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CMS RVU26D · Effective 2026-10-01

31553 Laryngoplasty Medicare reimbursement rates in Oklahoma

Open airway reconstruction for laryngeal stenosis in a patient younger than 12, reported when the surgeon performs laryngoplasty without placing a graft. Compare 31553 office and facility rates across CMS payment localities in Oklahoma.

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 31553 in Oklahoma?

Oklahoma 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

$1403.80

1 of 1 localities have a supported rate.

Payment area: Oklahoma

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.

Find 31553 in your payment locality →

Laryngeal surgery

About 31553: Pediatric laryngoplasty for stenosis without graft

Open airway reconstruction for laryngeal stenosis in a patient younger than 12, reported when the surgeon performs laryngoplasty without placing a graft.

An otolaryngologist surgically reconstructs a narrowed laryngeal airway in a child younger than 12, without placing a graft. The procedure is typically performed in an operating room for laryngeal stenosis that requires reconstruction rather than endoscopic dilation alone.

Select this code based on the patient’s age and the operative technique: the patient is younger than 12, and no graft is placed. The operative report should identify the stenosis, the reconstructive work, and whether graft material was used. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 31553

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 is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU21.45 · 48%
  • Practice expense (office) RVU20.33 · 45%
  • Malpractice RVU3.12 · 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.

31553 compared with similar codes

Office rates for Oklahoma, from the same CMS release.

31551

Laryngoplasty

Laryngeal stenosis repair

No office rate

31551 is the no-graft laryngoplasty code for patients age 12 or older; 31553 is for patients younger than 12.

31552

Laryngoplasty

Age 12 or older, with graft

No office rate

31552 is for laryngoplasty with a graft in patients age 12 or older. 31553 is for younger patients when no graft is placed.

31554

Laryngoplasty

Age 12 or older, no graft

No office rate

Both codes are for patients younger than 12, but 31554 is used when a graft is placed; 31553 is the no-graft code.

31528

Laryngoscopy dilation

Initial dilation

No office rate

31528 describes laryngoscopic dilation, an endoscopic approach. 31553 is open reconstructive surgery without a graft.

Compare 31553 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

Office and facility base rates · shared scale starting at $0

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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 31553 in Oklahoma.

PPRRVU2026_Oct_nonQPP.csv

3,598

Code
31553
Physician work
21.45
Practice expense
20.33
Malpractice
3.12

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Facility calculation for 31553 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work21.45× 1.00021.4500
Practice expense20.33× 0.89318.1547
Malpractice3.12× 0.7772.4242
Total RVUs42.0289
Conversion factor× 33.4009

Facility rate, Oklahoma$1403.80

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work21.451
Practice expense20.330.893
Malpractice3.120.777

(21.45 × 1 + 20.33 × 0.893 + 3.12 × 0.777) × $33.4009 = $1403.80

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.

31553 billing questions

What distinguishes 31553 from the other laryngoplasty codes?

This code is for a patient younger than 12 when the surgeon performs laryngoplasty without a graft. The neighboring codes distinguish older patients and procedures that use a graft.

How does 31553 differ from laryngoscopic dilation?

31553 describes open reconstructive surgery for laryngeal stenosis without a graft. Codes 31528 and 31529 describe endoscopic dilation instead.

What documentation supports reporting 31553?

Document the patient’s age, the laryngeal stenosis, the reconstructive work performed, and that no graft was placed.

Can modifier 50 be appended?

No. Modifier 50 is inappropriate for this service under the CMS bilateral adjustment rule.

What payment rules apply when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.

When may an assistant or co-surgeon be paid?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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.

RVUs for 31553PPRRVU2026_Oct_nonQPP.csv, line 3,598 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet