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See a sample rate comparisonCPT 31750 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery To Rebuild Windpipe, Surgery To Reconstruct The Windpipe (Trachea). The Procedure May Involve Creating An Opening Between The Throat And Nose. Cartilage Grafts May Be Used.
| 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 | 51 - Multiple procedures 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | $1,247.19 national non-facility rate (2026) · View Medicare rates for 31750 |
| Medicaid Fee Schedule | $1,010.19 median of the 8 states in the free preview · View Medicaid rates for 31750 |
National average reimbursement for CPT 31750 by major payers:
$1,622.14
$1,769.04
$1,911.17
$2,204.37
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CPT 31750
5 of 25 sample ratesHigher to lower in this preview
Deaconess Hospital, Inc.
Deaconess Hospital Inc
$11,927.00Published rateAbingdon Surgical Center PC
$3,500.00Published rateSdm Asc LLC, Daytime Outpatient Surgery Center
Sdm Asc LLC
$2,490.00Published ratePhysicians Surgery Center LLC
$1,321.00Published rateNortheast Endoscopy Center, LLC
Northeast Endoscopy Center LLC
$777.00Published rate
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See a sample payer proposalCPT 31750 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31750 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 31750 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 |
|---|---|---|
| 31600-CPT | Moderate | Create Opening In Airway, Surgery To Create An Opening Into The Windpipe (Trachea) For Breathing. Skin Flaps May Be Used To Close The Opening. |
| 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. |
| 31750-CPT | High | Surgery To Rebuild Windpipe, Surgery To Reconstruct The Windpipe (Trachea). The Procedure May Involve Creating An Opening Between The Throat And Nose. Cartilage Grafts May Be Used. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31750 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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