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See a sample rate comparisonHealthcare 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.
| 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 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31545 |
| Medicaid Fee Schedule | View Medicaid rates for 31545 |
National average reimbursement for CPT 31545 by major payers:

$484.44

$481.90

$520.23

$599.43
Choose a payer to see a sample of rates for CPT 31545.
Aurora Surgery Centers LLC
New Vision Surgical Center LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 31545 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31545 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 31545 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 |
|---|---|---|
| 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). |
| 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. |
| 31545-CPT | Moderate | Remove Vc Lesion W Scope, Laryngoscopy Direct Operative With Operating Microscope Or Telescope With Submucosal Removal Of Non Neoplastic Lesion S Of Vocal Cord Reconstruction With Local Tissue Flap S |
| 31546-CPT | Moderate | Remove Vc Lesion Scope Graft, Laryngoscopy Direct Operative With Operating Microscope Or Telescope With Submucosal Removal Of Non Neoplastic Lesion S Of Vocal Cord Reconstruction With Graft S Includes Obtaining Autograft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31545 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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