Billing code 31631: Airway stentMedicare rate & RVUs in Nevada

Report this service when bronchoscopy is used to place a stent in the trachea, including associated dilation when performed.

CMS RVU26DEffective Oct 1, 20261 payment locality506 Medicare services in 2024

CMS doesn’t publish an office rate for 31631 in Nevada.

—Office (non-facility)
$197.10Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 31631 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nevada
  2. What 31631 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 31631 covers

An interventional pulmonologist or thoracic surgeon uses a rigid or flexible bronchoscope to place a stent in the trachea, often to support an airway narrowed by stenosis or tumor. The procedure may include dilation to prepare or open the airway, and fluoroscopic guidance may be used. It is typically performed in a hospital or other facility setting.

Report 31631 for tracheal stent placement, not for dilation alone or placement of a bronchial stent. The operative report should identify the tracheal site, the stent placement, and any dilation or imaging guidance performed. The code has 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. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

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.

31631 in Nevada**

31631 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**Unavailable$197.10

How the 31631 rate is calculated

Each of 31631’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 31631

RVUs × geographic indexes × conversion factor

Work4.25

4.25 RVUs× 1.000 GPCI

Practice expense1.25

1.25 RVUs× 1.000 GPCI

Malpractice0.48

0.48 RVUs× 1.000 GPCI

Adjusted RVUs

5.9800

Conversion factor

$33.4009

Medicare rate

$199.74

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 31631

The CMS indicators that decide how 31631 is paid alongside other services.

CMS payment indicators · 31631

Airway stent

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

31631 without 51 · national facility

$199.74

Airway stent

31631-51 · Second procedure: 50%

$99.87

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

31631 compared with similar codes

Compare codes · National

4 codes, side by side

  • 31631

    Airway stent4.25 wRVU

    Not priced

  • 31630

    Bronchoscopy3.71 wRVU

    Not priced

  • 31636

    Bronchial stent4.19 wRVU

    Not priced

  • 31638

    Airway stent revision4.76 wRVU

    Not priced

How to choose

31630Bronchoscopy
Choose 31631 when a tracheal stent is placed. Choose 31630 for bronchoscopic dilation or fracture reduction without that stent placement.
31636Bronchial stent
The placement site controls the choice: 31631 is for the trachea, while 31636 is for initial stent placement in a bronchus.
31638Airway stent revision
31631 reports tracheal stent placement; 31638 concerns revision of a previously placed tracheal or bronchial stent.

31631 billing questions

How does 31631 differ from 31630?

31631 is for placing a stent in the trachea. Use 31630 for bronchoscopy with airway dilation or fracture reduction when no tracheal stent is placed.

When should 31636 be used instead?

31636 describes initial stent placement in a bronchus. The placement site distinguishes it from 31631, which is for the trachea.

Can diagnostic bronchoscopy be reported separately?

Related endoscopies performed together are subject to endoscopy family pricing. Document the distinct services performed; do not assume a diagnostic inspection is separately reportable merely because it was performed.

Is modifier 50 appropriate for stents placed on both sides?

No. The CMS bilateral adjustment does not apply to 31631, and modifier 50 is inappropriate for this code.

What documentation supports 31631?

Document the tracheal location, the stent placement, and any dilation or fluoroscopic guidance performed. The record should distinguish tracheal placement from bronchial stent placement.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 31631. 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 31631PPRRVU2026_Oct_nonQPP.csv, line 3,640 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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