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See a sample rate comparisonCPT 31626 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.
Insert Scope Into Airway, Insertion Of A Scope (Bronchoscope) Into The Airway To Place A Contrast Material (Such As A Dye) Or A Marker (Such As Treated Cells). The Contrast Material Or Marker Highlights Specific Areas Of The Airway On Images Or Scans.
| 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 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31626 |
| Medicaid Fee Schedule | View Medicaid rates for 31626 |
National average reimbursement for CPT 31626 by major payers:
$768.47
$906.20
$1,028.93
$372.25
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CPT 31626
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Fort Worth
Texas Health Harris Methodist Hospital Southwest Fort Worth
$9,098.00Published rateUchealth Ambulatory Surgery Centers, Uchealth Cherry Creek North Surgery Center
Uchealth Ambulatory Surgery Centers
$2,846.00Published rateOptum Peak Endoscopy Center LLC
$1,983.00Published rateJervey Eye Center,LLC
$986.00Published rateJourney Lite Of The Central Coast, LLC, Conejo Surgical Center
Journey Lite Of The Central Coast LLC
$355.00Published rate
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See a sample payer proposalCPT 31626 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31626 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 31626 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. |
| 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 |
| 31626-CPT | Moderate | Insert Scope Into Airway, Insertion Of A Scope (Bronchoscope) Into The Airway To Place A Contrast Material (Such As A Dye) Or A Marker (Such As Treated Cells). The Contrast Material Or Marker Highlights Specific Areas Of The Airway On Images Or Scans. |
| 31628-CPT | Moderate | Lung Or Airway Biopsy, Exam Of The Lung And Airway With A Scope (Bronchoscopy). The Procedure Removes A Small Sample Of Lung Or Airway Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31626. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31626 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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