# CPT 31239: Nasal/sinus Ndsc Surg W/dacryocystorhinostomy

Medicare CPT 31239 pays $524.73 in a non-facility setting and $524.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $480.86 in Arkansas to $669.84 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/31239-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $524.73 |
| National facility | $524.73 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $669.84 | $669.84 |
| District of Columbia | $579.49 | $579.49 |
| New York | $573.39 | $573.39 |
| New Jersey | $567.49 | $567.49 |
| Florida | $556.69 | $556.69 |
| California | $556.32 | $556.32 |
| Washington | $554.66 | $554.66 |
| Connecticut | $552.76 | $552.76 |
| Massachusetts | $552.32 | $552.32 |
| Illinois | $549.22 | $549.22 |
| Maryland | $539.51 | $539.51 |
| Hawaii | $537.85 | $537.85 |
| Colorado | $533.65 | $533.65 |
| Rhode Island | $533.26 | $533.26 |
| New Hampshire | $528.69 | $528.69 |
| Oregon | $528.50 | $528.50 |
| Puerto Rico | $526.40 | $526.40 |
| Virgin Islands | $526.40 | $526.40 |
| Michigan | $526.16 | $526.16 |
| Pennsylvania | $525.61 | $525.61 |
| Montana | $524.66 | $524.66 |
| Georgia | $522.59 | $522.59 |
| Texas | $520.93 | $520.93 |
| Delaware | $520.49 | $520.49 |
| Nevada | $519.40 | $519.40 |
| Wyoming | $516.13 | $516.13 |
| New Mexico | $514.99 | $514.99 |
| Arizona | $513.85 | $513.85 |
| West Virginia | $513.12 | $513.12 |
| Virginia | $511.65 | $511.65 |
| Utah | $509.51 | $509.51 |
| Louisiana | $509.11 | $509.11 |
| Missouri | $507.96 | $507.96 |
| Ohio | $507.82 | $507.82 |
| Minnesota | $507.17 | $507.17 |
| Vermont | $506.42 | $506.42 |
| North Dakota | $505.09 | $505.09 |
| South Carolina | $504.77 | $504.77 |
| Maine | $503.60 | $503.60 |
| South Dakota | $502.77 | $502.77 |
| Kentucky | $500.01 | $500.01 |
| North Carolina | $499.57 | $499.57 |
| Oklahoma | $496.23 | $496.23 |
| Wisconsin | $493.56 | $493.56 |
| Indiana | $493.32 | $493.32 |
| Idaho | $491.51 | $491.51 |
| Tennessee | $491.45 | $491.45 |
| Kansas | $489.38 | $489.38 |
| Nebraska | $488.96 | $488.96 |
| Mississippi | $488.66 | $488.66 |
| Iowa | $488.01 | $488.01 |
| Alabama | $485.70 | $485.70 |
| Arkansas | $480.86 | $480.86 |

## 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 31239 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