CPT 31575
Global 000 ActiveDiagnostic laryngoscopy
CPT 31575 Billing & Documentation Guide
CPT code 31575 (Diagnostic laryngoscopy) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.92, a non-facility practice expense RVU of 2.76, and a malpractice RVU of 0.13, a total non-facility RVU of 3.81 and facility RVU of 1.83. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $131.28, though rates vary from $112.15 to $169.37 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 31575, 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 31575 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 31575 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 31575
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.92 | 0.92 |
| Practice Expense RVU | 2.76 | 0.78 |
| Malpractice RVU | 0.13 | 0.13 |
| Total RVU | 3.81 | 1.83 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 31575
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 | $143.27 | $65.01 | $134.61 - $169.37 | 29 |
| Florida | $131.68 | $65.32 | $125.39 - $137.68 | 3 |
| Georgia | $123.91 | $60.83 | $118.13 - $129.7 | 2 |
| Illinois | $128.21 | $64.31 | $121.68 - $133.56 | 4 |
| Michigan | $123.41 | $61.31 | $119.8 - $127.01 | 2 |
| North Carolina | $119.51 | $57.81 | $119.51 - $119.51 | 1 |
| New York | $140.93 | $67.15 | $121.36 - $150.37 | 5 |
| Ohio | $119.27 | $58.89 | $119.27 - $119.27 | 1 |
| Pennsylvania | $125.95 | $61.17 | $119.46 - $132.43 | 2 |
| Texas | $125.69 | $60.58 | $118.65 - $132.17 | 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 31575
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 31575 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 31575
What does CPT code 31575 mean? +
CPT code 31575 represents: Diagnostic laryngoscopy. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 31575? +
The 2026 Medicare national average non-facility payment for CPT 31575 is $131.28. Rates range from $112.15 to $169.37 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 31575? +
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 31575? +
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 May 31, 2026.
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