No office rate
This code concerns repair or graft work on a bronchus. Choose 31766 when reconstruction centers on the carinal junction rather than a bronchus alone.
On this page
CMS RVU26D · Effective 2026-10-01
31766 Airway reconstruction Medicare reimbursement rates in Utah
Reconstruction of the airway bifurcation where the trachea divides into the main bronchi, reported when surgery repairs or rebuilds the carina. Compare 31766 office and facility rates across CMS payment localities in Utah.
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 31766 in Utah?
Utah 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
$1619.57
1 of 1 localities have a supported rate.
Payment area: Utah
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.
Thoracic surgery
About 31766: Carinal airway reconstruction
Reconstruction of the airway bifurcation where the trachea divides into the main bronchi, reported when surgery repairs or rebuilds the carina.
This major thoracic operation rebuilds the carina, the central airway junction where the trachea divides into the right and left main bronchi. A thoracic surgeon may perform it when disease, injury, or removal of a lesion leaves the bifurcation requiring reconstruction. The work may involve joining airway segments and restoring an open path into both lungs, often in an operating room under general anesthesia.
Report 31766 when the operative work specifically reconstructs the carina, rather than being limited to the trachea or one bronchus. The operative report should identify the carinal defect or disease and describe the reconstruction performed. The day-before preoperative visit and 90 days of related postoperative care are included. 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. Modifier 50 is inappropriate for this single carinal structure. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 31766
- 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 RVU30.88 · 62%
- Practice expense (office) RVU11.31 · 23%
- Malpractice RVU7.77 · 16%
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.
31766 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
This code covers bronchial reconstruction. 31766 is specific to reconstruction of the airway bifurcation.
No office rate
This code describes intrathoracic tracheoplasty. Use 31766 when the operative reconstruction involves the carina, not just the intrathoracic trachea.
Compare 31766 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
Utah →
Office / nonfacility
Unavailable
Facility
$1619.57
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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 31766 in Utah.
PPRRVU2026_Oct_nonQPP.csv
3,670
- Code
- 31766
- Physician work
- 30.88
- Practice expense
- 11.31
- Malpractice
- 7.77
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.88 | × 1.000 | 30.8800 |
| Practice expense | 11.31 | × 0.940 | 10.6314 |
| Malpractice | 7.77 | × 0.898 | 6.9775 |
| Total RVUs | 48.4889 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$1619.57
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 30.88 | 1 |
| Practice expense | 11.31 | 0.94 |
| Malpractice | 7.77 | 0.898 |
(30.88 × 1 + 11.31 × 0.94 + 7.77 × 0.898) × $33.4009 = $1619.57
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.
31766 billing questions
When should 31766 be chosen instead of a bronchial reconstruction code?
Use 31766 when the reconstruction involves the carina, the junction of the trachea and main bronchi. A repair confined to a bronchus may point to a bronchial repair or reconstruction code instead.
Is modifier 50 appropriate for carinal reconstruction?
No. The carina is a single airway junction, so modifier 50 is inappropriate.
What documentation supports reporting 31766?
The operative report should establish that the carina itself required reconstruction and describe the defect, the airway work performed, and the resulting reconstruction.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be made for this procedure. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What postoperative care is included?
The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures performed in the same session 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 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.
3,66731750,,Tracheoplasty cervical,A,,15.01,20.00,NA,20.00,,2.33,37.34,37.34,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66831755,,Trachplsty trchphryngl fstlj,A,,17.10,28.11,NA,28.11,,2.50,47.71,47.71,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66931760,,Tracheoplasty intrathoracic,A,,22.89,10.70,NA,10.70,,5.75,39.34,39.34,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67031766,,Carinal reconstruction,A,,30.88,11.31,NA,11.31,,7.77,49.96,49.96,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67131770,,Repair/graft of bronchus,A,,22.95,8.80,NA,8.80,,5.77,37.52,37.52,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67231775,,Reconstruct bronchus,A,,23.98,9.57,NA,9.57,,6.04,39.59,39.59,0,090,0.10,0.76,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67331780,,Reconstruct windpipe,A,,19.34,8.69,NA,8.69,,2.82,30.85,30.85,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985