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See a sample rate comparisonCPT 31646 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 Rigid Or Flexible Including Fluoroscopic Guidance When Performed; With Therapeutic Aspiration Of Tracheobronchial Tree Subsequent Same Hospital Stay (Desc Revised 1/1/2018)
| 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 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31646 |
| Medicaid Fee Schedule | View Medicaid rates for 31646 |
National average reimbursement for CPT 31646 by major payers:
$262.17
$263.72
$267.76
$237.55
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CPT 31646
5 of 25 sample ratesHigher to lower in this preview
Indiana University Health Saxony Surgery Center LLC, Saxony Surgery Center
$4,613.00Published rateAsc Surgical Ventures, LLC
$864.00Published rateOmar Rivera-Rivera
Deaconess Hospital Inc
$256.26Published rateAnthony Foreman
Deaconess Hospital Inc
$117.73Published rateFredericksburg Endoscopy Center, LLC
Fredericksburg Endoscopy Center LLC
$44.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 31646 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31646 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 31646 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 |
|---|---|---|
| 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. |
| 31645-CPT | Moderate | Bronchoscopy Rigid Or Flexibl, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Therapeutic Aspiration Of Tracheobronchial Tree Initial (Eg Drainage Of Lung Abscess) |
| 31646-CPT | Moderate | Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed; With Therapeutic Aspiration Of Tracheobronchial Tree Subsequent Same Hospital Stay (Desc Revised 1/1/2018) |
| 31647-CPT | Moderate | Bronchial Valve Init Insert, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Balloon Occlusion When Performed Assessment Of Air Leak Airway Sizing And Insertion Of Bronchial Valve S Initial Lobe |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31646. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31646 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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