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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 31360 |
| Medicaid Fee Schedule | View Medicaid rates for 31360 |
National average reimbursement for CPT 31360 by major payers:

$2,513.88

$2,630.25

$2,921.30

$3,275.53
Choose a payer to see a sample of rates for CPT 31360.
Memorial Hermann Surgery Center Pinecroft LLC
Ambulatory Surgery Center Of Burley LLC
Northwest Surgery Center Inc
Mississippi Urology Outpatient Surgery Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 31360 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31360 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 31360 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 |
|---|---|---|
| 31300-CPT | High | Laryngotomy (Thyrotomy Laryngofiss); W/Remval Of Tumor Or Lary, Laryngotomy (Thyrotomy Laryngofissure); With Removal Of Tumor Or Lary |
| 31360-CPT | High | Surgery To Remove Voice Box, Surgery To Remove The Voice Box (Larynx) And Supporting Structures. This Surgery Minimally Affects The Neck And Throat Muscles. |
| 31365-CPT | High | Surgery To Remove Voice Box, Surgery In Which The Entire Voice Box (Larynx) And Supporting Structures Are Removed. This Surgery Can Include Major Reconstruction Of Neck And Throat Muscles. |
| 31367-CPT | High | Surgery To Remove Voice Box, Surgery To Remove The Voice Box (Larynx) And Supporting Structures. This Surgery Minimally Affects The Neck And Throat Muscles. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31360 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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