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See a sample rate comparisonCPT 31578 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.
Voice Box Surgery, Surgery Aided By A Scope (Laryngoscopy) To Remove A Growth Or Fluid Sac (Cyst) From The Voice Box.
| 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 50 - Bilateral Procedure UA 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31578 |
| Medicaid Fee Schedule | View Medicaid rates for 31578 |
National average reimbursement for CPT 31578 by major payers:
$353.40
$381.72
$408.78
$272.25
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CPT 31578
5 of 25 sample ratesHigher to lower in this preview
East Texas Medical Center Carthage, Etmc Carthage
$1,586.00Published rateCamp Lowell Surgery Center,LLC, Camp Lowell Surgery Center
Camp Lowell Surgery Center
$1,233.00Published rateBsc Chandler LLC
$928.00Published rateRoswell Center For Foot & Ankle Surgery, LLC
$616.00Published rateAlbert Umbach
Deaconess Hospital Inc
$242.05Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 31578 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31578 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 31578 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 31578. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31578 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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