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See a sample rate comparisonCPT 31032 Fee Schedule
Last Verified: October 2026
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.
Surgery For Sinus Drainage, Surgery To Create An Opening Into The Sinuses To Allow Normal Drainage. The Procedure Can Involve Removing Excess Sinus Tissue Or Polyps. A Thin Tube (Catheter) May Be Inserted After Surgery For A Short Time.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31032 |
| Medicaid Fee Schedule | View Medicaid rates for 31032 |
National average reimbursement for CPT 31032 by major payers:
$820.13
$751.41
$803.99
$959.69
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CPT 31032
5 of 25 sample ratesHigher to lower in this preview
Inova Ambulatory Surgery Center At Lorton, LLC
Inova Ambulatory Surgery Center At Lorton LLC
$8,159.00Published rateUnion Surgery Center, LLC
Union Surgery Center LLC
$3,713.00Published rateModesto Specialty Surgery Center, PC
Modesto Specialty Surgery Center PC
$2,620.00Published rateLynn Eye Surgery Center, LLC, Lynn Eye Surgery Center
Lynn Eye Surgery Center LLC
$1,679.00Published rateAdvanced Ambulatory Surgery Center, LLC
Advanced Ambulatory Surgery Center LLC
$814.00Published rate
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See a sample payer proposalCPT 31032 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31032 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 31032 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.
| Code | Complexity | Description |
|---|---|---|
| 31032-CPT | Moderate | Surgery For Sinus Drainage, Surgery To Create An Opening Into The Sinuses To Allow Normal Drainage. The Procedure Can Involve Removing Excess Sinus Tissue Or Polyps. A Thin Tube (Catheter) May Be Inserted After Surgery For A Short Time. |
| 31040-CPT | High | Op Pterygomaxill Fossa Transantral |
| 31050-CPT | Moderate | Sinus Surgery Tissue Removal, Surgery To Remove Tissue From The Sinus Behind The Eye Socket (Sphenoid Sinus). The Procedure May Include Taking A Small Tissue Sample For Testing (Biopsy) Or Removing Excess Tissue (Polyps). |
| 31070-CPT | Moderate | Drain Front Nasal Sinus, Surgery To Drain The Frontal Sinus (Between The Eyebrows). Catheters (Thin Tubes) Are Temporarily Placed To Rinse The Sinus With Saltwater (Saline). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31032. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31032 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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