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See a sample rate comparisonCPT 31612 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.
Removal Of Airway Contents, Surgery To Suction Out The Contents Of The Windpipe (Trachea) Using A Needle Inserted Through The Skin.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 31612 |
| Medicaid Fee Schedule | View Medicaid rates for 31612 |
National average reimbursement for CPT 31612 by major payers:
$107.49
$110.67
$122.95
$141.73
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CPT 31612
5 of 25 sample ratesHigher to lower in this preview
Medical City Surgery Center Of Alliance, LLC
Medical City Surgery Center Of Alliance LLC
$3,871.00Published rateTimonium Surgery Center, LLC
Timonium Surgery Center LLC
$2,307.00Published rateEye Surgery Ctr Of So Calif A Med Group, Tri-City Surgery Center
Eye Surgery Ctr Of So Calif A Med Group
$1,600.00Published rateHhc Asc, LLC
$1,148.00Published rateMelissa Mckinney
Deaconess Hospital Inc
$67.23Published rate
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See a sample payer proposalCPT 31612 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31612 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 31612 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. |
| 31622-CPT | Moderate | Scope Exam Of Lung Airway, Examination Of The Lung And Airway With A Scope (Bronchoscopy). A Mild Salt Solution Is Washed Over The Surface Of The Airways To Collect Cells For Testing. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31612. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31612 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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