No office rate
31750 is for the cervical trachea; 31760 is for the portion within the chest.
On this page
CMS RVU26D · Effective 2026-10-01
31760 Tracheoplasty Medicare reimbursement rates in Ohio
Reports operative repair or reconstruction of the trachea within the chest, such as treatment of intrathoracic tracheal stenosis or injury. Compare 31760 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 31760 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
$1284.43
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.
Thoracic surgery
About 31760: Intrathoracic tracheal reconstruction
Reports operative repair or reconstruction of the trachea within the chest, such as treatment of intrathoracic tracheal stenosis or injury.
A thoracic surgeon uses this service to repair or reconstruct the portion of the trachea located within the chest. A typical clinical setting is an operating room where the surgeon addresses intrathoracic narrowing or structural damage that requires operative reconstruction. The target is the trachea, not the cervical segment or the carina itself.
Choose the code from the operative anatomy and work performed, distinguishing intrathoracic tracheoplasty from cervical tracheoplasty and reconstruction centered on the carina or a bronchus. The operative report should identify the treated segment, the condition, and the reconstructive work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 31760
- 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 RVU22.89 · 58%
- Practice expense (office) RVU10.70 · 27%
- Malpractice RVU5.75 · 15%
43
Medicare services in 2024 · #5449 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.
31760 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
31766 addresses reconstruction at the carina, where the trachea divides into the main bronchi. Use 31760 for reconstruction of the intrathoracic trachea away from that focus.
No office rate
31775 concerns bronchial reconstruction, while 31760 concerns the intrathoracic trachea. The operative report's target anatomy distinguishes them.
Compare 31760 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
$1284.43
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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 31760 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
3,669
- Code
- 31760
- Physician work
- 22.89
- Practice expense
- 10.70
- Malpractice
- 5.75
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.89 | × 1.000 | 22.8900 |
| Practice expense | 10.70 | × 0.913 | 9.7691 |
| Malpractice | 5.75 | × 1.008 | 5.7960 |
| Total RVUs | 38.4551 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1284.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.89 | 1 |
| Practice expense | 10.7 | 0.913 |
| Malpractice | 5.75 | 1.008 |
(22.89 × 1 + 10.7 × 0.913 + 5.75 × 1.008) × $33.4009 = $1284.43
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.
31760 billing questions
How do I distinguish this from cervical tracheoplasty?
Use 31760 when the reconstructed tracheal segment is intrathoracic. The cervical location points to 31750.
When is carinal reconstruction the better code?
Use the carinal reconstruction code when the operative reconstruction is centered on the tracheal bifurcation, rather than the intrathoracic trachea.
What documentation supports 31760?
The operative report should state the tracheal segment's intrathoracic location, the condition being treated, and the repair or reconstruction performed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the other procedures.
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.
3,66631730,,Intro windpipe wire/tube,A,,2.78,31.85,,0.66,,0.55,35.18,3.99,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66731750,,Tracheoplasty cervical,A,,15.01,20.00,NA,20.00,,2.33,37.34,37.34,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66831755,,Trachplsty trchphryngl fstlj,A,,17.10,28.11,NA,28.11,,2.50,47.71,47.71,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66931760,,Tracheoplasty intrathoracic,A,,22.89,10.70,NA,10.70,,5.75,39.34,39.34,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67031766,,Carinal reconstruction,A,,30.88,11.31,NA,11.31,,7.77,49.96,49.96,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67131770,,Repair/graft of bronchus,A,,22.95,8.80,NA,8.80,,5.77,37.52,37.52,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67231775,,Reconstruct bronchus,A,,23.98,9.57,NA,9.57,,6.04,39.59,39.59,0,090,0.10,0.76,0.14,2,0,2,0,0,9,,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