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See a sample rate comparisonHealthcare 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.
| 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 51 - Multiple procedures 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 31590 |
| Medicaid Fee Schedule | View Medicaid rates for 31590 |
National average reimbursement for CPT 31590 by major payers:

$1,129.03

$1,150.75

$1,251.70

$1,489.46
Choose a payer to see a sample of rates for CPT 31590.
Shawnee Mission Prairie Star Surgery Center LLC
San Antonio Tx Endoscopy Asc Lp
Community Surgery Laser Center LLC
Dca Diagnostics LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 31590 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31590 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 31590 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 |
|---|---|---|
| 31590-CPT | High | Treat Vocal Cord Paralysis, Surgery To Restore Nerve Function To The Vocal Cords. A Piece Of Muscle And Nerve From The Neck (Flap) Is Moved To The Vocal Cords In Place Of The Damaged Nerve. |
| 31591-CPT | High | Reconstruct Vocal Cords, Surgery To Restore Function To The Larynx By Moving The Paralyzed Vocal Fold To The Middle. |
| 31600-CPT | Moderate | Create Opening In Airway, Surgery To Create An Opening Into The Windpipe (Trachea) For Breathing. Skin Flaps May Be Used To Close The Opening. |
| 31610-CPT | High | Create Opening In Airway, Surgery To Create An Opening Into The Windpipe (Trachea) For Breathing. Skin Flaps May Be Used To Close The Opening. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31590. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31590 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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