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See a sample rate comparisonCPT 31643 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.
Catheter Placed For Radiation, Exam Of The Airway With A Scope (Bronchoscope) In Order To Place A Thin Tube (Catheter) In The Airway. The Catheter Will Hold Radioactive Material For Therapy.
| 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 GK |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31643 |
| Medicaid Fee Schedule | View Medicaid rates for 31643 |
National average reimbursement for CPT 31643 by major payers:
$248.15
$234.87
$242.63
$283.27
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CPT 31643
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, Emory Ambulatory Surgery Center At Spivey Station
Emory University
$3,022.00Published rateAdvanced Surgery Center Perimeter, LLC
$1,608.00Published rateDiagnostic Endoscopy LLC
$857.00Published rateOregon Eye Surgery Center, Inc.
Oregon Eye Surgery Center Inc
$600.00Published rateSurgical Specialists Group, LLC, Alabama Outpatient Surgery Center
Surgical Specialists Group, LLC
$364.00Published rate
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See a sample payer proposalCPT 31643 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31643 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 31643 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 |
|---|---|---|
| 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. |
| 31640-CPT | Moderate | Removal Of Growth From Airway, Airway Surgery Aided By A Scope (Bronchoscopy). The Procedure May Include Removing An Abnormal Tissue Growth (Tumor) Or Opening Up The Airway. |
| 31641-CPT | Moderate | Bronchoscopy Treat Blockage, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Destruction Of Tumor Or Relief Of Stenosis By Any Method Other Than Excision Eg Laser Therapy Cryotherapy |
| 31643-CPT | Moderate | Catheter Placed For Radiation, Exam Of The Airway With A Scope (Bronchoscope) In Order To Place A Thin Tube (Catheter) In The Airway. The Catheter Will Hold Radioactive Material For Therapy. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31643. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31643 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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