$75.99–$84.97
Use 31647 for the initial lobe treated and 31651 for each additional lobe treated. The distinction is the lobe’s sequence, not the number of valves placed.
On this page
CMS RVU26D · Effective 2026-10-01
31647 Bronchial valve placement Medicare reimbursement rates in Virginia
Bronchoscopic placement of one-way valves in the first targeted lung lobe for bronchoscopic lung-volume reduction in selected patients with severe emphysema. Compare 31647 office and facility rates across CMS payment localities in Virginia.
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 31647 in Virginia?
Virginia 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
$180.68–$200.38
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.
Pulmonology
About 31647: Initial-lobe bronchial valve placement
Bronchoscopic placement of one-way valves in the first targeted lung lobe for bronchoscopic lung-volume reduction in selected patients with severe emphysema.
This procedure uses a flexible or rigid bronchoscope to place one-way bronchial valve(s) in the airways supplying a selected lung lobe. The valves limit air entering a hyperinflated lobe while allowing trapped air to escape, supporting bronchoscopic lung-volume reduction for selected patients with severe emphysema. Pulmonologists and thoracic surgeons typically perform the procedure in a hospital or ambulatory facility, with target selection guided by clinical assessment.
Report 31647 for the first lobe treated, regardless of how many valves are placed in that lobe; report 31651 for each additional lobe treated. Document the target lobe, valve placement, and number of lobes treated to support the initial-lobe service and any add-on service. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate for this descriptor and anatomy. CMS does not pay an assistant at surgery and does not permit co-surgeons or team surgery for this service.
CMS billing rules for 31647
- 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 RVU4.05 · 73%
- Practice expense (office) RVU1.11 · 20%
- Malpractice RVU0.38 · 7%
1.4K
Medicare services in 2024 · #2721 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.
31647 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
31648 describes removal of valves from the initial lobe; 31647 describes their placement in the initial lobe.
$70.09–$78.49
31649 describes removal of valves from an additional lobe. It is not the add-on code for placing valves in another lobe; that is 31651.
Compare 31647 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$200.38
Virginia →
Office / nonfacility
Unavailable
Facility
$180.68
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31647 billing questions
When should 31647 be used instead of 31651?
Use 31647 for the first lobe treated with bronchial valves. Use 31651 for each additional lobe treated during the procedure.
Are units based on valves or lobes?
31647 represents the initial lobe, not each individual valve. The number of valves placed in that lobe does not change the initial-lobe selection.
Can the bronchoscopy used to place the valves be reported separately?
The bronchoscopic approach for valve placement is part of this service. When related endoscopies are performed together, CMS endoscopy-family pricing applies.
Is modifier 50 appropriate for bilateral valve placement?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy. Report the initial and any additional treated lobes using the applicable valve codes.
How does 31647 differ from 31648?
31647 reports initial-lobe valve placement; 31648 reports initial-lobe valve removal. They describe different services, not different units of the same placement.
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.
3,65031643,,Diag bronchoscope/catheter,A,,3.40,0.88,NA,0.88,,0.28,4.56,4.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65131645,,Brnchsc w/ther aspir 1st,A,,2.81,6.13,,0.89,,0.29,9.23,3.99,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,65231646,,Brnchsc w/ther aspir sbsq,A,,2.71,0.88,NA,0.88,,0.27,3.86,3.86,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65331647,,Bronchial valve init insert,A,,4.05,1.11,NA,1.11,,0.38,5.54,5.54,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,65431648,,Bronchial valve remov init,A,,3.85,1.08,NA,1.08,,0.37,5.30,5.30,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,65531649,,Bronchial valve remov addl,A,,1.40,0.61,,0.31,,0.14,2.15,1.85,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65631651,,Bronchial valve addl insert,A,,1.54,0.64,,0.32,,0.15,2.33,2.01,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00