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See a sample rate comparisonCPT 31051 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 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body 50 - Bilateral Procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31051 |
| Medicaid Fee Schedule | View Medicaid rates for 31051 |
National average reimbursement for CPT 31051 by major payers:
$865.05
$853.59
$918.82
$1,103.47
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CPT 31051
5 of 25 sample ratesHigher to lower in this preview
Surgicare Of St Andrews Ltd
$7,391.00Published ratePatient Partners LLC
$5,433.00Published rateGeorgia Interventional Pain
$3,500.00Published rateGlen Burnie Md Endoscopy Asc LLC, Endocentre At Quarterfield Station
$1,773.00Published ratePremier Endoscopy Center, LLC
Premier Endoscopy Center, P.L.L.C.
$826.00Published rate
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See a sample payer proposalCPT 31051 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31051 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 31051 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). |
| 31287-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. |
| 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 31051. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31051 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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