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See a sample rate comparisonCPT 31299 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.
Sinus Procedure, Procedure To Treat A Condition Or Disease In The Sinuses.
| 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 GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 31299 |
| Medicaid Fee Schedule | View Medicaid rates for 31299 |
National average reimbursement for CPT 31299 by major payers:
$1,700.28
$369.30
$1,585.60
$1,275.38
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CPT 31299
5 of 25 sample ratesHigher to lower in this preview
Union Health Services, LLC, Atrium Health Surgery Center Indian Trail
Union Health Services LLC
$6,500.00Published rateEndoscopy Center Of Dayton North LLC
$555.00Published rateSouthwest Washington Regional Surgery Center, LLC
Southwest Washington Regional Surgery Center
$317.00Published rateLawrenceville Center For Pain And Spine, LLC
Lawrenceville Center For Pain And Spine LLC
$175.00Published rateSurgical Specialty Associates LLC, Doctors Same Day Surgery Center LLC
Surgical Specialty Associates
$69.00Published rate
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See a sample payer proposalCPT 31299 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31299 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 31299 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 |
|---|---|---|
| 31090-CPT | High | Sinusotomy Unilateral Three, Sinusotomy Unilateral Three Or More Paranasal Sinuses(Frontal Maxillary Ethmoid Sphenoid) Sinusotomy Unilateral Three Or More Paranasal Sinuses |
| 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. |
| 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. |
| 31299-CPT | High | Sinus Procedure, Procedure To Treat A Condition Or Disease In The Sinuses. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31299. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31299 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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