No office rate
Use 31367 when the partial laryngeal operation includes a unilateral radical neck dissection. This code represents radical neck dissections on both sides.
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CMS RVU26D · Effective 2026-10-01
31368 Partial laryngectomy Medicare reimbursement rates in Ohio
Reports partial removal of the larynx performed with radical neck dissections on both sides, typically during surgery for laryngeal cancer. Compare 31368 office and facility rates across CMS payment localities in Ohio.
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 31368 in Ohio?
Ohio 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
No supported rate
Facility setting
$2046.63
1 of 1 localities have a supported rate.
Payment area: Ohio
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.
Otolaryngology surgery
About 31368: Partial laryngectomy with bilateral neck dissection
Reports partial removal of the larynx performed with radical neck dissections on both sides, typically during surgery for laryngeal cancer.
An otolaryngologist or head and neck surgeon reports this service when removing part of the larynx and performing radical neck dissections on both sides during the same operation. It is most often associated with treatment of laryngeal cancer when the operative plan includes both laryngeal resection and bilateral neck surgery. The code distinguishes this combined extent of surgery from partial laryngeal procedures without neck dissection or with dissection on only one side.
The operative report should identify the partial laryngeal resection and document the radical neck dissection on each side. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 31368
- 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 RVU33.34 · 53%
- Practice expense (office) RVU25.22 · 40%
- Malpractice RVU4.87 · 8%
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.
31368 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
31370 is a partial laryngeal resection variant without the bilateral radical neck dissection included here.
No office rate
31365 describes total laryngeal removal with radical neck dissection, while this code is for a partial resection with bilateral neck dissection.
No office rate
31360 is for total laryngeal removal without radical neck dissection; this code represents partial removal with bilateral radical neck dissections.
Compare 31368 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
Ohio →
Office / nonfacility
Unavailable
Facility
$2046.63
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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 31368 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
3,561
- Code
- 31368
- Physician work
- 33.34
- Practice expense
- 25.22
- Malpractice
- 4.87
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 33.34 | × 1.000 | 33.3400 |
| Practice expense | 25.22 | × 0.913 | 23.0259 |
| Malpractice | 4.87 | × 1.008 | 4.9090 |
| Total RVUs | 61.2748 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$2046.63
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 33.34 | 1 |
| Practice expense | 25.22 | 0.913 |
| Malpractice | 4.87 | 1.008 |
(33.34 × 1 + 25.22 × 0.913 + 4.87 × 1.008) × $33.4009 = $2046.63
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.
31368 billing questions
How does this differ from 31367?
31368 represents partial laryngeal surgery with radical neck dissections on both sides. 31367 is the counterpart with a unilateral radical neck dissection.
Should modifier 50 be appended for the two-sided neck surgery?
No. The bilateral neck dissection is part of this code’s described operative scope, and the CMS bilateral adjustment does not apply.
What documentation supports reporting this code?
The operative report should describe the partial laryngeal resection and the radical neck dissection performed on each side. The documented operative extent should support the bilateral code rather than a unilateral or no-dissection variant.
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% when performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
3,55831360,,Removal of larynx,A,,29.16,20.60,NA,20.60,,4.30,54.06,54.06,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,55931365,,Removal of larynx,A,,37.84,22.82,NA,22.82,,5.69,66.35,66.35,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56031367,,Partial removal of larynx,A,,29.81,23.39,NA,23.39,,4.34,57.54,57.54,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56131368,,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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703