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See a sample rate comparisonCPT 31760 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 | 62 - Co-Surgeons 63 |
| Complexity Level | High |
| Medicare Fee Schedule | $1,313.99 national non-facility rate (2026) · View Medicare rates for 31760 |
| Medicaid Fee Schedule | $1,028.125 median of the 8 states in the free preview · View Medicaid rates for 31760 |
National average reimbursement for CPT 31760 by major payers:
$1,706.82
$1,832.54
$1,926.74
$2,191.37
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CPT 31760
5 of 25 sample ratesHigher to lower in this preview
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
$17,689.00Published rateHallandale Outpatient Surgical Center,Ltd
Hallandale Outpatient Surgical Centerltd
$1,337.00Published rateSouthern Urology Surgery Center, LLC
Southern Urology Surgery Center LLC
$700.00Published rateGateway Surgical Center, LLC
Gateway Surgical Center LLC
$410.00Published rateBay Area Laser Surgery Center, A Medical Corporation
Bay Area Laser Surgery Center A Medical Corporation
$135.00Published rate
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See a sample payer proposalCPT 31760 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31760 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 31760 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 |
|---|---|---|
| 31755-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. |
| 31760-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. |
| 31766-CPT | High | Surgery To Rebuild Airway, Surgery To Reconstruct The Airway Opening To The Lungs. The Procedure Can Involve Enlarging The Passages Grafting Tissue Or Removing Scar Tissue. |
| 31770-CPT | High | Surgery To Rebuild Airway, Surgery To Reconstruct The Airway Opening To The Lungs. The Procedure Can Involve Enlarging The Passages Grafting Tissue Or Removing Scar Tissue. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31760. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31760 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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