No office rate
Choose 31630 for airway dilation without a stent. Choose 31631 when a tracheal or bronchial stent is placed.
On this page
CMS RVU26D · Effective 2026-10-01
31630 Bronchoscopy Medicare reimbursement rates in Rhode Island
Reports therapeutic bronchoscopy to widen a narrowed tracheal or bronchial segment, such as an airway stenosis, without placement of a stent. Compare 31630 office and facility rates across CMS payment localities in Rhode Island.
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 31630 in Rhode Island?
Rhode Island 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
$178.71
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Bronchoscopy
About 31630: Bronchoscopic airway dilation
Reports therapeutic bronchoscopy to widen a narrowed tracheal or bronchial segment, such as an airway stenosis, without placement of a stent.
This therapeutic bronchoscopy widens a narrowed segment of the trachea or a bronchus, such as scar-related airway stenosis. An interventional pulmonologist, thoracic surgeon, or otolaryngologist may perform it with a rigid or flexible bronchoscope in an operating room or endoscopy suite. The service involves treating the narrowing to improve airway caliber; stent placement is reported with a different code.
Report 31630 when the provider performs airway dilation, not for diagnostic inspection alone. Documentation should identify the treated airway segment, the narrowing, and the dilation performed. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS endoscopy-family pricing applies, so they are not each paid as standalone procedures. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgery and team surgery are not permitted.
CMS billing rules for 31630
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- 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 RVU3.71 · 70%
- Practice expense (office) RVU1.14 · 22%
- Malpractice RVU0.44 · 8%
3K
Medicare services in 2024 · #2176 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.
31630 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
31636 describes bronchial stent placement; 31630 describes dilation of a tracheal or bronchial narrowing without stent placement.
No office rate
31641 is used for bronchoscopic treatment of obstruction or stenosis by a method other than dilation. Select 31630 when dilation is the treatment performed.
$288.98
31622 is for diagnostic bronchoscopy. When the session includes therapeutic airway dilation, report the treatment service rather than diagnostic inspection alone.
Compare 31630 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$178.71
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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 31630 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
3,639
- Code
- 31630
- Physician work
- 3.71
- Practice expense
- 1.14
- Malpractice
- 0.44
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.71 | × 1.019 | 3.7805 |
| Practice expense | 1.14 | × 1.033 | 1.1776 |
| Malpractice | 0.44 | × 0.892 | 0.3925 |
| Total RVUs | 5.3506 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$178.71
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.71 | 1.019 |
| Practice expense | 1.14 | 1.033 |
| Malpractice | 0.44 | 0.892 |
(3.71 × 1.019 + 1.14 × 1.033 + 0.44 × 0.892) × $33.4009 = $178.71
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.
31630 billing questions
How is 31630 different from a bronchoscopy with stent placement?
Use 31630 for dilation without stent placement. When a tracheal or bronchial stent is placed, consider the code that describes the stent procedure and airway site.
Can diagnostic bronchoscopy be reported separately with 31630?
Diagnostic inspection used to reach and assess the narrowing is generally part of the therapeutic bronchoscopy. The record should show the airway dilation, not just an examination.
How are related endoscopies paid when performed together?
CMS endoscopy-family pricing applies to related endoscopies performed together. The procedures are not each paid at their standalone allowance.
Should modifier 50 be used for dilation on both sides?
No. The CMS bilateral adjustment does not apply to 31630, and modifier 50 is inappropriate.
What documentation supports reporting 31630?
Document the location of the tracheal or bronchial narrowing and the therapeutic dilation performed. Same-day preoperative and postoperative care is included in the 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.
3,63631627,,Navigational bronchoscopy,A,,1.95,32.44,,0.40,,0.20,34.59,2.55,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,63731628,,Bronchoscopy/lung bx each,A,,3.46,8.44,,0.96,,0.33,12.23,4.75,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,63831629,,Bronchoscopy/needle bx each,A,,3.66,10.86,,1.02,,0.36,14.88,5.04,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,63931630,,Bronchoscopy dilate/fx repr,A,,3.71,1.14,NA,1.14,,0.44,5.29,5.29,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,64031631,,Bronchoscopy dilate w/stent,A,,4.25,1.25,NA,1.25,,0.48,5.98,5.98,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,64131632,,Bronchoscopy/lung bx addl,A,,1.00,0.98,,0.21,,0.08,2.06,1.29,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,64231633,,Bronchoscopy/needle bx addl,A,,1.29,1.17,,0.27,,0.12,2.58,1.68,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537