CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 31600 RVU and Medicare Payment (2026)
Planned tracheostomy — 5.42 work RVU, about $273.22 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.42
- PE RVU (non-facility)
- 1.69
- PE RVU (facility)
- 1.69
- MP RVU
- 1.07
- Office payment
- $273.22
- Facility payment
- $273.22
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 31600 in a non-facility setting with national GPCI: (5.42 + 1.69 + 1.07) × $33.4009 ≈ $273.22. The same code in a facility setting pays about $273.22 because facility PE RVU (1.69) replaces office PE RVU.
What changes by locality
GPCI moves 31600 non-facility payment from $246.12 to $351.36 across CMS localities — from Wisconsin 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 31600?
5.42. 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 31600 in 2026?
About $273.22 non-facility ($273.22 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 (5.42) and malpractice RVU stay fixed; only practice expense changes (1.69 office vs 1.69 facility). That is the entire office-vs-facility payment gap.