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See a sample rate comparisonCPT 31502 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.
Tracheotomy Tube Change Prior To Fistula
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 31502 |
| Medicaid Fee Schedule | View Medicaid rates for 31502 |
National average reimbursement for CPT 31502 by major payers:
$49.64
$49.39
$53.70
$61.92
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CPT 31502
5 of 25 sample ratesHigher to lower in this preview
Deaconess Hospital, Inc, <Unavail>
Deaconess Hospital Inc
$3,431.00Published rateYorkville Endoscopy, LLC
Yorkville Endoscopy LLC
$665.00Published rateSurgcenter Of Bel Air
Surgcenter Of Bel Air, LLC
$207.00Published rateAdventist Healthcare Sc At National Harbor, LLC
Adventist Healthcare Sc At National Harbor LLC
$143.00Published rateAdam Dunstone
Deaconess Hospital Inc
$62.50Published rate
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See a sample payer proposalCPT 31502 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31502 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 31502 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 |
| 31575-CPT | Low | Scope Exam Of Voice Box, Exam Of The Voice Box With A Scope (Laryngoscopy). The Procedure May Include An Exam Of The Airway. |
| 31576-CPT | Moderate | Voice Box Exam With Biopsy, An Exam Of The Voice Box Using A Scope (Laryngoscopy). The Procedure Takes A Sample Of Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31502. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31502 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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