No office rate
Both involve total laryngeal removal; 31365 includes radical neck dissection, while 31360 describes total removal without it.
On this page
CMS RVU26D · Effective 2026-10-01
31365 Laryngectomy Medicare reimbursement rates in Pennsylvania
Total removal of the larynx combined with radical neck dissection, typically reported for advanced laryngeal malignancy when both procedures are performed in one operation. Compare 31365 office and facility rates across CMS payment localities in Pennsylvania.
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 31365 in Pennsylvania?
Pennsylvania 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
No supported rate
Facility setting
$2143.20–$2306.83
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.
Head and neck surgery
About 31365: Total laryngectomy with radical neck dissection
Total removal of the larynx combined with radical neck dissection, typically reported for advanced laryngeal malignancy when both procedures are performed in one operation.
This operation removes the entire larynx and includes a radical neck dissection to remove cervical lymphatic tissue. Head and neck surgeons, commonly otolaryngologists, perform it in a hospital or other surgical facility, often for advanced laryngeal cancer. A permanent neck stoma provides the airway after the larynx is removed.
Report 31365 when the operative record supports both complete laryngeal removal and radical neck dissection in the same operation; total laryngectomy without that dissection is a different service. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Do not append modifier 50 for a bilateral adjustment. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 31365
- 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 RVU37.84 · 57%
- Practice expense (office) RVU22.82 · 34%
- Malpractice RVU5.69 · 9%
106
Medicare services in 2024 · #4834 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.
31365 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
31367 represents partial laryngeal removal. Choose 31365 when the operation removes the entire larynx and includes radical neck dissection.
No office rate
31390 is associated with removal involving both the larynx and pharynx. 31365 covers total laryngeal removal with radical neck dissection.
Compare 31365 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$2306.83
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$2143.20
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31365 billing questions
How does 31365 differ from 31360?
31365 includes total laryngectomy with radical neck dissection. Use 31360 for total laryngectomy without radical neck dissection.
Can the neck dissection be billed separately?
The radical neck dissection is included in 31365. Do not separately report another code for that same dissection.
Should modifier 50 be used for bilateral neck work?
No. CMS identifies bilateral adjustment as inappropriate for 31365; do not append modifier 50.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What documentation supports 31365?
The operative report should establish complete removal of the larynx and performance of a radical neck dissection in the same session.
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.
3,5563130F,,Upper gi endoscopy performed,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
3,5573132F,,Doc ref upper gi endoscopy,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
3,55831360,,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