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See a sample rate comparisonCPT 31651 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.
Bronchial Valve Addl 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 Each Additional Lobe List Separately In Addition To Code For Primary Procedure S
| 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 | Low |
| Medicare Fee Schedule | View Medicare rates for 31651 |
| Medicaid Fee Schedule | View Medicaid rates for 31651 |
National average reimbursement for CPT 31651 by major payers:
$118.25
$103.93
$104.91
$133.11
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CPT 31651
5 of 25 sample ratesHigher to lower in this preview
East Mequon Surgery Center LLC
$1,665.00Published rateLubbock County Hospital District, University Medical Center
Lubbock County Hospital District
$570.00Published rateAlliance Surgery Center At Woodstock, LLC
Alliance Surgery Center At Woodstock LLC
$500.00Published rateClearway Surgery Center Of Easton, LLC
Clearway Surgery Center Of Easton LLC
$124.00Published rateEha Surgery Center Sarasota
$74.00Published rate
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See a sample payer proposalCPT 31651 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31651 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 31651 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 |
|---|---|---|
| 31648-CPT | Moderate | 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. |
| 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. |
| 31651-CPT | Low | Bronchial Valve Addl 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 Each Additional Lobe List Separately In Addition To Code For Primary Procedure S |
| 31653-CPT | High | Bronch Ebus Samplng 3 Node, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Endobronchial Ultrasound Ebus Guided Transtracheal And Or Transbronchial Sampling Eg Aspiration S Biopsy Ies 3 Or More Mediastinal And Or Hilar Lymph Node Stations Or Structures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31651. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31651 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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