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CMS RVU26D · Effective 2026-10-01

31300 Laryngeal lesion removal Medicare reimbursement rates in Tennessee

Reports open surgical removal of a laryngeal tumor or lesion through a laryngotomy when the surgeon uses an open rather than endoscopic approach. Compare 31300 office and facility rates across CMS payment localities in Tennessee.

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 31300 in Tennessee?

Tennessee 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

$1038.60

1 of 1 localities have a supported rate.

Payment area: Tennessee

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.

Find 31300 in your payment locality →

Laryngeal surgery

About 31300: Open laryngotomy lesion excision

Reports open surgical removal of a laryngeal tumor or lesion through a laryngotomy when the surgeon uses an open rather than endoscopic approach.

An otolaryngologist or head and neck surgeon uses an open laryngotomy to reach and remove a tumor or other lesion of the larynx. The operation is generally performed in an operating room, often in a hospital facility, when the lesion is treated through an open surgical exposure rather than removed endoscopically. The excised tissue is typically submitted for pathologic examination.

Report this service when the operative note supports open access to the larynx and removal of a lesion; distinguish it from endoscopic excision and from partial or total laryngectomy. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery. 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% reduction. Modifier 50 is not appropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 31300

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 RVU15.51 · 46%
  • Practice expense (office) RVU15.81 · 47%
  • Malpractice RVU2.26 · 7%

55

Medicare services in 2024 · #5298 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.

31300 compared with similar codes

Office rates for Tennessee, from the same CMS release.

31540

Laryngeal excision

Without operating scope

No office rate

31300 describes open laryngotomy access to remove a lesion. Choose 31540 for operative endoscopic laryngeal excision.

31367

Partial laryngectomy

With radical neck dissection

No office rate

31367 is a partial laryngectomy code; 31300 describes lesion removal through laryngotomy without describing a partial laryngectomy.

31360

Laryngectomy

Total, without radical neck dissection

No office rate

31360 represents total laryngectomy. Use 31300 when the operation removes a laryngeal lesion without removing the entire larynx.

Compare 31300 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

Office and facility base rates · shared scale starting at $0

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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 31300 in Tennessee.

PPRRVU2026_Oct_nonQPP.csv

3,555

Code
31300
Physician work
15.51
Practice expense
15.81
Malpractice
2.26

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Facility calculation for 31300 in Tennessee
ComponentRVULocality factorAdjusted
Physician work15.51× 1.00015.5100
Practice expense15.81× 0.90914.3713
Malpractice2.26× 0.5371.2136
Total RVUs31.0949
Conversion factor× 33.4009

Facility rate, Tennessee$1038.60

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work15.511
Practice expense15.810.909
Malpractice2.260.537

(15.51 × 1 + 15.81 × 0.909 + 2.26 × 0.537) × $33.4009 = $1038.60

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.

31300 billing questions

How is this different from endoscopic laryngeal lesion excision?

Use 31300 when the surgeon reaches the larynx through an open laryngotomy. Direct operative laryngoscopy codes describe endoscopic access.

When should a partial laryngectomy code be considered instead?

Choose a partial laryngectomy code when the documented operation removes part of the larynx as a resection, rather than removing a lesion through laryngotomy.

What documentation supports 31300?

The operative report should establish the open laryngotomy approach, identify the laryngeal lesion, and describe its removal. A pathology report may support the submitted specimen but does not replace the operative details.

Can modifier 50 be used for lesions involving both sides?

No. Modifier 50 is not appropriate for this service.

How does the 90-day global period affect follow-up billing?

The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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.

RVUs for 31300PPRRVU2026_Oct_nonQPP.csv, line 3,555 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet