# CPT 31633: Bronchoscopy with transbronchial needle aspiration biopsy, additional lobe (add-on)

Medicare CPT 31633 pays $86.17 in a non-facility setting and $56.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $78.72 in Arkansas to $108.46 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/31633-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Pulmonary Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $86.17 |
| National facility | $56.11 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $108.46 | $76.44 |
| District of Columbia | $95.91 | $60.50 |
| New York | $94.18 | $60.64 |
| New Jersey | $93.65 | $59.80 |
| California | $93.05 | $57.47 |
| Washington | $92.16 | $57.89 |
| Massachusetts | $91.60 | $57.83 |
| Connecticut | $90.89 | $58.51 |
| Florida | $90.10 | $59.94 |
| Hawaii | $89.84 | $55.66 |
| Maryland | $88.71 | $57.36 |
| Illinois | $88.66 | $59.61 |
| Colorado | $88.31 | $56.33 |
| Rhode Island | $87.85 | $56.80 |
| Oregon | $87.51 | $55.84 |
| New Hampshire | $87.28 | $55.98 |
| Puerto Rico | $86.54 | $56.15 |
| Virgin Islands | $86.54 | $56.15 |
| Montana | $86.17 | $56.11 |
| Pennsylvania | $86.04 | $56.59 |
| Nevada | $85.54 | $55.45 |
| Delaware | $85.52 | $55.82 |
| Texas | $85.52 | $55.93 |
| Michigan | $85.43 | $57.20 |
| Georgia | $85.23 | $56.55 |
| Wyoming | $85.13 | $55.07 |
| Minnesota | $84.49 | $53.55 |
| Arizona | $84.39 | $55.26 |
| Virginia | $84.33 | $54.78 |
| Vermont | $83.80 | $54.04 |
| North Dakota | $83.79 | $53.73 |
| New Mexico | $83.74 | $56.17 |
| South Dakota | $83.51 | $53.45 |
| Utah | $83.42 | $55.16 |
| Louisiana | $82.96 | $55.52 |
| Maine | $82.94 | $54.22 |
| Missouri | $82.90 | $55.31 |
| Ohio | $82.81 | $55.36 |
| West Virginia | $82.78 | $56.66 |
| South Carolina | $82.60 | $54.83 |
| North Carolina | $82.11 | $54.06 |
| Wisconsin | $81.76 | $52.96 |
| Kentucky | $81.50 | $54.77 |
| Indiana | $81.26 | $53.40 |
| Oklahoma | $81.10 | $54.25 |
| Idaho | $80.94 | $53.28 |
| Tennessee | $80.76 | $53.44 |
| Nebraska | $80.67 | $52.93 |
| Iowa | $80.44 | $52.93 |
| Kansas | $80.43 | $53.26 |
| Mississippi | $79.70 | $53.81 |
| Alabama | $79.55 | $53.25 |
| Arkansas | $78.72 | $52.90 |

## Related codes

- 30000: Drainage of abscess, nasal, internal approach — https://www.med-reveal.com/rates/30000-cpt-fee-schedule
- 30117: Excision or destruction of intranasal lesion, internal approach — https://www.med-reveal.com/rates/30117-cpt-fee-schedule
- 30130: Excision, inferior turbinate, partial or complete — https://www.med-reveal.com/rates/30130-cpt-fee-schedule
- 30140: Submucous resection, inferior turbinate, partial or complete — https://www.med-reveal.com/rates/30140-cpt-fee-schedule
- 30300: Removal of foreign body, intranasal, office-type instrument — https://www.med-reveal.com/rates/30300-cpt-fee-schedule
- 30400: Rhinoplasty, primary, simple — https://www.med-reveal.com/rates/30400-cpt-fee-schedule
- 30420: Rhinoplasty, primary, including major septal repair — https://www.med-reveal.com/rates/30420-cpt-fee-schedule
- 30520: Septoplasty/submucous resection — https://www.med-reveal.com/rates/30520-cpt-fee-schedule

Commercial negotiated rates for 31633 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