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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 GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31635 |
| Medicaid Fee Schedule | View Medicaid rates for 31635 |
National average reimbursement for CPT 31635 by major payers:

$399.50

$405.63

$452.22

$305.70
Choose a payer to see a sample of rates for CPT 31635.
Deaconess Hospital Inc
Potomac View Surgery Center LLC
Advanced Surgery Center Of Metairie
Mei Surgery Center LLC
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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 31635 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31635 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 31635 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 |
|---|---|---|
| 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) |
| 31634-CPT | High | Airway Surgery With A Scope, Surgery In Which A Bronchoscope Is Threaded Into The Lung Through The Mouth To Find And Repair An Air Leak. A Bronchoscope Is A Flexible Tube With Lenses And A Light Source Allowing Visualization Of The Airway. |
| 31635-CPT | Moderate | Remove Object From Airway, Surgery With The Aid Of A Scope (Bronchoscopy) To Remove A Foreign Object From The Airway. A Dye May Be Used To Help See The Object And The Area. |
| 31636-CPT | Moderate | Bronchoscopy Bronch Stents, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Placement Of Bronchial Stent S Includes Tracheal Bronchial Dilation As Required Initial Bronchus |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31635. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31635 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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