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CPT 31002 Fee Schedule

Last Verified: December 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Lavage-Cannulation;Sphenoid Sinus
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Respiratory System

Common Place of Service

11 - Office

24 - Ambulatory Surgical Center

Common Modifiers

None

50 - Bilateral Procedure

59 - Distinct Procedural Service

Complexity LevelModerate

National average reimbursement for CPT 31002 by major payers:

bcbs

$261.95

uhc

$250.95

aetna

$263.21

cigna

$320.71

Preview provider-level rates for...
For billing codeCPT 31002
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 31002

United
31002$800.001679010417 - PIVAC ASC LLC814840875 - (CA) PIVAC ASC LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$1564.001205545860 - PROVIDENCE SURGERY AND PROCEDURE CENTER LLC881232814 - (WA) PROVIDENCE SURGERY AND PROCEDURE CENTER LLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$1528.001891253035 - ADVANCED CENTER FOR SURGERY, THE ADVANCED CENTER FOR SURGERY611917634 - (FL) ADVANCED CENTER FOR SURGERYFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$1179.001326435926 - SELECT PHYSICIANS SURGERY CENTERS383935220 - (FL) SELECT PHYSICIANS SURGERY CENTER, LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$1298.001053835058 - CEI PHYSICIANS PSC LLC, CVP SURGERY CENTER311473421 - CINCINNATI EYE INSTITUTEOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$1233.001942851639 - NORTHERN MICHIGAN SURGICAL SUITES, LLC830670803 - (MI) NORTHERN MICHIGAN SURGICAL SUITES, LLCMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$600.001053852236 - SURGERY CENTER OF ANAHEIM HILLS, LLC814260687 - (CA) SURGERY CENTER OF ANAHEIM HILLS LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$476.001255309951 - BAYFRONT SAME DAY SURGERY CENTER, LLC.845074208 - (FL) OHI WEST INCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$676.001922079896 - SOUTHERN OKLA SURGICAL SERVICES, ARDMORE REGIONAL SURGERY CENTER262814211 - (OK) ARDMORE REGIONAL SURGERY CENTEROKAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$840.001891312815 - SACRED HEART ASC, LLC830521940 - (FL) SACRED HEART ASC LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$610.001205871050 - KLAMATH SURGERY CENTER LLC, KLAMATH SURGEONS LLC911836091 - (OR) KLAMATH SURGERY CENTER LLCORAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$665.001245580711 - AMSTERDAM REC LLC, MOHAWK VALLEY EYE SURGERY CENTER453808566 - (NY) AMSTERDAM REC LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$840.001063887875 - MAGNOLIA SURGERY CENTER, LLC810717259 - (CA) MAGNOLIA SURGERY CENTER LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$1233.001770929044 - SURGCENTER OF PALM BEACH GARDENS, SURGCENTER OF PALM BEACH GARDENS, LLC462315994 - (FL) SURGCENTER OF PALM BEACH GARDENS, LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
31002$721.001730124124 - ENDOSCOPY CENTER OF SANTA MARIA INC, THE ENDOSCOPY CENTER OF SANTA MARIA, INC.470880655 - (CA) ENDOSCOPY CENTER OF SANTA MARIA, INC.CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 31002 vs. Other Surgical Procedures on the Respiratory System Codes

The CPT 31002 code is part of the Surgery services used for Surgical Procedures on the Respiratory System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 31002 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
30130-CPTModerateExc Turbinate Partial/Complete
30200-CPTLowInjection Into Turbinate(S), Therapeutic
31000-CPTModerateLavage By Cannulation; Maxill.Sinus
31002-CPTModerateLavage-Cannulation;Sphenoid Sinus

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31002. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 31002 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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