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See a sample rate comparisonCPT 31500 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Emergency Placement Of Airway, Emergency Treatment With Placement Of A Device In The Windpipe (Trachea) To Establish An Open Airway. This Enables Mechanical Breathing.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 31500 |
| Medicaid Fee Schedule | View Medicaid rates for 31500 |
National average reimbursement for CPT 31500 by major payers:
$173.34
$174.10
$202.59
$216.57
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CPT 31500
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Blue Star, LLC
Baylor Surgicare At Blue Star LLC
$1,301.00Published rateProliance Surgeons, Inc., P.S., Proliance Center For Outpatient Spine And Joint Surgery
Proliance Surgeons, Inc., P.S.
$546.00Published rateOsi, LLC
$188.00Published ratePremier-Covenant Astc LLC, Premier Ambulatory Surgery Center
Premiercovenant Astc LLC
$107.00Published rateElkins Asc LLC, Gila Valley Procedure Center
Elkins Asc LLC
$55.00Published rate
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See a sample payer proposalCPT 31500 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31500 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 31500 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 |
|---|---|---|
| 31500-CPT | Low | Emergency Placement Of Airway, Emergency Treatment With Placement Of A Device In The Windpipe (Trachea) To Establish An Open Airway. This Enables Mechanical Breathing. |
| 31502-CPT | Low | Tracheotomy Tube Change Prior To Fistula |
| 31573-CPT | Moderate | Largsc W Ther Injection, Laryngoscopy Flexible With Therapeutic Injection S Eg Chemodenervation Agent Or Corticosteroid Injected Percutaneous Transoral Or Via Endoscope Channel Unilateral |
| 31574-CPT | High | Vocal Cord Injection, An Exam Of The Vocal Cords Using A Scope (Laryngoscopy). The Procedure Injects Medication Into The Vocal Cords. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31500 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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