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See a sample rate comparisonCPT 31050 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.
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).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None LT - Left side of body 50 - Bilateral Procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31050 |
| Medicaid Fee Schedule | View Medicaid rates for 31050 |
National average reimbursement for CPT 31050 by major payers:
$659.72
$641.08
$681.44
$827.10
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CPT 31050
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, Emory Clinic Ambulatory Surgery Center
Emory University
$7,635.00Published rateThe Outpatient Center, LLC, The Outpatient Center Of Boynton Beach, Ltd.
The Outpatient Center Of Boynton Beach, Ltd.
$5,020.00Published rateMark Fromer, LLC, Eye Surgery Centers Of New York
Mark Fromer LLC
$2,430.00Published rateCataract And Laser Center LLC
$1,436.00Published rateCentral Ohio Gastroenterology Associates,LLC, Mid Ohio Surgery Center
Central Ohio Gastroenterology Associatesllc
$690.00Published rate
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See a sample payer proposalCPT 31050 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31050 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 31050 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 |
|---|---|---|
| 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). |
| 31051-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). |
| 31235-CPT | Moderate | Nsl/Sins Ndsc Dx Sphn Sinusc, Nasal/Sinus Endoscopy Diagnostic; With Sphenoid Sinusoscopy (Via Puncture Of Sphenoidal Face Or Cannulation Of Ostium) |
| 31288-CPT | Moderate | Scope Surgery Of Nose Or Sinus, Surgery Aided By A Scope (Endoscopy) On The Nose Or Sinus. The Procedure May Include Draining The Sinus Behind The Eyes (Sphenoid Sinus) Or Removing Abnormal Tissue Such As Polyps. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31050. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31050 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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