$1,346.36–$1,486.78
Choose 31652 when EBUS-guided needle sampling covers one or two mediastinal or hilar stations or structures; choose this code for three or more.
On this page
CMS RVU26D · Effective 2026-10-01
31653 EBUS-guided sampling Medicare reimbursement rates in Oregon
Reports bronchoscopic EBUS-guided needle sampling of three or more mediastinal or hilar lymph node stations or structures, commonly for lung cancer staging. Compare 31653 office and facility rates across CMS payment localities in Oregon.
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 31653 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$1389.61–$1533.35
2 of 2 localities have a supported rate.
Facility setting
$214.28–$222.31
2 of 2 localities have a supported rate.
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.
Bronchoscopy
About 31653: EBUS-guided sampling of three or more nodal stations
Reports bronchoscopic EBUS-guided needle sampling of three or more mediastinal or hilar lymph node stations or structures, commonly for lung cancer staging.
A pulmonologist or thoracic surgeon uses a bronchoscope with endobronchial ultrasound to visualize central chest lymph nodes or structures and guide needle sampling. The service is commonly performed to evaluate mediastinal or hilar adenopathy or stage lung cancer, often during a hospital or outpatient bronchoscopy. The code covers sampling at three or more distinct mediastinal and/or hilar stations or structures; repeated needle passes at one station do not by themselves establish the three-station threshold.
Report the code when the procedure documentation identifies at least three sampled stations or structures and supports EBUS-guided transbronchial needle aspiration. Use the one-to-two-station code when fewer stations are sampled. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 31653
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.84 · 12%
- Practice expense (office) RVU36.58 · 87%
- Malpractice RVU0.47 · 1%
20.9K
Medicare services in 2024 · #1128 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.
31653 compared with similar codes
Office rates for Oregon, from the same CMS release.
$491.98–$536.15
31629 describes bronchoscopic transbronchial needle aspiration. This code captures EBUS-guided sampling of three or more mediastinal or hilar stations or structures.
$129.65–$139.90
31654 addresses EBUS evaluation of peripheral lung lesions. This code is for EBUS-guided sampling of central mediastinal or hilar stations or structures.
$404.09–$438.81
31628 is used for transbronchial lung tissue biopsy, whereas this code concerns EBUS-guided needle sampling of multiple mediastinal or hilar stations or structures.
Compare 31653 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.
2 of 2 payment localities
Portland →
Office / nonfacility
$1533.35
Facility
$222.31
Rest Of Oregon →
Office / nonfacility
$1389.61
Facility
$214.28
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31653 billing questions
How does this differ from the one-to-two-station EBUS code?
This code is selected when EBUS-guided needle sampling covers three or more distinct mediastinal or hilar stations or structures. Use the sibling code for sampling one or two.
Do multiple needle passes at one station count as multiple stations?
No. The threshold is based on the number of distinct stations or structures sampled, not the number of passes.
What should the procedure note identify?
Document EBUS-guided needle sampling and identify each mediastinal or hilar station or structure sampled. The documented targets should support a count of three or more.
Is sampling a peripheral lung lesion reported with this code?
This code describes sampling central mediastinal or hilar nodes or structures. EBUS evaluation of a peripheral lesion is addressed by a different code, and separate reporting depends on the services performed.
How is this code affected when other procedures occur in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in this code's 0-day global period.
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.
3,65531649,,Bronchial valve remov addl,A,,1.40,0.61,,0.31,,0.14,2.15,1.85,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65631651,,Bronchial valve addl insert,A,,1.54,0.64,,0.32,,0.15,2.33,2.01,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65731652,,Bronch ebus samplng 1/2 node,A,,4.35,35.80,,1.15,,0.43,40.58,5.93,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65831653,,Bronch ebus samplng 3/> node,A,,4.84,36.58,,1.25,,0.47,41.89,6.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65931654,,Bronch ebus ivntj perph les,A,,1.37,2.43,,0.29,,0.13,3.93,1.79,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66031660,,Bronch thermoplsty 1 lobe,A,,3.90,0.84,NA,0.84,,0.34,5.08,5.08,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,66131661,,Bronch thermoplsty 2/> lobes,A,,4.14,0.85,NA,0.85,,0.36,5.35,5.35,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00