CPT 31525
Global 000 ActiveDx laryngoscopy excl nb
CPT 31525 Billing & Documentation Guide
CPT code 31525 (Dx laryngoscopy excl nb) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.56, a non-facility practice expense RVU of 4.58, and a malpractice RVU of 0.38, a total non-facility RVU of 7.52 and facility RVU of 4.12. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $257.77, though rates vary from $223.45 to $322.31 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 31525, 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 31525 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 31525 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 31525
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.56 | 2.56 |
| Practice Expense RVU | 4.58 | 1.18 |
| Malpractice RVU | 0.38 | 0.38 |
| Total RVU | 7.52 | 4.12 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 31525
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 | $276.46 | $142.09 | $261.42 - $322.31 | 29 |
| Florida | $263.7 | $149.76 | $250.83 - $276.85 | 3 |
| Georgia | $246.76 | $138.42 | $237.09 - $256.43 | 2 |
| Illinois | $257.87 | $148.14 | $245.01 - $268.97 | 4 |
| Michigan | $247.02 | $140.38 | $239.5 - $254.53 | 2 |
| North Carolina | $236.34 | $130.39 | $236.34 - $236.34 | 1 |
| New York | $277.48 | $150.79 | $239.76 - $296.44 | 5 |
| Ohio | $237.97 | $134.28 | $237.97 - $237.97 | 1 |
| Pennsylvania | $249.69 | $138.45 | $237.93 - $261.44 | 2 |
| Texas | $248.37 | $136.57 | $236.51 - $258.77 | 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 31525
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 31525 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 31525
What does CPT code 31525 mean? +
CPT code 31525 represents: Dx laryngoscopy excl nb. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 31525? +
The 2026 Medicare national average non-facility payment for CPT 31525 is $257.77. Rates range from $223.45 to $322.31 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 31525? +
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 31525? +
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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