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See a sample rate comparisonCPT 31654 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.
Bronch Ebus Ivntj Perph Les, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Transendoscopic Endobronchial Ultrasound Ebus During Bronchoscopic Diagnostic Or Therapeutic Intervention S For Peripheral Lesion S 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 | 22 - On Campus Outpatient Hospital 21 - Inpatient 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 31654 |
| Medicaid Fee Schedule | View Medicaid rates for 31654 |
National average reimbursement for CPT 31654 by major payers:
$150.25
$174.92
$181.09
$123.90
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CPT 31654
5 of 25 sample ratesHigher to lower in this preview
Premier Endoscopy, LLC
Premier Endoscopy LLC
$1,344.00Published rateWest Side Gi, LLC
Westside Gi Center, LLC
$487.00Published rateUniversity Of Miami, Umiami Medicine - Ophthalmology (Naples Bascom Palmer - Asc)
University Of Miami
$208.00Published ratePegasus Surgery Center LLC, Pegasus Surgery Center, LLC
Pegasus Surgery Center LLC
$118.00Published ratePresence Lakeshore Gastroenterology, LLC
Presence Lakeshore Gastroenterology LLC Dba Des Plaines Endoscopy Cent
$50.00Published rate
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See a sample payer proposalCPT 31654 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31654 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 31654 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 |
|---|---|---|
| 31652-CPT | High | Bronch Ebus Samplng 1 2 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 One Or Two Mediastinal And Or Hilar Lymph Node Stations Or Structures |
| 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 |
| 31654-CPT | Low | Bronch Ebus Ivntj Perph Les, Bronchoscopy Rigid Or Flexible Including Fluoroscopic Guidance When Performed With Transendoscopic Endobronchial Ultrasound Ebus During Bronchoscopic Diagnostic Or Therapeutic Intervention S For Peripheral Lesion S List Separately In Addition To Code For Primary Procedure S |
| 31660-CPT | Moderate | Airway Heat Therapy For Asthma, A Surgical Procedure That Uses Heat To Destroy Muscle Tissue In The Airway. The Goal Is To Reduce The Number Of Asthma Attacks By Reducing The Amount Of Tissue Able To Contract And Narrow The Airway. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31654. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31654 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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