Billing code 31360: LaryngectomyMedicare rate & RVUs in Ohio
Reports complete removal of the larynx without radical neck dissection, commonly for advanced laryngeal cancer or selected salvage treatment.
CMS doesn’t publish an office rate for 31360 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 31360 covers
An otolaryngologist or head and neck surgeon removes the entire larynx, rather than excising only a lesion or preserving part of the organ. The operation is commonly performed in a hospital for laryngeal cancer, including selected cases requiring salvage surgery after prior treatment. After total removal, the airway opens through a permanent neck stoma; the patient no longer breathes through the nose and mouth. This code is for the laryngeal removal without radical neck dissection as part of the coded procedure.
Choose this code when the operative report supports removal of the entire larynx and does not document the radical neck dissection represented by 31365. Distinguish it from partial laryngectomy codes by the extent of laryngeal tissue removed, and from 31390 when the pharynx is also removed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for removal of the single larynx. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is 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.
31360 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,746.94 |
How the 31360 rate is calculated
Each of 31360’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 · 31360
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 29.16Practice expense 20.60Malpractice 4.30
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 31360
31360 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 31360
Laryngectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 31360
Laryngectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
31360 without 51 · national facility
$1,805.65
Laryngectomy
31360-51 · Second procedure: 50%
$902.83
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%).
31360 compared with similar codes
Compare codes
31360 vs 31365 vs 31367 vs 31390: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 31365Laryngectomy
- Both describe total laryngectomy, but 31365 includes radical neck dissection. Use 31360 when that dissection is not part of the procedure.
- 31367Partial laryngectomy
- 31367 is a partial laryngectomy option. Use 31360 when the operative report supports removal of the entire larynx.
- 31390Laryngopharyngectomy
- 31390 is the laryngopharyngeal removal option. Distinguish it from 31360 when the pharynx is also removed.
31360 billing questions
How do I distinguish 31360 from 31365?
Use 31360 for total laryngectomy without radical neck dissection. Use 31365 when the operative procedure includes the radical neck dissection represented by that code.
When is a partial laryngectomy code more appropriate?
Choose a partial laryngectomy code when the surgeon removes only part of the larynx. The operative report should establish the extent of removal.
Does 31360 include removal of the pharynx?
This code describes total laryngeal removal without the pharyngeal removal represented by 31390. When the pharynx is also removed, compare the operative details with 31390.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can assistant or co-surgeon services be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate because the procedure removes the single larynx.
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
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