenosis relief from tissue excision.
Can modifier 50 be reported?
No. CMS does not apply a bilateral adjustment, and modifier 50 is inappropriate for this bronchoscopic service.
What happens when related endoscopies are performed in the same session?
CMS applies endoscopy-family pricing when related endoscopies are performed together. Same-day preoperative and postoperative care is included in this code's 0-day global period.
Can an assistant surgeon or co-surgeon be paid?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery 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.
3,64631637,,Bronchoscopy stent add-on,A,,1.54,0.32,NA,0.32,,0.15,2.01,2.01,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,64731638,,Bronchoscopy revise stent,A,,4.76,1.32,NA,1.32,,0.48,6.56,6.56,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,64831640,,Bronchoscopy w/tumor excise,A,,4.81,1.28,NA,1.28,,0.44,6.53,6.53,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,64931641,,Bronchoscopy treat blockage,A,,4.89,1.34,NA,1.34,,0.49,6.72,6.72,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,65031643,,Diag bronchoscope/catheter,A,,3.40,0.88,NA,0.88,,0.28,4.56,4.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65131645,,Brnchsc w/ther aspir 1st,A,,2.81,6.13,,0.89,,0.29,9.23,3.99,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,65231646,,Brnchsc w/ther aspir sbsq,A,,2.71,0.88,NA,0.88,,0.27,3.86,3.86,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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