# CPT 31238: Nasal/sinus Ndsc Surg W/control Nasal Hemorrhage

Medicare CPT 31238 pays $260.19 in a non-facility setting and $144.29 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $231.60 in Arkansas to $309.20 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/31238-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $260.19 |
| National facility | $144.29 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $309.20 | $185.77 |
| District of Columbia | $294.60 | $158.07 |
| New York | $287.37 | $158.07 |
| California | $286.38 | $149.24 |
| New Jersey | $285.77 | $155.26 |
| Washington | $282.37 | $150.25 |
| Massachusetts | $280.21 | $149.99 |
| Connecticut | $276.88 | $152.05 |
| Hawaii | $276.35 | $144.57 |
| Florida | $273.05 | $156.76 |
| Maryland | $269.08 | $148.25 |
| Colorado | $268.52 | $145.20 |
| Illinois | $267.04 | $155.05 |
| Oregon | $265.76 | $143.66 |
| Rhode Island | $265.69 | $145.97 |
| New Hampshire | $265.04 | $144.39 |
| Puerto Rico | $261.74 | $144.56 |
| Virgin Islands | $261.74 | $144.56 |
| Montana | $260.17 | $144.27 |
| Pennsylvania | $258.66 | $145.13 |
| Nevada | $258.18 | $142.16 |
| Delaware | $257.43 | $142.92 |
| Texas | $257.31 | $143.20 |
| Wyoming | $256.81 | $140.91 |
| Michigan | $255.87 | $147.03 |
| Georgia | $255.62 | $145.05 |
| Minnesota | $255.60 | $136.34 |
| Virginia | $253.68 | $139.75 |
| Arizona | $253.42 | $141.11 |
| North Dakota | $252.46 | $136.55 |
| Vermont | $252.18 | $137.44 |
| South Dakota | $251.54 | $135.64 |
| New Mexico | $249.70 | $143.42 |
| Utah | $249.39 | $140.44 |
| Maine | $248.30 | $137.56 |
| Louisiana | $247.06 | $141.24 |
| Missouri | $246.98 | $140.63 |
| Ohio | $246.55 | $140.73 |
| South Carolina | $246.23 | $139.14 |
| West Virginia | $245.11 | $144.39 |
| North Carolina | $244.91 | $136.77 |
| Wisconsin | $244.54 | $133.51 |
| Indiana | $241.96 | $134.52 |
| Kentucky | $241.55 | $138.51 |
| Idaho | $240.69 | $134.06 |
| Oklahoma | $240.38 | $136.88 |
| Nebraska | $239.93 | $132.95 |
| Tennessee | $239.79 | $134.43 |
| Iowa | $238.91 | $132.86 |
| Kansas | $238.57 | $133.79 |
| Mississippi | $234.83 | $135.04 |
| Alabama | $234.79 | $133.38 |
| Arkansas | $231.60 | $132.04 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 31238 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules