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See a sample rate comparisonCPT 31535 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.
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).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31535 |
| Medicaid Fee Schedule | View Medicaid rates for 31535 |
National average reimbursement for CPT 31535 by major payers:
$247.26
$253.64
$276.27
$311.65
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CPT 31535
5 of 25 sample ratesHigher to lower in this preview
Lexington Health Inc, Lmc Irmo Asc
Lexington Health Inc
$4,707.00Published rateWinter Haven Ambulatory Surgical Center LLC
Winter Haven Ambulatory Surgical Center, LLC
$2,353.00Published rateSutter Valley Medical Foundation, Briggsmore Surgery Center
Sutter Valley Medical Foundation
$1,155.00Published rateRegional Urology Asc LLC
$982.00Published rateMatthew Gilbert
Deaconess Hospital Inc
$332.95Published rate
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See a sample payer proposalCPT 31535 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31535 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 31535 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 |
|---|---|---|
| 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. |
| 31531-CPT | Moderate | Laryngoscopy Direct Operativ, Laryngoscopy Direct Operative With Foreign Bodyremoval With Operating Microscope Laryngoscopy Direct Operative With Foreign Body Removal |
| 31535-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). |
| 31536-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 31535. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31535 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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