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See a sample rate comparisonHealthcare 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.
| 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 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31661 |
| Medicaid Fee Schedule | View Medicaid rates for 31661 |
National average reimbursement for CPT 31661 by major payers:

$286.98

$298.24

$286.87

$351.13
Choose a payer to see a sample of rates for CPT 31661.
Summit Orthopedics, Ltd.
Ehi Surgery Center Austin LLC
Transsouth Health Care, P.C.
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Rate Benchmarking
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See a sample payer proposalCPT 31661 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31661 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 31661 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 |
|---|---|---|
| 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 |
| 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 |
| 31661-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 31661. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31661 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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