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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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 31633 |
| Medicaid Fee Schedule | View Medicaid rates for 31633 |
National average reimbursement for CPT 31633 by major payers:

$106.01

$110.19

$120.36

$104.18
Choose a payer to see a sample of rates for CPT 31633.
Phoenix Heart Ambulatory Surgery And Electrophysiology LLC
Bay Surgery Centers
Surgical Center Of Ponte Vedra B
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Rate Benchmarking
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See a sample payer proposalCPT 31633 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31633 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 31633 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 |
|---|---|---|
| 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). |
| 31632-CPT | Low | Bronchoscopy Rigid Or Flexibl, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Transbronchial Lung Biopsy(S) Each Additional Lobe (List Separately In Addition To Code For Primary Procedure) |
| 31633-CPT | Low | Bronchoscopy/Needle Bx Addu00c6l, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed; With Transbronchial Needle Aspiration Biopsy(S) Each Additional Lobe (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31633. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31633 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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