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See a sample rate comparisonCPT 31081 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 Flapcoronal 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 24 - Ambulatory Surgical Center |
| Common Modifiers | None 50 - Bilateral Procedure 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 31081 |
| Medicaid Fee Schedule | View Medicaid rates for 31081 |
National average reimbursement for CPT 31081 by major payers:
$1,570.78
$1,589.94
$1,703.41
$2,016.81
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CPT 31081
5 of 25 sample ratesHigher to lower in this preview
Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC
Surgery Affiliate Of El Paso LLC
$15,719.00Published rateResurgens Surgery Center LLC
$5,020.00Published rateSurgery Center Of Northeast Texas LLC, Surgery Center Of Northeast Texas
Scnetx, Llcdba Surgery Center
$3,225.00Published ratePremier Surgical Center, LLC
Premier Surgical Center LLC
$1,974.00Published rateEast Texas Eye Associates, East Texas Eye Associates Surgery Center
$1,105.00Published rate
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See a sample payer proposalCPT 31081 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31081 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 31081 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 |
|---|---|---|
| 31081-CPT | High | Sinusotomy Frontal Obliterati, Sinusotomy Frontal Obliterative Without Osteoplastic Flapcoronal 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 |
| 31267-CPT | Moderate | Scope Surgery Of Nose Or Sinus, Surgery Aided By A Scope (Endoscopy) On The Nose Or Sinus. The Procedure May Include Draining A Sinus Or Removing Abnormal Tissue Such As Polyps. |
| 31276-CPT | Moderate | Sinus Surgery With Scope, Surgery Aided By A Scope (Endoscopy) To Explore The Sinus In The Forehead. The Procedure May Include Removing A Sample Of Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31081. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31081 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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