# CPT 31590: Laryngeal reinnervation

Medicare CPT 31590 pays $882.12 in a non-facility setting and $882.12 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $780.90 in Arkansas to $1,031.38 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/31590-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $882.12 |
| National facility | $882.12 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,031.38 | $1,031.38 |
| District of Columbia | $1,005.02 | $1,005.02 |
| California | $982.14 | $982.14 |
| New York | $975.79 | $975.79 |
| New Jersey | $972.60 | $972.60 |
| Washington | $964.76 | $964.76 |
| Massachusetts | $956.31 | $956.31 |
| Hawaii | $947.09 | $947.09 |
| Connecticut | $940.45 | $940.45 |
| Florida | $919.49 | $919.49 |
| Colorado | $914.70 | $914.70 |
| Maryland | $913.38 | $913.38 |
| Oregon | $905.34 | $905.34 |
| Rhode Island | $902.38 | $902.38 |
| New Hampshire | $901.60 | $901.60 |
| Illinois | $897.21 | $897.21 |
| Puerto Rico | $888.04 | $888.04 |
| Virgin Islands | $888.04 | $888.04 |
| Montana | $882.04 | $882.04 |
| Nevada | $876.46 | $876.46 |
| Pennsylvania | $874.92 | $874.92 |
| Minnesota | $872.87 | $872.87 |
| Delaware | $872.55 | $872.55 |
| Wyoming | $872.39 | $872.39 |
| Texas | $871.73 | $871.73 |
| Georgia | $862.75 | $862.75 |
| Michigan | $861.42 | $861.42 |
| Virginia | $861.10 | $861.10 |
| North Dakota | $859.90 | $859.90 |
| Arizona | $858.47 | $858.47 |
| Vermont | $857.75 | $857.75 |
| South Dakota | $857.28 | $857.28 |
| Utah | $842.95 | $842.95 |
| Maine | $841.93 | $841.93 |
| New Mexico | $840.73 | $840.73 |
| Missouri | $833.02 | $833.02 |
| Louisiana | $832.62 | $832.62 |
| South Carolina | $831.73 | $831.73 |
| Wisconsin | $831.48 | $831.48 |
| Ohio | $831.16 | $831.16 |
| North Carolina | $829.14 | $829.14 |
| West Virginia | $821.06 | $821.06 |
| Indiana | $819.88 | $819.88 |
| Idaho | $815.27 | $815.27 |
| Kentucky | $813.54 | $813.54 |
| Nebraska | $813.48 | $813.48 |
| Tennessee | $811.18 | $811.18 |
| Oklahoma | $810.73 | $810.73 |
| Iowa | $809.48 | $809.48 |
| Kansas | $807.00 | $807.00 |
| Alabama | $792.23 | $792.23 |
| Mississippi | $790.46 | $790.46 |
| Arkansas | $780.90 | $780.90 |

## Related codes

- 31535: Laryngoscopy, direct, with biopsy — https://www.med-reveal.com/rates/31535-cpt-fee-schedule
- 31570: Laryngoscopy with injection into vocal cord(s) — https://www.med-reveal.com/rates/31570-cpt-fee-schedule
- 31575: Laryngoscopy, flexible, diagnostic — https://www.med-reveal.com/rates/31575-cpt-fee-schedule
- 31578: Laryngoscopy with removal of foreign body — https://www.med-reveal.com/rates/31578-cpt-fee-schedule
- 42410: Excision of parotid tumor or parotid gland, lateral lobe, without nerve dissection — https://www.med-reveal.com/rates/42410-cpt-fee-schedule
- 42420: Excision of parotid gland, total, with dissection of facial nerve — https://www.med-reveal.com/rates/42420-cpt-fee-schedule
- 42440: Excision of submandibular gland — https://www.med-reveal.com/rates/42440-cpt-fee-schedule
- 42800: Biopsy, oropharynx — https://www.med-reveal.com/rates/42800-cpt-fee-schedule

Commercial negotiated rates for 31590 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