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See a sample rate comparisonCPT 31630 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.
Bronchoscopy Dilate Fx Repr, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Tracheal Bronchial Dilation Or Closed Reduction Of Fracture
| 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 GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31630 |
| Medicaid Fee Schedule | View Medicaid rates for 31630 |
National average reimbursement for CPT 31630 by major payers:
$279.37
$270.76
$294.90
$327.23
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CPT 31630
5 of 25 sample ratesHigher to lower in this preview
Bay Area Surgicenter, LLC, Brandon Surgery Center
Bay Area Surgicenter LLC
$6,734.00Published ratePiedmont Asc LLC
$3,976.00Published rateOrthoatlanta Surgery Center Of Fayetteville, LLC
Orthoatlanta Surgery Center Of Fayetteville LLC
$2,370.00Published rateInnovative Surgery Center, LLC
Innovative Surgery Center LLC
$1,683.00Published rateCummins Womens Healthcare LLC, Elizabeth Cummins Md
Cummins Womens Healthcare, LLC
$643.00Published rate
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See a sample payer proposalCPT 31630 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31630 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 31630 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 |
|---|---|---|
| 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. |
| 31627-CPT | High | Bronchoscopy Rigid Or Flexibl, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Computer-Assisted Image-Guided Navigation (List Separately In Addition To Code For Primary Procedure[S]) |
| 31630-CPT | Moderate | Bronchoscopy Dilate Fx Repr, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Tracheal Bronchial Dilation Or Closed Reduction Of Fracture |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31630 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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