CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 31390 RVU and Medicare Payment (2026)
Removal of larynx & pharynx — 41.45 work RVU, about $2,430.92 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 41.45
- PE RVU (non-facility)
- 25.28
- PE RVU (facility)
- 25.28
- MP RVU
- 6.05
- Office payment
- $2,430.92
- Facility payment
- $2,430.92
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 31390 in a non-facility setting with national GPCI: (41.45 + 25.28 + 6.05) × $33.4009 ≈ $2,430.92. The same code in a facility setting pays about $2,430.92 because facility PE RVU (25.28) replaces office PE RVU.
What changes by locality
GPCI moves 31390 non-facility payment from $2,213.85 to $3,087.3 across CMS localities — from Arkansas to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 31390?
41.45. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 31390 in 2026?
About $2,430.92 non-facility ($2,430.92 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (41.45) and malpractice RVU stay fixed; only practice expense changes (25.28 office vs 25.28 facility). That is the entire office-vs-facility payment gap.