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See a sample rate comparisonCPT 31390 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital None |
| Common Modifiers | None GC - Service performed by resident under supervision 80 - Assistant surgeon 52 - Reduced Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 31390 |
| Medicaid Fee Schedule | View Medicaid rates for 31390 |
National average reimbursement for CPT 31390 by major payers:
$3,485.05
$3,641.16
$3,867.97
$4,497.19
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CPT 31390
5 of 25 sample ratesHigher to lower in this preview
East Mequon Surgery Center LLC
$17,689.00Published rateSurgcenter Of Glen Burnie, Surgcenter Of Glen Burnie, LLC
Surgcenter Of Glen Burnie, LLC
$1,049.00Published rateMonticello Community Surgery Center, LLC, Uva Health Surgical Care Riverside
Monticello Community Surgery
$800.00Published rateSan Diego Eyecor LLC
San Diego Eye Cor., Inc.
$469.00Published rateThe Glendale Az Endoscopy Asc LLC, Thunderbird Endoscopy Center
$109.00Published rate
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See a sample payer proposalCPT 31390 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31390 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 31390 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 |
|---|---|---|
| 31368-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. |
| 31370-CPT | High | Hemilaryngectomy Horizontal |
| 31375-CPT | High | Hemilaryngectomy Laterovertical |
| 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 31390. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31390 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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