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See a sample rate comparisonCPT 31605 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.
Tracheostomy Emergency Proced, Tracheostomy Emergency Procedure Cricothyroid Membranetracheostomy Emergency Procedure Cricothyroid Membrane
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | None GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31605 |
| Medicaid Fee Schedule | View Medicaid rates for 31605 |
National average reimbursement for CPT 31605 by major payers:
$356.57
$361.97
$422.31
$473.42
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 31605.
CPT 31605
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S North Surgery Center, LLC
Saint Lukes North Surgery Center LLC
$5,213.00Published rateEl Paso Center For Gastrointestinal Endoscopy, LLC
El Paso Center For Gastrointestinal Endoscopy LLC
$566.00Published rateCanon City Co Multi Specialty Asc LLC, Arkansas Valley Surgery Center
Canon City Co Multi Specialty Asc LLC
$445.00Published rateAtlantic Surgery Center,LLC
Atlantic Surgery Centerllc
$200.00Published rateOutpatient Surgery Center, Inc.
Outpatient Surgery Center Inc
$81.00Published rate
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See a sample payer proposalCPT 31605 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31605 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 31605 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 |
|---|---|---|
| 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. |
| 31601-CPT | Moderate | Create Opening In Airway, Surgery On A Child Younger Than Age Two To Create An Opening Into The Windpipe For Breathing. Skin Flaps May Be Used To Close The Opening. |
| 31603-CPT | Moderate | Tracheostomy Emergency Proced, Tracheostomy Emergency Procedure Transtrachealtracheostomy Emergency Procedure Transtracheal |
| 31605-CPT | Moderate | Tracheostomy Emergency Proced, Tracheostomy Emergency Procedure Cricothyroid Membranetracheostomy Emergency Procedure Cricothyroid Membrane |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31605 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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