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See a sample rate comparisonCPT 31525 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.
Scope Exam Of Voice Box, Exam Of The Voice Box With A Scope (Laryngoscopy). The Procedure May Include An Exam Of The Airway.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 99 - Other POS 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31525 |
| Medicaid Fee Schedule | View Medicaid rates for 31525 |
National average reimbursement for CPT 31525 by major payers:
$294.88
$326.48
$362.78
$275.36
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CPT 31525
5 of 25 sample ratesHigher to lower in this preview
Los Robles Surgicenter, LLC, Los Robles Surgicenter
Los Robles Surgicenter LLC
$5,217.00Published rateGolden Triangle Surgicenter Lp
$1,155.00Published rateThe Regents Of The University Of California, Ucla Dept Of Medicine
$995.00Published rateCastle Hills Outpatient Center, Inc., Surgical Arts Center
Castle Hills Outpatient Center Inc
$605.00Published rateSoutheast Eye Surgery Center, LLC
Southeast Eye Surgery Center LLC
$385.00Published rate
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See a sample payer proposalCPT 31525 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31525 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 31525 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. |
| 31530-CPT | Moderate | Remove Object From Voice Box, An Exam Of The Voice Box Using A Scope (Laryngoscope). The Procedure Removes A Foreign Object From The Voice Box. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31525. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31525 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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