No office rate
Both are partial-laryngectomy codes. Distinguish them by the specific technique and extent in the operative report and the applicable code descriptor.
On this page
CMS RVU26D · Effective 2026-10-01
31380 Partial laryngectomy Medicare reimbursement rates in New Jersey
Reports an operative partial laryngeal resection, typically for a laryngeal lesion when the surgeon removes involved tissue while preserving part of the larynx. Compare 31380 office and facility rates across CMS payment localities in New Jersey.
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 31380 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1817.47–$1884.07
2 of 2 localities have a supported rate.
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 31380: Partial laryngeal resection
Reports an operative partial laryngeal resection, typically for a laryngeal lesion when the surgeon removes involved tissue while preserving part of the larynx.
An otolaryngologist or head-and-neck surgeon performs this operation in a surgical facility to remove part of the larynx, commonly for a laryngeal malignancy or another lesion requiring resection. The surgeon removes the involved portion while retaining laryngeal tissue; the exact anatomy and extent of resection must support this specific partial-laryngectomy code. A limited lesion excision and removal of the entire larynx represent different services.
Choose the code that matches the operative technique and extent documented in the operative report, rather than relying on the diagnosis alone. The report should identify the laryngeal structures removed and any associated procedures. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral adjustment is inappropriate. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 31380
- 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 RVU24.93 · 49%
- Practice expense (office) RVU22.44 · 44%
- Malpractice RVU3.63 · 7%
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.
31380 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
This is another partial-laryngectomy option for a distinct resection type. Use the code matching the actual operation, not a general description of tumor removal.
No office rate
31360 represents removal of the entire larynx; this code represents a partial resection that preserves some laryngeal tissue.
Compare 31380 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1884.07
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$1817.47
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31380 billing questions
How do I distinguish this code from another partial-laryngectomy code?
Match the code to the specific partial-resection technique and extent documented in the operative report. Do not select among partial-laryngectomy codes from the diagnosis alone.
Is this code appropriate for a limited laryngeal lesion excision?
Use this code when the documented service is a partial laryngectomy, not simply because a laryngeal lesion was removed. A more limited lesion-removal service may be represented by 31300.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Bilateral adjustment is inappropriate for this code.
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.
3,56131368,,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
3,56431380,,Partial removal of larynx,A,,24.93,22.44,NA,22.44,,3.63,51.00,51.00,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56531382,,Partial removal of larynx,A,,27.86,23.71,NA,23.71,,4.06,55.63,55.63,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56631390,,Removal of larynx & pharynx,A,,41.45,25.28,NA,25.28,,6.05,72.78,72.78,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56731395,,Reconstruct larynx & pharynx,A,,42.71,27.52,NA,27.52,,6.24,76.47,76.47,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00