No office rate
This code is for thermoplasty of one lobe; 31661 applies when two or more lobes are treated.
On this page
CMS RVU26D · Effective 2026-10-01
31660 Bronchial thermoplasty Medicare reimbursement rates in Virginia
Bronchial thermoplasty treats airway smooth muscle in one lung lobe during bronchoscopy, typically for severe asthma requiring this specialized intervention. Compare 31660 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 31660 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
$165.86–$182.99
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.
Pulmonary procedure
About 31660: Bronchial thermoplasty, one lobe
Bronchial thermoplasty treats airway smooth muscle in one lung lobe during bronchoscopy, typically for severe asthma requiring this specialized intervention.
A pulmonologist delivers controlled radiofrequency energy through a bronchoscope to airway walls in one lung lobe. The treatment targets airway smooth muscle and is used for selected patients with severe asthma. It is generally performed in a hospital or other procedural setting; treatment of additional lobes may occur in separate sessions. The bronchoscopic access and energy delivery are part of the thermoplasty service.
Report this code when treatment is limited to one lobe; documentation should identify the lobe treated and the procedure performed. For treatment of two or more lobes, compare code 31661. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Do not append modifier 50. CMS does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 31660
- 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 RVU3.90 · 77%
- Practice expense (office) RVU0.84 · 17%
- Malpractice RVU0.34 · 7%
26
Medicare services in 2024 · #5753 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.
31660 compared with similar codes
Office rates for Virginia, from the same CMS release.
Compare 31660 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
$182.99
Virginia →
Office / nonfacility
Unavailable
Facility
$165.86
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31660 billing questions
When should 31660 be used instead of 31661?
Use 31660 when thermoplasty treats one lobe. Code 31661 is for treatment of two or more lobes.
Can the bronchoscopy be billed separately?
The bronchoscopic access used to deliver thermoplasty is part of the service. Do not separately report scope insertion solely for that treatment.
Should modifier 50 be appended for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Select the code based on the number of lobes treated.
What documentation supports reporting 31660?
The procedure report should identify the lobe treated and document bronchoscopic thermoplasty. The record should support that treatment was limited to one lobe.
Can an assistant surgeon or co-surgeon be billed?
CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are 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.
3,65731652,,Bronch ebus samplng 1/2 node,A,,4.35,35.80,,1.15,,0.43,40.58,5.93,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65831653,,Bronch ebus samplng 3/> node,A,,4.84,36.58,,1.25,,0.47,41.89,6.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,65931654,,Bronch ebus ivntj perph les,A,,1.37,2.43,,0.29,,0.13,3.93,1.79,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66031660,,Bronch thermoplsty 1 lobe,A,,3.90,0.84,NA,0.84,,0.34,5.08,5.08,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,66131661,,Bronch thermoplsty 2/> lobes,A,,4.14,0.85,NA,0.85,,0.36,5.35,5.35,0,000,0.00,0.00,0.00,3,0,1,0,0,9,31622,33.4009,09,0,99,0.00,0.00,0.00
3,6623170F,,Baselin flo cytometry b/4 tx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66331717,,Bronchial brush biopsy,A,,2.07,6.93,,0.64,,0.18,9.18,2.89,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00