No office rate
31647 reports bronchial valve placement in the initial lobe. Use 31651 only for each additional lobe treated.
On this page
CMS RVU26D · Effective 2026-10-01
31651 Bronchial valve Medicare reimbursement rates in Nevada
Report 31651 for bronchoscopic placement of bronchial valve(s) in each additional lobe after valve placement in an initial lobe. Compare 31651 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 31651 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
$77.01
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$66.31
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 procedures
About 31651: Additional-lobe bronchial valve placement
Report 31651 for bronchoscopic placement of bronchial valve(s) in each additional lobe after valve placement in an initial lobe.
During bronchoscopy, the physician places one or more endobronchial valves in an additional lobe beyond the initial lobe treated. The valves are used in selected patients, commonly those with severe emphysema undergoing bronchoscopic lung volume reduction, to reduce airflow into targeted lung regions. A pulmonologist or interventional pulmonologist typically performs the procedure in a hospital or other facility setting.
Report 31651 for each additional lobe treated, not for each valve placed within a lobe. It is an add-on code and must be reported with the primary valve-insertion procedure, 31647; it is not a standalone service. CMS pays it within the primary procedure's global period. The bronchoscopy report should identify the initial and additional lobes treated and document valve placement in each. The supplied CMS facts list no separate professional or technical component rule for this code.
CMS billing rules for 31651
- 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 RVU1.54 · 66%
- Practice expense (office) RVU0.64 · 27%
- Malpractice RVU0.15 · 6%
282
Medicare services in 2024 · #4040 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.
31651 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
31648 describes removal of valves from an initial lobe, whereas 31651 describes placement in each additional lobe.
$71.05
31649 describes removal of valves from each additional lobe; 31651 describes placing valves in additional lobes.
Compare 31651 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
$77.01
Facility
$66.31
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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 31651 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
3,656
- Code
- 31651
- Physician work
- 1.54
- Practice expense
- 0.64
- Malpractice
- 0.15
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.54 | × 1.000 | 1.5400 |
| Practice expense | 0.64 | × 1.001 | 0.6406 |
| Malpractice | 0.15 | × 0.833 | 0.1249 |
| Total RVUs | 2.3056 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$77.01
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.54 | 1 |
| Practice expense | 0.64 | 1.001 |
| Malpractice | 0.15 | 0.833 |
(1.54 × 1 + 0.64 × 1.001 + 0.15 × 0.833) × $33.4009 = $77.01
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.54 | 1 |
| Practice expense | 0.32 | 1.001 |
| Malpractice | 0.15 | 0.833 |
(1.54 × 1 + 0.32 × 1.001 + 0.15 × 0.833) × $33.4009 = $66.31
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.
31651 billing questions
When should 31651 be reported with 31647?
Report 31647 for valve placement in the initial lobe and 31651 for each additional lobe treated during the procedure. The additional-lobe work must be documented.
Are units based on the number of valves?
No. The code is based on each additional lobe treated, not the number of individual valves placed in that lobe.
Can 31651 be billed by itself?
No. It is an add-on code and must be billed with the primary bronchial valve insertion code, 31647.
How does 31651 differ from 31647?
31647 describes valve placement in the initial lobe. Use 31651 for valve placement in each additional lobe.
What documentation supports 31651?
The bronchoscopy report should state which lobe was treated initially, identify each additional lobe, and document valve placement in those lobes.
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.
3,65331647,,Bronchial valve init insert,A,,4.05,1.11,NA,1.11,,0.38,5.54,5.54,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,65431648,,Bronchial valve remov init,A,,3.85,1.08,NA,1.08,,0.37,5.30,5.30,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,65531649,,Bronchial valve remov addl,A,,1.40,0.61,,0.31,,0.14,2.15,1.85,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65631651,,Bronchial valve addl insert,A,,1.54,0.64,,0.32,,0.15,2.33,2.01,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65731652,,Bronch ebus samplng 1/2 node,A,,4.35,35.80,,1.15,,0.43,40.58,5.93,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65831653,,Bronch ebus samplng 3/> node,A,,4.84,36.58,,1.25,,0.47,41.89,6.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65931654,,Bronch ebus ivntj perph les,A,,1.37,2.43,,0.29,,0.13,3.93,1.79,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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