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See a sample rate comparisonCPT 31899 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.
Surgery On Windpipe Or Airway, Procedure Done On The Windpipe (Trachea) Or The Airway (Bronchi).
| 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 | SC - Medically necessary service or supply GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 31899 |
| Medicaid Fee Schedule | View Medicaid rates for 31899 |
National average reimbursement for CPT 31899 by major payers:
$920.33
$75.71
$3,612.81
$1,324.41
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CPT 31899
5 of 25 sample ratesHigher to lower in this preview
Livingston Asc LLC
$1,453.00Published rateEastland Medical Plaza Surgicenter, LLC
Eastland Medical Plaza Surgicenter LLC
$567.00Published rateLawrence Surgery Center LLC
Lawrence Surgery Center, LLC
$362.00Published rateChristiana Spine Ambulatory Surgical Center, LLC
Christiana Spine Ambulatory Surgical Center LLC
$155.00Published rateAthens Eye Surgery Center,LLC
Athens Eye Surgery Centerllc
$78.00Published rate
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See a sample payer proposalCPT 31899 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 31899 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 31899 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 |
|---|---|---|
| 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). |
| 31899-CPT | Moderate | Surgery On Windpipe Or Airway, Procedure Done On The Windpipe (Trachea) Or The Airway (Bronchi). |
| 32200-CPT | High | Drainage Of Lung Inflammation, Surgery To Drain A Cyst (Fluid-Filled Sac) Or Abscess (Infection) From Inside The Lung. A Dressing May Absorb The Fluid Or A Drainage Tube May Be Inserted. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 31899. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 31899 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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