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See a sample rate comparisonCPT 31536 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 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31536 |
| Medicaid Fee Schedule | View Medicaid rates for 31536 |
National average reimbursement for CPT 31536 by major payers:
$278.08
$282.85
$311.83
$346.49
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CPT 31536
5 of 25 sample ratesHigher to lower in this preview
Center For Ambulatory Surgery, LLC, The Center For Ambulatory Surgery
The Center For Ambulatory Surgery LLC
$4,831.00Published rateBristol Ambulatory Surgery Center, LLC
$2,206.00Published rateIndiana Vascular Surgery Center LLC
$1,117.00Published rateWest Shore Endoscopy Center LLC
$811.00Published rateLisa Pagel
Deaconess Hospital Inc
$170.41Published rate
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See a sample payer proposalCPT 31536 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31536 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 31536 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 |
|---|---|---|
| 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). |
| 31540-CPT | Moderate | Remove Tumor From Voice Box, Surgery Aided By A Scope (Laryngoscope) To Remove A Tumor From The Voice Box (Larynx). The Vocal Cords And Cartilage Protecting The Voice Box May Be Removed As Well. |
| 31541-CPT | Moderate | Remove Tumor From Voice Box, Surgery Aided By A Scope (Laryngoscope) To Remove A Tumor From The Voice Box (Larynx). The Vocal Cords And Cartilage Protecting The Voice Box May Be Removed As Well. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31536. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31536 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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