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See a sample rate comparisonCPT 31292 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.
Surgery For Eye Pressure, Surgery Aided By A Scope (Endoscopy) To Relieve Pressure On The Eye. A Small Hole Is Made In The Eye Socket To Give The Eye More Room.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 31292 |
| Medicaid Fee Schedule | View Medicaid rates for 31292 |
National average reimbursement for CPT 31292 by major payers:
$1,418.57
$1,318.91
$1,397.12
$1,615.85
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CPT 31292
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$9,270.00Published rateSeaside Surgery Center, LLC
Seaside Surgery Center LLC
$3,570.00Published rateTampa Bay Surgery Center Associates Ltd, Center For Advanced Surgical Specialist
Tampa Bay Surgery Center Assoc
$2,200.00Published rateQueensridge Surgery Center
$1,642.00Published rateMiddletown Endoscopy Asc LLC, The Gi Endoscopy Center
Middletown Endoscopy Asc LLC
$737.00Published rate
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See a sample payer proposalCPT 31292 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31292 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 31292 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 |
|---|---|---|
| 31290-CPT | High | Repair Of Spinal Fluid Leak, Nose Surgery Aided By A Scope (Endoscopy) To Repair A Leak That Allows Spinal Fluid Into The Sinuses Around The Eye. |
| 31292-CPT | High | Surgery For Eye Pressure, Surgery Aided By A Scope (Endoscopy) To Relieve Pressure On The Eye. A Small Hole Is Made In The Eye Socket To Give The Eye More Room. |
| 31293-CPT | High | Surgery For Eye Pressure, Surgery Aided By A Scope (Endoscopy) To Relieve Pressure On The Eye. A Small Hole Is Made In The Eye Socket To Give The Eye More Room. |
| 31294-CPT | High | Relieve Optic Nerve Pressure, Surgery Aided By A Scope (Endoscopy) To Relieve Pressure On A Major Nerve In The Eye (Optic Nerve). The Procedure Shaves Bone That Is Pressing On The Nerve. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31292. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31292 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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