No office rate
31360 describes total laryngeal removal without radical neck dissection. This code describes partial removal with radical neck dissection.
On this page
CMS RVU26D · Effective 2026-10-01
31367 Partial laryngectomy Medicare reimbursement rates in Nevada
Reports removal of part of the larynx with radical neck dissection, typically for selected laryngeal cancer when the operative plan preserves some laryngeal structure. Compare 31367 office and facility rates across CMS payment localities in Nevada.
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 31367 in Nevada?
Nevada 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
$1898.46
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 surgery
About 31367: Partial laryngectomy with neck dissection
Reports removal of part of the larynx with radical neck dissection, typically for selected laryngeal cancer when the operative plan preserves some laryngeal structure.
An otolaryngologist or head and neck surgeon removes part of the larynx and performs a radical neck dissection during the same operation. This is generally a hospital operating-room procedure for selected laryngeal malignancies when the planned resection preserves some laryngeal structure. The code represents the combined operation, not a limited biopsy or removal of a small laryngeal lesion alone.
Choose the code from the operative report’s description of the laryngeal resection and neck dissection; document the tissues removed and the extent of each part of the procedure. The included radical neck dissection is not separately reported as another procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation. Do not append modifier 50 for bilateral work, and team-surgery payment is not permitted.
CMS billing rules for 31367
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU29.81 · 52%
- Practice expense (office) RVU23.39 · 41%
- Malpractice RVU4.34 · 8%
39
Medicare services in 2024 · #5516 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.
31367 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
31365 is the total-laryngectomy option with radical neck dissection. Use this code when the laryngeal resection is partial.
No office rate
31300 concerns laryngotomy for a laryngeal lesion, not partial laryngectomy with radical neck dissection.
No office rate
31368 is a neighboring partial-laryngectomy code. Compare its full descriptor with the operative report rather than selecting by code proximity.
Compare 31367 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
Nevada** →
Office / nonfacility
Unavailable
Facility
$1898.46
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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 31367 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
3,560
- Code
- 31367
- Physician work
- 29.81
- Practice expense
- 23.39
- Malpractice
- 4.34
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.81 | × 1.000 | 29.8100 |
| Practice expense | 23.39 | × 1.001 | 23.4134 |
| Malpractice | 4.34 | × 0.833 | 3.6152 |
| Total RVUs | 56.8386 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$1898.46
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 29.81 | 1 |
| Practice expense | 23.39 | 1.001 |
| Malpractice | 4.34 | 0.833 |
(29.81 × 1 + 23.39 × 1.001 + 4.34 × 0.833) × $33.4009 = $1898.46
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.
31367 billing questions
How is this code different from a total laryngectomy?
This code describes removal of part of the larynx with radical neck dissection. A total laryngectomy removes the entire larynx, so select the code that matches the operation documented.
Is the radical neck dissection separately reported?
The neck dissection is included in this combined procedure. Do not report it again as a separate procedure for the same operative work.
Can modifier 50 be used for bilateral work?
No. CMS identifies modifier 50 as inappropriate for this code; do not use it to represent bilateral work.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
3,5573132F,,Doc ref upper gi endoscopy,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,55831360,,Removal of larynx,A,,29.16,20.60,NA,20.60,,4.30,54.06,54.06,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,55931365,,Removal of larynx,A,,37.84,22.82,NA,22.82,,5.69,66.35,66.35,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56031367,,Partial removal of larynx,A,,29.81,23.39,NA,23.39,,4.34,57.54,57.54,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56131368,,Partial removal of larynx,A,,33.34,25.22,NA,25.22,,4.87,63.43,63.43,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56231370,,Partial removal of larynx,A,,26.88,23.47,NA,23.47,,3.92,54.27,54.27,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56331375,,Partial removal of larynx,A,,25.42,22.56,NA,22.56,,3.70,51.68,51.68,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097