CPT code 31367: Partial laryngectomy2026 Medicare rate & RVUs in Rhode Island
Reports removal of part of the larynx with radical neck dissection, typically for selected laryngeal cancer when the operative plan preserves some laryngeal structure.
CMS doesn’t publish an office rate for 31367 in Rhode Island.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 31367 covers
An otolaryngologist or head and neck surgeon removes part of the larynx and performs a radical neck dissection during the same operation. This is generally a hospital operating-room procedure for selected laryngeal malignancies when the planned resection preserves some laryngeal structure. The code represents the combined operation, not a limited biopsy or removal of a small laryngeal lesion alone.
Choose the code from the operative report’s description of the laryngeal resection and neck dissection; document the tissues removed and the extent of each part of the procedure. The included radical neck dissection is not separately reported as another procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation. Do not append modifier 50 for bilateral work, and team-surgery payment is not permitted.
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.
31367 in Rhode Island
| Payment locality | Office | Facility |
|---|---|---|
| Rhode Island | Unavailable | $1,950.93 |
How the 31367 rate is calculated
Each of 31367’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 31367
RVUs × geographic indexes × conversion factor
Work29.81
29.81 RVUs× 1.000 GPCI
Practice expense23.39
23.39 RVUs× 1.000 GPCI
Malpractice4.34
4.34 RVUs× 1.000 GPCI
Adjusted RVUs
57.5400
Conversion factor
$33.4009
Medicare rate
$1,921.89
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 31367
31367 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 31367
Partial laryngectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 31367
Partial laryngectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
31367 without 51 · national facility
$1,921.89
Partial laryngectomy
31367-51 · Second procedure: 50%
$960.95
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
31367 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 31360Laryngectomy
- 31360 describes total laryngeal removal without radical neck dissection. This code describes partial removal with radical neck dissection.
- 31365Laryngectomy
- 31365 is the total-laryngectomy option with radical neck dissection. Use this code when the laryngeal resection is partial.
- 31300Laryngeal lesion removal
- 31300 concerns laryngotomy for a laryngeal lesion, not partial laryngectomy with radical neck dissection.
- 31368Partial laryngectomy
- 31368 is a neighboring partial-laryngectomy code. Compare its full descriptor with the operative report rather than selecting by code proximity.
31367 billing questions
How is this code different from a total laryngectomy?
This code describes removal of part of the larynx with radical neck dissection. A total laryngectomy removes the entire larynx, so select the code that matches the operation documented.
Is the radical neck dissection separately reported?
The neck dissection is included in this combined procedure. Do not report it again as a separate procedure for the same operative work.
Can modifier 50 be used for bilateral work?
No. CMS identifies modifier 50 as inappropriate for this code; do not use it to represent bilateral work.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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