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See a sample rate comparisonCPT 31080 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Sinusotomy Frontal Obliterati, Sinusotomy Frontal Obliterative Without Osteoplastic Flap Brow Incision (Includes Ablation) Sinusotomy Frontal Obliterative Without Osteoplastic Flap
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 51 - Multiple procedures LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 31080 |
| Medicaid Fee Schedule | View Medicaid rates for 31080 |
National average reimbursement for CPT 31080 by major payers:
$1,439.72
$1,355.04
$1,461.34
$1,733.40
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CPT 31080
5 of 25 sample ratesHigher to lower in this preview
Court Street Surgery Center, Lp
$9,501.00Published rateLake Ridge Ambulatory Surgery Center, LLC, Lake Ridge Surgery Center
Lake Ridge Ambulatory Surgery Center LLC
$4,244.00Published rateNspc Surgery Center Of Maryland LLC
$2,693.00Published rateCentral Oregon Surgical Institute, LLC
Central Oregon Surgical Institute LLC
$1,910.00Published rateColorectal Surgical & Gastroenterology Associates Psc, Csga Surgery Center
Colorectal Surgical & Gastroenterology Associates Psc
$719.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 31080 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31080 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 31080 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 |
|---|---|---|
| 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). |
| 31075-CPT | High | Removal Of Sinus Tissue, Surgery To Removed Diseased Tissue From The Frontal Sinus (Between The Eyebrows) And If Necessary From The Ethmoid Sinus (Between The Nose And Eye). An Opening For Drainage To The Nose May Be Created. |
| 31080-CPT | High | Sinusotomy Frontal Obliterati, Sinusotomy Frontal Obliterative Without Osteoplastic Flap Brow Incision (Includes Ablation) Sinusotomy Frontal Obliterative Without Osteoplastic Flap |
| 31084-CPT | High | Sinusotomy Frontal Obliterati, Sinusotomy Frontal Obliterative With Osteoplastic Flapbrow Incision Sinusotomy Frontal Obliterative With Osteoplastic Flap |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31080. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31080 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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