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See a sample rate comparisonHealthcare 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.
| 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 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31624 |
| Medicaid Fee Schedule | View Medicaid rates for 31624 |
National average reimbursement for CPT 31624 by major payers:

$339.03

$362.06

$403.44

$235.58
Choose a payer to see a sample of rates for CPT 31624.
Merrimack Valley Pediatric Associates, Inc.
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Slocum Dickson Medical Group PLLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 31624 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31624 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 31624 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 |
|---|---|---|
| 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. |
| 31623-CPT | Moderate | Bronchoscopy Rigid Or Flexibl, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Brushing Or Protected Brushings |
| 31624-CPT | Moderate | Exam Of Lung And Airway, Exam Of The Lung And Airway With A Scope (Bronchoscopy). The Procedure May Include Brushing Or Washing The Airway. |
| 31625-CPT | Moderate | Bronchoscopy Rigid Or Flexibl, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Bronchial Or Endobronchial Biopsy(S) Single Or Multiple Sites |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31624. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31624 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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