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See a sample rate comparisonCPT 31649 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.
Surgery To Remove Airway Valve, Surgery Using A Scope (Bronchoscope) To Remove A Valve From The Large Airway (Bronchial Valve). The Procedure May Use Fluoroscopy An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye.
| 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 RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 31649 |
| Medicaid Fee Schedule | View Medicaid rates for 31649 |
National average reimbursement for CPT 31649 by major payers:
$101.67
$95.66
$94.67
$121.04
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CPT 31649
5 of 25 sample ratesHigher to lower in this preview
Sjv Management, LLC, South Jersey Vascular Surgery Center
Sjv Management, LLC
$5,127.00Published rateEndoscopy Center Of Toms River, LLC
Endoscopy Center Of Toms River LLC
$1,666.00Published rateBraselton Endoscopy Center, LLC
Braselton Endoscopy Center LLC
$1,179.00Published rateSan Diego Skin, Inc.
San Diego Skin, Inc M Mark Mofid Md Apc
$578.00Published rateNovant Health Wilmington Endoscopy Center LLC, Novant Health Wilmington Endoscopy Center
Carolina Healthcare Associates Inc
$444.00Published rate
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See a sample payer proposalCPT 31649 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31649 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 31649 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 |
|---|---|---|
| 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 |
| 31649-CPT | Low | Surgery To Remove Airway Valve, Surgery Using A Scope (Bronchoscope) To Remove A Valve From The Large Airway (Bronchial Valve). The Procedure May Use Fluoroscopy An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31649. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31649 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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