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See a sample rate comparisonCPT 31614 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 AG - Primary physician GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31614 |
| Medicaid Fee Schedule | View Medicaid rates for 31614 |
National average reimbursement for CPT 31614 by major payers:
$901.63
$951.43
$1,012.81
$1,177.58
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CPT 31614
5 of 25 sample ratesHigher to lower in this preview
Eagle Highlands Surgery Center, LLC, Meridian South Surgery Center
$11,291.00Published rateHollywood Surgical Center, LLC
Hollywood Surgical Center LLC
$4,083.00Published rateVirginia Ent Surgery Center Inc
$2,413.00Published rateEye Surgery Center Of North Alabama, Inc.
$1,613.00Published rateCasc Aquisition Inc, Carolina Ambulatory Surgery Center
Casc Aquisition Inc
$1,258.00Published rate
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See a sample payer proposalCPT 31614 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31614 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 31614 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 |
|---|---|---|
| 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. |
| 31612-CPT | Low | Removal Of Airway Contents, Surgery To Suction Out The Contents Of The Windpipe (Trachea) Using A Needle Inserted Through The Skin. |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31614. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31614 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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