$495.36
31629 reports the primary bronchoscopic needle aspiration biopsy service. Use 31633 only for needle aspiration biopsy in an additional lobe, with the primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
31633 Bronchoscopic needle biopsy Medicare reimbursement rates in Nevada
Reports needle aspiration biopsy during bronchoscopy when the physician samples an additional lung lobe beyond the lobe represented by the primary procedure. Compare 31633 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 31633 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
$85.54
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$55.45
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.
Bronchoscopy
About 31633: Additional-lobe bronchoscopic needle biopsy
Reports needle aspiration biopsy during bronchoscopy when the physician samples an additional lung lobe beyond the lobe represented by the primary procedure.
This add-on describes bronchoscopic transbronchial needle aspiration biopsy in an additional lung lobe. A pulmonologist or other qualified physician performs the sampling through a flexible or rigid bronchoscope, commonly during diagnostic evaluation of a suspected pulmonary lesion. The needle passes through the airway wall to obtain tissue or cells from the targeted site. The code distinguishes sampling in another lobe from additional needle passes or specimens taken in the same lobe.
Report 31633 with the primary bronchoscopic needle aspiration procedure, 31629, when documentation supports sampling in an additional lobe. Record the lobes sampled and the bronchoscopic needle-biopsy technique so the additional-lobe service is clear. CMS identifies 31633 as an add-on code: it is billed only with a primary procedure and paid within that procedure's global period.
CMS billing rules for 31633
- 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 RVU1.29 · 50%
- Practice expense (office) RVU1.17 · 45%
- Malpractice RVU0.12 · 5%
2.8K
Medicare services in 2024 · #2236 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.
31633 compared with similar codes
Office rates for Nevada, from the same CMS release.
$68.39
31632 is the additional-lobe add-on for transbronchial lung biopsy; 31633 is for needle aspiration biopsy in an additional lobe.
$406.93
31628 reports primary transbronchial lung biopsy. It is not the primary needle aspiration code required to accompany 31633.
Compare 31633 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
$85.54
Facility
$55.45
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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 31633 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
3,642
- Code
- 31633
- Physician work
- 1.29
- Practice expense
- 1.17
- Malpractice
- 0.12
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.29 | × 1.000 | 1.2900 |
| Practice expense | 1.17 | × 1.001 | 1.1712 |
| Malpractice | 0.12 | × 0.833 | 0.1000 |
| Total RVUs | 2.5611 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$85.54
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.29 | 1 |
| Practice expense | 1.17 | 1.001 |
| Malpractice | 0.12 | 0.833 |
(1.29 × 1 + 1.17 × 1.001 + 0.12 × 0.833) × $33.4009 = $85.54
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.29 | 1 |
| Practice expense | 0.27 | 1.001 |
| Malpractice | 0.12 | 0.833 |
(1.29 × 1 + 0.27 × 1.001 + 0.12 × 0.833) × $33.4009 = $55.45
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.
31633 billing questions
Which primary procedure must accompany 31633?
Report 31633 with 31629, the primary code for bronchoscopic transbronchial needle aspiration biopsy. The record should identify the additional lobe sampled.
Does each additional needle pass support another unit?
No. The add-on is based on sampling an additional lobe, not on the number of needle passes or specimens from the same lobe.
How is 31633 different from 31632?
31633 represents needle aspiration biopsy in an additional lobe. 31632 represents additional-lobe transbronchial lung biopsy, a different sampling technique.
What documentation supports the add-on?
Document the primary needle aspiration procedure, the lobe or lobes sampled, and the needle-biopsy method. The record should distinguish the additional lobe from the lobe represented by the primary service.
Can 31633 be reported by itself?
No. CMS classifies it as an add-on code that must be billed with a primary procedure; its payment is within that procedure's global period.
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.
3,63931630,,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
3,64031631,,Bronchoscopy dilate w/stent,A,,4.25,1.25,NA,1.25,,0.48,5.98,5.98,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,64131632,,Bronchoscopy/lung bx addl,A,,1.00,0.98,,0.21,,0.08,2.06,1.29,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,64231633,,Bronchoscopy/needle bx addl,A,,1.29,1.17,,0.27,,0.12,2.58,1.68,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,64331634,,Bronch w/balloon occlusion,A,,3.66,44.07,,1.08,,0.36,48.09,5.10,0,000,0.00,0.00,0.00,3,0,2,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,64431635,,Bronchoscopy w/fb removal,A,,3.33,6.01,,1.05,,0.36,9.70,4.74,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,64531636,,Bronchoscopy bronch stents,A,,4.19,1.22,NA,1.22,,0.44,5.85,5.85,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
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