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See a sample rate comparisonCPT 31087 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 50 - Bilateral Procedure LT - Left side of body 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 31087 |
| Medicaid Fee Schedule | View Medicaid rates for 31087 |
National average reimbursement for CPT 31087 by major payers:
$1,488.19
$1,424.31
$1,538.06
$1,798.19
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CPT 31087
5 of 25 sample ratesHigher to lower in this preview
Surgcenter Of Deer Valley, LLC
Surgcenter Of Deer Valley LLC
$5,433.00Published rateAmbulatory Surgical Center Of Somerville LLC, Somerset Ambulatory Surgical Center
$3,973.00Published rateSt Cloud Mn Ophthalmology Asc LLC, St. Cloud Center For Ophthalmic Surgery
St Cloud Mn Ophthalmology Asc LLC
$2,790.00Published ratePalos Hills Surgery Center, LLC
Palos Hills Surgery Center LLC
$2,300.00Published rateMiami Valley Ambulatory Surgery Center Ltd
$584.00Published rate
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See a sample payer proposalCPT 31087 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31087 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 31087 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 |
|---|---|---|
| 31085-CPT | High | Sinusotomy Frontal Obliterati, Sinusotomy Frontal Obliterative With Osteoplastic Flapcoronal Incision Sinusotomy Frontal Obliterative With Osteoplastic Flap |
| 31086-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. |
| 31087-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. |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31087. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31087 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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