No office rate
Both describe total laryngectomy, but 31365 includes radical neck dissection. Use 31360 when that dissection is not part of the procedure.
On this page
CMS RVU26D · Effective 2026-10-01
31360 Laryngectomy Medicare reimbursement rates in Wyoming
Reports complete removal of the larynx without radical neck dissection, commonly for advanced laryngeal cancer or selected salvage treatment. Compare 31360 office and facility rates across CMS payment localities in Wyoming.
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 31360 in Wyoming?
Wyoming 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
$1768.31
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Head and neck surgery
About 31360: Total laryngectomy without radical neck dissection
Reports complete removal of the larynx without radical neck dissection, commonly for advanced laryngeal cancer or selected salvage treatment.
An otolaryngologist or head and neck surgeon removes the entire larynx, rather than excising only a lesion or preserving part of the organ. The operation is commonly performed in a hospital for laryngeal cancer, including selected cases requiring salvage surgery after prior treatment. After total removal, the airway opens through a permanent neck stoma; the patient no longer breathes through the nose and mouth. This code is for the laryngeal removal without radical neck dissection as part of the coded procedure.
Choose this code when the operative report supports removal of the entire larynx and does not document the radical neck dissection represented by 31365. Distinguish it from partial laryngectomy codes by the extent of laryngeal tissue removed, and from 31390 when the pharynx is also removed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for removal of the single larynx. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 31360
- 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 RVU29.16 · 54%
- Practice expense (office) RVU20.60 · 38%
- Malpractice RVU4.30 · 8%
527
Medicare services in 2024 · #3510 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.
31360 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
31367 is a partial laryngectomy option. Use 31360 when the operative report supports removal of the entire larynx.
No office rate
31390 is the laryngopharyngeal removal option. Distinguish it from 31360 when the pharynx is also removed.
Compare 31360 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$1768.31
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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 31360 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,558
- Code
- 31360
- Physician work
- 29.16
- Practice expense
- 20.60
- Malpractice
- 4.30
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.16 | × 1.000 | 29.1600 |
| Practice expense | 20.60 | × 1.000 | 20.6000 |
| Malpractice | 4.30 | × 0.740 | 3.1820 |
| Total RVUs | 52.9420 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1768.31
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 29.16 | 1 |
| Practice expense | 20.6 | 1 |
| Malpractice | 4.3 | 0.74 |
(29.16 × 1 + 20.6 × 1 + 4.3 × 0.74) × $33.4009 = $1768.31
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.
31360 billing questions
How do I distinguish 31360 from 31365?
Use 31360 for total laryngectomy without radical neck dissection. Use 31365 when the operative procedure includes the radical neck dissection represented by that code.
When is a partial laryngectomy code more appropriate?
Choose a partial laryngectomy code when the surgeon removes only part of the larynx. The operative report should establish the extent of removal.
Does 31360 include removal of the pharynx?
This code describes total laryngeal removal without the pharyngeal removal represented by 31390. When the pharynx is also removed, compare the operative details with 31390.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can assistant or co-surgeon services be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate because the procedure removes the single larynx.
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.
3,55531300,,Removal of larynx lesion,A,,15.51,15.81,NA,15.81,,2.26,33.58,33.58,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,5563130F,,Upper gi endoscopy performed,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
3,5573132F,,Doc ref upper gi endoscopy,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
3,55831360,,Removal of larynx,A,,29.16,20.60,NA,20.60,,4.30,54.06,54.06,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,55931365,,Removal of larynx,A,,37.84,22.82,NA,22.82,,5.69,66.35,66.35,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56031367,,Partial removal of larynx,A,,29.81,23.39,NA,23.39,,4.34,57.54,57.54,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,56131368,,Partial removal of larynx,A,,33.34,25.22,NA,25.22,,4.87,63.43,63.43,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,