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CPT 31032 Fee Schedule

Last Verified: February 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.

Sinusotomy Maxilla Radical W/Removal Pol
Key FactDetail
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 LevelModerate
Medicare Fee ScheduleView Medicare rates for 31032

National average reimbursement for CPT 31032 by major payers:

bcbs

$820.13

uhc

$751.41

aetna

$803.99

cigna

$979.60

Preview provider-level rates for...
For billing codeCPT 31032
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 31032

United
31032$5020.001306843222 - ST. JOSEPH'S OUTPATIENT SURGERY CENTER, LLC562332449 - (AZ) ST JOSEPHS OUTPATIENT SURGERY CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$2501.001528119252 - SAMSON PAIN CENTER43620515 - (GA) SAMSON PAIN CENTERGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$2420.001356314249 - COLUMBIA ASC LLC, COLUMBIA GASTROINTESTINAL ENDOSCOPY CENTER621657449 - (SC) THE COLUMBIA ASC, LLCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$3200.001053846592 - EASTSIDE ENDOSCOPY CENTER LLC810759895 - (GA) EASTSIDE ENDOSCOPY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$4472.001558627406 - CARMEL SPECIALTY SURGERY CENTER LLC454729527 - (IN) CARMEL SPECIALTY SURGERY CENTER, LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$5433.001851950281 - YUMA ADVANCED SURGICAL SUITES LLC833076801 - (AZ) YUMA ADVANCED SURGICAL SUITES, LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$1903.651417916800 - TULSA OK ENDOSCOPY ASC LLC, TULSA ENDOSCOPY CENTER203853559 - (OK) TULSA ENDOSCOPY CENTER, LLCOKAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$3713.001356643944 - UNION SURGERY CENTER, LLC272373691 - (NJ) UNION SURGERY CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$819.501255793758 - MISSION SURGERY CENTER, INC.475137439 - (CA) MISSION SURGERY CENTER, INC.CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$8159.001659793891 - INOVA AMBULATORY SURGERY CENTER AT LORTON, LLC461955980 - (VA) INOVA AMBULATORY SURGERY CENTER AT LORTON LLCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$819.501508318411 - INTERVENTIONAL SPINE CENTER, LLC263161503 - (CA) INTERVENTIONAL SPINE CENTER LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$3054.001891889945 - DIGESTIVE CARE MEDICAL CENTER INC753037371 - (CA) DIGESTIVE CARE MEDICAL CENTER, INC.CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$2620.001265859573 - MODESTO SPECIALTY SURGERY CENTER, PC454954897 - (CA) MODESTO SPECIALTY SURGERY CENTER PCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$819.501316342579 - ENCINO SURGICAL CENTER LLC471132992 - (CA) ENCINO SURGICAL CENTER LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
31032$814.001033426580 - ADVANCED AMBULATORY SURGERY CENTER, LLC271607092 - (IN) ADVANCED AMBULATORY SURGERY CENTER LLCINAmbulatory 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 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.

CodeComplexityDescription
31032-CPTModerateSinusotomy Maxilla Radical W/Removal Pol
31040-CPTHighOp Pterygomaxill Fossa Transantral
31050-CPTModerateSinusotomy, Sphenoid, Withor Without Bi
31070-CPTModerateSinusotomy Frontal External Simple Treph

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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