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See a sample rate comparisonCPT 31638 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 Revise Stent, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Revision Of Tracheal Or Bronchial Stent Inserted At Previous Session Includes Tracheal Bronchial Dilation As Required
| 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 31638 |
| Medicaid Fee Schedule | View Medicaid rates for 31638 |
National average reimbursement for CPT 31638 by major payers:
$332.93
$335.53
$350.29
$415.44
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CPT 31638
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Richmond, LLC, Memorial Hermann Surgery Center Richmond
$6,904.00Published rateBcc Chandler LLC
$2,799.00Published rateBlue Ridge Day Surgery Center, Lp, Blue Ridge Day Surgery Center
Blue Ridge Day Surgery Center Lp
$2,265.00Published rateGulf Coast Outpatient Surgery Center, LLC
$1,639.00Published rateRetina Consultants Surgery Center
$653.00Published rate
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See a sample payer proposalCPT 31638 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31638 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 31638 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. |
| 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) |
| 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. |
| 31638-CPT | Moderate | Bronchoscopy Revise Stent, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Revision Of Tracheal Or Bronchial Stent Inserted At Previous Session Includes Tracheal Bronchial Dilation As Required |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31638. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31638 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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