CPT 31512
Global 000 ActiveRemoval of larynx lesion
CPT 31512 Billing & Documentation Guide
CPT code 31512 (Removal of larynx lesion) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.02, a non-facility practice expense RVU of 4.18, and a malpractice RVU of 0.29, a total non-facility RVU of 6.49 and facility RVU of 3.37. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $222.85, though rates vary from $192.39 to $281.41 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 31512, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 31512 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 31512 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 31512
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.02 | 2.02 |
| Practice Expense RVU | 4.18 | 1.06 |
| Malpractice RVU | 0.29 | 0.29 |
| Total RVU | 6.49 | 3.37 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 31512
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $240.34 | $117.03 | $226.83 - $281.41 | 29 |
| Florida | $226.41 | $121.85 | $215.5 - $237.31 | 3 |
| Georgia | $212.36 | $112.94 | $203.55 - $221.16 | 2 |
| Illinois | $221.12 | $120.43 | $210.08 - $230.49 | 4 |
| Michigan | $212.2 | $114.35 | $205.87 - $218.53 | 2 |
| North Carolina | $203.92 | $106.69 | $203.92 - $203.92 | 1 |
| New York | $239.59 | $123.33 | $206.91 - $255.78 | 5 |
| Ohio | $204.7 | $109.56 | $204.7 - $204.7 | 1 |
| Pennsylvania | $215.19 | $113.12 | $204.79 - $225.58 | 2 |
| Texas | $214.29 | $111.7 | $203.52 - $223.9 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 31512
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 31512 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00320 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 00326 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 31512
What does CPT code 31512 mean? +
CPT code 31512 represents: Removal of larynx lesion. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 31512? +
The 2026 Medicare national average non-facility payment for CPT 31512 is $222.85. Rates range from $192.39 to $281.41 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 31512? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 31512? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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