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See a sample rate comparisonCPT 31380 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.
Hemilaryngectomy Anterovertical
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None AG - Primary physician GC - Service performed by resident under supervision LT - Left side of body 51 - Multiple procedures 82 - Assistant surgeon - no qualified resident RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 31380 |
| Medicaid Fee Schedule | View Medicaid rates for 31380 |
National average reimbursement for CPT 31380 by major payers:
$2,304.71
$2,490.57
$2,660.30
$3,092.39
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CPT 31380
5 of 25 sample ratesHigher to lower in this preview
Franconia-Springfield Surgery Center, LLC, Inova Surgery Center @ Franconia-Springfield
Inova Ambulatory Surgical Centers
$3,931.00Published rateFlorida Springs Surgery Center LLC
Florida Springs Surgery Center L
$1,049.00Published rateMichigan Surgical Center,LLC
Michigan Surgical Center
$780.00Published rateMidtown Surgery Center
$511.00Published rateSun City Az Endoscopy Asc LLC, Sun City Endoscopy Center
Sun City Az Endoscopy Asc LLC
$109.00Published rate
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See a sample payer proposalCPT 31380 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31380 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 31380 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 |
|---|---|---|
| 31375-CPT | High | Hemilaryngectomy Laterovertical |
| 31380-CPT | High | Hemilaryngectomy Anterovertical |
| 31382-CPT | High | Hemilaryngectomy Ant-Lat-Vertical |
| 31390-CPT | High | Voice Box And Throat Surgery, Surgery To Remove The Voice Box (Larynx) And Pharynx The Portion Of The Throat From The Voice Box To The Back Of The Nasal Passage. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31380. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31380 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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