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See a sample rate comparisonCPT 31825 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.
Close Surgical Wound In Neck, Surgery To Close An Opening In The Windpipe (Trachea). The Procedure Can Include Cosmetic Surgery.
| 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 | GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $610.90 national non-facility rate (2026) · View Medicare rates for 31825 |
| Medicaid Fee Schedule | $490.07 median of the 8 states in the free preview · View Medicaid rates for 31825 |
National average reimbursement for CPT 31825 by major payers:
$747.98
$784.72
$843.29
$799.42
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CPT 31825
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Southwest Fort Worth
$4,781.00Published rateAdvanced Spine And Pain Surgery Centers LLC
$1,968.00Published rateSouth Jersey Eye Physicians, LLC, The Surgical Center At South Jersey Eye Physicians, PA
South Jersey Eye Physicians, PA
$1,300.00Published rateSki Ambulatory Surgical Centers, LLC
Ski Ambulatory Surgical Centers LLC
$975.00Published rateSummer El-Khodary
Deaconess Hospital Inc
$483.26Published rate
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See a sample payer proposalCPT 31825 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31825 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 31825 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 |
|---|---|---|
| 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. |
| 31820-CPT | Moderate | Surg.Cl.Trachestmy/Fist;W/O Pl.Repr |
| 31825-CPT | Moderate | Close Surgical Wound In Neck, Surgery To Close An Opening In The Windpipe (Trachea). The Procedure Can Include Cosmetic Surgery. |
| 31830-CPT | Moderate | Reduce Scar In Airway, Surgery To Reduce Scar Tissue From A Previous Surgery To Close An Opening In The Windpipe (Trachea). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31825. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31825 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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