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See a sample rate comparisonCPT 31552 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Reconstruct Vocal Cords, Surgery To Remove An Abnormal Formation From The Vocal Cords And Attached Cartilage (Arytenoid Process). A Temporary Graft May Be Used To Reconstruct The Tissues.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision AG - Primary physician 76 - Repeat procedure by same physician UB 58 - Staged or related procedure during postoperative period 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 31552 |
| Medicaid Fee Schedule | View Medicaid rates for 31552 |
National average reimbursement for CPT 31552 by major payers:
$1,785.36
$1,964.59
$2,035.50
$2,411.37
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CPT 31552
5 of 25 sample ratesHigher to lower in this preview
Olive Ambulatory Surgery Center, LLC, North Campus Surgery Center
Olive Ambulatory Surgery Center LLC
$5,966.00Published rateFirst Coast Orthopedic Center, LLC, First Coast Surgery Center
First Coast Orthopedic Center LLC
$3,275.00Published rateOphthalmology Surgery Center Of Illinois, LLC
Ophthalmology Surgery Center Of Illinois LLC
$2,848.00Published rateNational Cardiovascular Surgery Center, LLC, Peak Surgery Center Of Avondale
National Cardiovascular Surgery Center LLC
$2,400.00Published rateAmbulatory Care Center PA
$957.00Published rate
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See a sample payer proposalCPT 31552 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31552 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 31552 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 |
|---|---|---|
| 31551-CPT | High | Reconstruct Vocal Cords, Surgery To Remove An Abnormal Formation From The Vocal Cords And Attached Cartilage (Arytenoid Process). A Temporary Graft May Be Used To Reconstruct The Tissues. |
| 31552-CPT | High | Reconstruct Vocal Cords, Surgery To Remove An Abnormal Formation From The Vocal Cords And Attached Cartilage (Arytenoid Process). A Temporary Graft May Be Used To Reconstruct The Tissues. |
| 31553-CPT | High | Reconstruct Vocal Cords, Surgery To Remove An Abnormal Formation From The Vocal Cords And Attached Cartilage (Arytenoid Process). A Temporary Graft May Be Used To Reconstruct The Tissues. |
| 31554-CPT | High | Reconstruct Vocal Cords, Surgery To Remove An Abnormal Formation From The Vocal Cords And Attached Cartilage (Arytenoid Process). A Temporary Graft May Be Used To Reconstruct The Tissues. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31552. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31552 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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