$259.70
Use 31612 for aspiration or injection through a percutaneous tracheal puncture. Use 31622 when airway inspection and washing are performed through a bronchoscope.
On this page
CMS RVU26D · Effective 2026-10-01
31612 Tracheal puncture Medicare reimbursement rates in Oklahoma
Report percutaneous tracheal puncture when a clinician accesses the trachea to aspirate airway secretions or deliver an injection through the puncture. Compare 31612 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 31612 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
$87.35
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
Facility setting
$39.92
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.
Pulmonary procedure
About 31612: Percutaneous tracheal aspiration or injection
Report percutaneous tracheal puncture when a clinician accesses the trachea to aspirate airway secretions or deliver an injection through the puncture.
A clinician makes a percutaneous puncture into the trachea to aspirate secretions or deliver an injection. Pulmonary physicians and other clinicians performing airway procedures may use the technique to obtain lower-airway material for testing, particularly when a suitable sputum specimen is unavailable or difficult to obtain. It is distinct from collecting material through a bronchoscope and from creating a tracheostomy.
Report the service when the record supports a tracheal puncture and documents whether aspiration, injection, or both were performed, along with the clinical purpose and any specimen obtained. The code has a 0-day global period, so same-day preoperative and postoperative care is included. 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. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 31612
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.89 · 31%
- Practice expense (office) RVU1.81 · 64%
- Malpractice RVU0.14 · 5%
120
Medicare services in 2024 · #4737 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.
31612 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$263.84
31612 accesses the trachea percutaneously; 31624 obtains a lavage specimen bronchoscopically from the lower airways.
No office rate
31600 creates a planned tracheostomy. 31612 is a tracheal puncture for aspiration or injection, not creation of a lasting airway opening.
Compare 31612 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
Oklahoma →
Office / nonfacility
$87.35
Facility
$39.92
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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 31612 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
3,627
- Code
- 31612
- Physician work
- 0.89
- Practice expense
- 1.81
- Malpractice
- 0.14
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.89 | × 1.000 | 0.8900 |
| Practice expense | 1.81 | × 0.893 | 1.6163 |
| Malpractice | 0.14 | × 0.777 | 0.1088 |
| Total RVUs | 2.6151 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$87.35
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.89 | 1 |
| Practice expense | 1.81 | 0.893 |
| Malpractice | 0.14 | 0.777 |
(0.89 × 1 + 1.81 × 0.893 + 0.14 × 0.777) × $33.4009 = $87.35
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.89 | 1 |
| Practice expense | 0.22 | 0.893 |
| Malpractice | 0.14 | 0.777 |
(0.89 × 1 + 0.22 × 0.893 + 0.14 × 0.777) × $33.4009 = $39.92
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.
31612 billing questions
How does this differ from bronchoscopy with washing or lavage?
This code describes access by percutaneous tracheal puncture for aspiration or injection. Bronchoscopic washing or lavage uses a bronchoscope to collect airway material.
What documentation supports reporting this code?
Document the percutaneous tracheal access, whether aspiration or injection was performed, the clinical purpose, and any specimen collected.
Is aspiration through an existing tracheostomy reported with this code?
No. This code is for percutaneous tracheal puncture, not routine suctioning through an existing tracheostomy tube.
Does this code have a global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are 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.
3,6243160F,,Doc fe+ stores b/4 epo thx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,62531610,,Tracheostomy fenest skin flp,A,,11.70,12.15,NA,12.15,,1.92,25.77,25.77,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,62631611,,Constj trachesophgl fstl,A,,5.85,7.98,NA,7.98,,0.87,14.70,14.70,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,62731612,,Perq trchl pnxr ttrach aspir,A,,0.89,1.81,,0.22,,0.14,2.84,1.25,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,62831613,,Tracheostoma revj simple,A,,4.59,6.52,NA,6.52,,0.75,11.86,11.86,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,62931614,,Tracheostoma revj complex,A,,8.41,9.59,NA,9.59,,1.23,19.23,19.23,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,63031615,,Trcheobrnchsc est trachs inc,A,,1.79,3.14,,1.01,,0.25,5.18,3.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193