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See a sample rate comparisonCPT 31540 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.
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.
| 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 LT - Left side of body GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31540 |
| Medicaid Fee Schedule | View Medicaid rates for 31540 |
National average reimbursement for CPT 31540 by major payers:
$302.75
$324.70
$353.54
$396.99
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CPT 31540
5 of 25 sample ratesHigher to lower in this preview
San Ramon Endoscopy Center Inc
$2,859.00Published rateThe Regents Of The University Of California
$2,044.00Published rateLaredo Digestive Health Center LLC
$1,535.00Published ratePhysicians Surgical Center LLC, Physicians Surgical Center, An Affiliate Of Healthsouth
Physicians Surgical Ceneter, L.L.C.
$1,155.00Published rateLisa Pagel
Deaconess Hospital Inc
$194.99Published rate
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See a sample payer proposalCPT 31540 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31540 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 31540 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 |
|---|---|---|
| 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). |
| 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 31540. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31540 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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