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See a sample rate comparisonCPT 31725 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.
Airway Clearing With Suction, Aspiration Clears The Airway With A Suction Device Inserted Through A Thin Tube (Catheter) That Has Been Threaded Down The Nose Or Throat.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $70.48 national non-facility rate (2026) · View Medicare rates for 31725 |
| Medicaid Fee Schedule | $59.99 median of the 8 states in the free preview · View Medicaid rates for 31725 |
National average reimbursement for CPT 31725 by major payers:
$122.26
$114.77
$117.18
$138.22
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CPT 31725
5 of 25 sample ratesHigher to lower in this preview
Burlington County Endoscopy Center LLC
$4,825.00Published rateGateway Ambulatory Surgery Center LLC, Gateway Surgery Center
Gateway Ambulatory Surgery Center
$1,075.00Published rateSurgical Elite Of Avondale, LLC
Surgical Elite Of Avondale LLC
$1,028.00Published rateBone And Joint Surgical Suites, LLC
Bone And Joint Surgical Suites LLC
$594.00Published rateAmbulatory Surgery Center Of Tucson, Inc.
Ambulatory Surgery Center Of Tucson Inc
$100.00Published rate
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See a sample payer proposalCPT 31725 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31725 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 31725 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 |
|---|---|---|
| 31717-CPT | Moderate | Catheter Placement In Airway, Insertion Of A Thin Tube (Catheter) Into The Airway To Assist A Procedure Such As A Scan Or Taking A Sample Of Tissue For Testing (Biopsy). |
| 31720-CPT | Low | Airway Clearing With Suction, Aspiration Clears The Airway With A Suction Device Inserted Through A Thin Tube (Catheter) That Has Been Threaded Down The Nose Or Throat. |
| 31725-CPT | Low | Airway Clearing With Suction, Aspiration Clears The Airway With A Suction Device Inserted Through A Thin Tube (Catheter) That Has Been Threaded Down The Nose Or Throat. |
| 31730-CPT | Moderate | Open Windpipe For Oxygen, Placement Of A Tube Or A Device (Stent) To Prop Open The Windpipe (Trachea). The Procedure Opens The Windpipe For Oxygen Therapy. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31725. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31725 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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