$406.93
31628 reports transbronchial lung biopsy. 31627 reports computer-assisted navigation, an add-on that may guide the biopsy.
On this page
CMS RVU26D · Effective 2026-10-01
31627 Navigational bronchoscopy Medicare reimbursement rates in Nevada
Add-on service for bronchoscopic computer-assisted navigation that guides instruments toward a lung target during a separately reported bronchoscopy procedure. Compare 31627 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 31627 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
$1155.31
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$84.07
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.
Pulmonary procedure
About 31627: Computer-assisted navigational bronchoscopy
Add-on service for bronchoscopic computer-assisted navigation that guides instruments toward a lung target during a separately reported bronchoscopy procedure.
This service uses computer-assisted, image-guided navigation to direct a bronchoscope or instruments toward a planned lung target, often a peripheral pulmonary lesion that is difficult to reach with standard airway inspection. Pulmonologists and thoracic surgeons may use it during bronchoscopy to guide sampling or another bronchoscopic intervention in a hospital or outpatient setting.
Report 31627 with a primary bronchoscopy procedure, not by itself. The record should identify the target, describe use of the navigation system, and document the primary bronchoscopic service performed. For example, navigation may guide a transbronchial lung biopsy or needle biopsy; the biopsy procedure is reported separately when performed. CMS classifies 31627 as an add-on code, and payment falls within the primary procedure’s global period.
CMS billing rules for 31627
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.95 · 6%
- Practice expense (office) RVU32.44 · 94%
- Malpractice RVU0.20 · 1%
32.5K
Medicare services in 2024 · #942 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.
31627 compared with similar codes
Office rates for Nevada, from the same CMS release.
$495.36
31629 reports transbronchial needle biopsy. Use 31627 for computer-assisted navigation to the target, not for the needle sampling itself.
$867.70
31626 reports bronchoscopic placement of markers. 31627 reports computer-assisted navigation; navigation alone does not establish marker placement.
$280.75
31622 reports diagnostic bronchoscopy with washing. 31627 is an add-on for computer-assisted navigation and requires a primary bronchoscopy procedure.
Compare 31627 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
$1155.31
Facility
$84.07
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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 31627 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
3,636
- Code
- 31627
- Physician work
- 1.95
- Practice expense
- 32.44
- Malpractice
- 0.20
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.95 | × 1.000 | 1.9500 |
| Practice expense | 32.44 | × 1.001 | 32.4724 |
| Malpractice | 0.20 | × 0.833 | 0.1666 |
| Total RVUs | 34.5890 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$1155.31
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.95 | 1 |
| Practice expense | 32.44 | 1.001 |
| Malpractice | 0.2 | 0.833 |
(1.95 × 1 + 32.44 × 1.001 + 0.2 × 0.833) × $33.4009 = $1155.31
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.95 | 1 |
| Practice expense | 0.4 | 1.001 |
| Malpractice | 0.2 | 0.833 |
(1.95 × 1 + 0.4 × 1.001 + 0.2 × 0.833) × $33.4009 = $84.07
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.
31627 billing questions
Can 31627 be reported by itself?
No. It is an add-on code and must be billed with a primary bronchoscopy procedure.
How does 31627 differ from 31628?
31627 captures computer-assisted navigation to a lung target. 31628 reports the transbronchial lung biopsy itself; report both when both services are performed and supported.
Does 31627 include the biopsy?
No. Navigation describes guidance to the target, while a biopsy or other therapeutic service is reported with its own primary procedure code when performed.
What documentation supports 31627?
Document the planned lung target, use of computer-assisted image-guided navigation, and the primary bronchoscopy procedure performed.
How is payment handled for this add-on code?
CMS treats 31627 as an add-on paid within the primary procedure’s global period. It must accompany a primary procedure.
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.
3,63331624,,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
3,63931630,,Bronchoscopy dilate/fx repr,A,,3.71,1.14,NA,1.14,,0.44,5.29,5.29,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
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