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See a sample rate comparisonCPT 31613 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31613 |
| Medicaid Fee Schedule | View Medicaid rates for 31613 |
National average reimbursement for CPT 31613 by major payers:
$531.51
$576.24
$623.02
$709.29
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CPT 31613
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers LLC
$8,705.00Published rateNorthern California Advanced Surgery Center Lp
Northern California Advanced Surgery Center, Lp
$1,760.00Published rateUsc, LLC, Unasource Surgery Center
Usc, LLC
$1,318.00Published rateReeves Eye Surgery Center LLC
$1,091.00Published rateJaneen Gibson
Deaconess Hospital Inc
$355.63Published rate
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See a sample payer proposalCPT 31613 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31613 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 31613 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 |
|---|---|---|
| 31613-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. |
| 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. |
| 31631-CPT | Moderate | Placement Of Airway Support, Surgery Aided By A Scope (Bronchoscope) To Insert A Support Device (Stent) Into The Airway. The Procedure Helps To Keep The Airway Open So That Air Flows Freely To The Lungs. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31613. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31613 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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