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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 21 - Inpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31561 |
| Medicaid Fee Schedule | View Medicaid rates for 31561 |
National average reimbursement for CPT 31561 by major payers:

$430.84

$459.61

$510.80

$561.09
Choose a payer to see a sample of rates for CPT 31561.
Temple University Hospital Inc
Orthoarizona Scottsdale Asc LLC
Endoscopy Center Of Santa Maria, Inc.
Deaconess Hospital Inc
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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 31561 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31561 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 31561 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 |
|---|---|---|
| 31400-CPT | High | Voice Box (Larynx) Surgery, Surgery To Reposition (Arytenoidopexy) Or Remove (Arytenoidectomy) The Arytenoid Process. These Are Two Pieces Of Triangular Cartilage In The Voice Box That The Vocal Cords Attach To. |
| 31420-CPT | High | Tissue Removal From Epiglottis, Surgery To Remove Diseased Or Abnormal Tissue From The Epiglottis (Flap At Base Of Tongue That Protects The Entrance To The Windpipe). |
| 31560-CPT | Moderate | Voice Box Surgery, Surgery Aided By A Scope (Laryngoscope) To Remove Tissue From Inside The Voice Box. This Tissue Is Called The Arytenoid Process And It Holds The Vocal Cords So They Can Vibrate. |
| 31561-CPT | Moderate | Voice Box Surgery, Surgery Aided By A Scope (Laryngoscope) To Remove Tissue From Inside The Voice Box. This Tissue Is Called The Arytenoid Process And It Holds The Vocal Cords So They Can Vibrate. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31561. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31561 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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