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See a sample rate comparisonCPT 31611 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.
Construction Of Tracheoesophag, Construction Of Tracheoesophageal Fistula And Subsequentinsertion Of An Alaryngeal Speech Prosthesis(Eg Voice Button Blom-Singer Prosthesis)
| 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 GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31611 |
| Medicaid Fee Schedule | View Medicaid rates for 31611 |
National average reimbursement for CPT 31611 by major payers:
$663.17
$697.48
$767.18
$878.38
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CPT 31611
5 of 25 sample ratesHigher to lower in this preview
Stonesprings Surgicenter, LLC
Stonesprings Surgicenter LLC
$5,379.00Published rateWest End Surgical, LLC, Oregon Surgical Institute
West End Surgical LLC
$2,263.00Published rateInterventional Pain Management LLC
$1,457.00Published rateSarasota Ambulatory Surgery Center Ltd, Sarasota Ambulatory Surgery Center
Sarasota Ambulatory Surgery Center Ltd
$1,000.00Published rateJeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc
Jeffrey L Bober Dpm PA
$475.00Published rate
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See a sample payer proposalCPT 31611 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31611 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 31611 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 |
|---|---|---|
| 31611-CPT | Moderate | Construction Of Tracheoesophag, Construction Of Tracheoesophageal Fistula And Subsequentinsertion Of An Alaryngeal Speech Prosthesis(Eg Voice Button Blom-Singer Prosthesis) |
| 31612-CPT | Low | Removal Of Airway Contents, Surgery To Suction Out The Contents Of The Windpipe (Trachea) Using A Needle Inserted Through The Skin. |
| 31614-CPT | Moderate | Redo Surgery To Open Airway, Surgery To Repair An Opening Into The Airway Created By A Previous Surgery. The Procedure Can Include Making A New Skin Flap And Removing Excess Scar Tissue. |
| 31623-CPT | Moderate | Bronchoscopy Rigid Or Flexibl, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Brushing Or Protected Brushings |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31611. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31611 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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