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See a sample rate comparisonCPT 31288 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31288 |
| Medicaid Fee Schedule | View Medicaid rates for 31288 |
National average reimbursement for CPT 31288 by major payers:
$337.64
$336.28
$365.29
$403.50
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CPT 31288
5 of 25 sample ratesHigher to lower in this preview
Trident Ambulatory Surgery Center, L.P.
Trident Ambulatory Surgery Center Lp
$7,402.00Published rateWellington Endoscopy Center LLC
$3,570.00Published rateSouth Florida Ambulatory Surgical Center LLC
South Florida Ambulatory Surgi
$3,347.00Published rateEndoscopy Center Of Knoxville Lp, The Endoscopy Center
Endoscopy Center Of Knoxville Lp
$1,290.00Published rateSpalding Endoscopy Center, LLC
Spalding Endoscopy Center LLC
$672.00Published rate
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See a sample payer proposalCPT 31288 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31288 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 31288 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 31288. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31288 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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