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See a sample rate comparisonCPT 31520 Fee Schedule
Last Verified: October 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.
Laryngoscopy Direct W//W/O Tracheoscopy; Diagnos Newborn, Laryngoscopy Direct With Or Without Tracheoscopy; Diagnostic Newborn
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31520 |
| Medicaid Fee Schedule | View Medicaid rates for 31520 |
National average reimbursement for CPT 31520 by major payers:
$207.97
$206.87
$216.58
$256.34
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CPT 31520
5 of 25 sample ratesHigher to lower in this preview
Indianapolis Endoscopy Center LLP
$3,922.00Published rateArtel LLC
Artel, LLC
$1,155.00Published rateSouth Sound Surgery, PLLC, Auburn Surgical Center
South Sound Surgery PLLC
$300.00Published rateMid- America Surgery Center, LLC
Mid America Surgery Center LLC
$150.00Published rateChildren'S Surgery Center Of Philadelphia LLC, Children'S Dental Surgery Of Philadelphia
Childrens Surgery Center Of Philadelphia LLC
$65.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 31520 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31520 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 31520 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 |
|---|---|---|
| 31515-CPT | Moderate | Clear Material From Voice Box, Exam Of The Voice Box With A Scope (Laryngoscopy) To Clear Out Foreign Material Or Saliva. The Airway May Be Examined At The Same Time. |
| 31520-CPT | Moderate | Laryngoscopy Direct W//W/O Tracheoscopy; Diagnos Newborn, Laryngoscopy Direct With Or Without Tracheoscopy; Diagnostic Newborn |
| 31525-CPT | Moderate | Scope Exam Of Voice Box, Exam Of The Voice Box With A Scope (Laryngoscopy). The Procedure May Include An Exam Of The Airway. |
| 31526-CPT | Moderate | Dx Laryngoscopy W Oper Scope, Laryngoscopy Direct With Or Without Tracheoscopy Diagnostic With Operating Microscope Or Telescope |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31520 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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