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See a sample rate comparisonCPT 31420 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.
Tissue Removal From Epiglottis, Surgery To Remove Diseased Or Abnormal Tissue From The Epiglottis (Flap At Base Of Tongue That Protects The Entrance To The Windpipe).
| 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 59 - Distinct Procedural Service 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 31420 |
| Medicaid Fee Schedule | View Medicaid rates for 31420 |
National average reimbursement for CPT 31420 by major payers:
$1,083.10
$1,087.30
$1,147.26
$1,358.20
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CPT 31420
5 of 25 sample ratesHigher to lower in this preview
Prime Healthcare Services-Suburban Hospital LLC
$9,131.15Published rateAdvanced Surgery Center Of San Antonio, LLC
$3,600.00Published rateSalmon Creek Plastic Surgery PC, Salmon Creek Plastic Surgery PC/Asc Facility
Salmon Creek Plastic Surgery, PC
$2,686.00Published rateNorth Oak Ambulatory Surgery Center, LLC
$1,950.00Published rateWalker Surgical Center LLC
$1,035.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 31420 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31420 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 31420 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 |
| 31400-CPT | High | Voice Box (Larynx) Surgery, Surgery To Reposition (Arytenoidopexy) Or Remove (Arytenoidectomy) The Arytenoid Process. These Are Two Pieces Of Triangular Cartilage In The Voice Box That The Vocal Cords Attach To. |
| 31420-CPT | High | Tissue Removal From Epiglottis, Surgery To Remove Diseased Or Abnormal Tissue From The Epiglottis (Flap At Base Of Tongue That Protects The Entrance To The Windpipe). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31420. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31420 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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