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See a sample rate comparisonCPT 31576 Fee Schedule
Last Verified: September 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 | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31576 |
| Medicaid Fee Schedule | View Medicaid rates for 31576 |
National average reimbursement for CPT 31576 by major payers:
$303.10
$323.94
$359.13
$216.35
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CPT 31576
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center, Ochsner Outpatient Surgery Suite
Ochsner Clinic Foundation
$9,152.00Published rateEndoscopy Of Plano, Lp, Gastrointestinal Endoscopy Center Of Plano
Endoscopy Of Plano Lp
$1,503.00Published rateRush Oak Brook Surgery Center, LLC
$1,167.00Published rateRegional Surgical Centre, Inc.
Regional Surgical Centre Inc
$655.00Published rateEye Care Surgery Center Of Memphis, LLC
$320.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 31576 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31576 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 31576 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 |
|---|---|---|
| 31575-CPT | Low | Scope Exam Of Voice Box, Exam Of The Voice Box With A Scope (Laryngoscopy). The Procedure May Include An Exam Of The Airway. |
| 31576-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). |
| 31577-CPT | Moderate | Laryngoscopy Flexible Fiberop, Laryngoscopy Flexible Fiberoptic With Removal Offoreignbody Laryngoscopy Flexible Fiberoptic W Ith Removal Of Foreign |
| 31578-CPT | Moderate | Voice Box Surgery, Surgery Aided By A Scope (Laryngoscopy) To Remove A Growth Or Fluid Sac (Cyst) From The Voice Box. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31576. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31576 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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