CPT ® 31535 in section: Laryngoscopy, direct, operative, with biopsy.

31535 - CPT® Code in category: Laryngoscopy, direct, operative, with biopsy.

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auto-open Additional Code Information (Global Days, MUEs, etc.)

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auto-open Top Modifiers - Most Often Billed

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auto-open CPT Index Entries (Reverse Index Lookup) reverse_index/reverse_index_content.php?set=CPT&c=31535

auto-open Related CPT CodeBook Guidelines (Reverse Guideline Lookup) cpt/cpt_reference_guidelines_content.php?set=CPT&c=31535

auto-open Code History

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CPT® Vignettes illustrate code use through sample patient examples. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. Where appropriate, there are also Pre- and Post-service descriptions.

Vignettes are reviewed annually and updated when necessary. 300-400 new vignettes are added each year as codes added, revised and reviewed. Available for over 5000 of the most common CPT codes.

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Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account.

auto-open Articles & Newsletters newsletters/newsletter_content.php?set=CPT&c=31535

auto-open Coding Tips

See Documentation, coding, and billing tips for this code.

auto-open Web-A-Code - Useful Web Links webacode/webacode_content.php?set=CPT&c=31535

auto-open Medical Laboratory Tests medlabtests/medlabtests_content.php?set=CPT&c=31535

auto-open Fees

Calculated for National Unadjusted (00000)

* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.

auto-open Facility (Hospital, etc.)

Medicare vs. My Fee Evaluation

Modifier Medicare Allowed 150% 200% My Fee
(none) $187.74 $281.61 $375.48 (your fee)

Calculated fee values are available.

Medicare Participating - Assignment Accepted (Mandatory)

Modifier Allowed Medicare 80% Patient Pays
(none) $187.74 $##.## $##.##

Medicare Non-Participating - Assignment Accepted (Check To Doctor)

Modifier Allowed Medicare 80% Patient Pays Limiting Charge (Amount Billed)
(none) $##.## $##.## $##.## $##.##

Medicare Non-Participating - Assignment NOT Accepted (Check To Patient)

Modifier Allowed Medicare 80% Patient Pays Limiting Charge (Amount Billed)
(none) $##.## $##.## $##.## $##.##

auto-open Non-Facility (Office, etc.)

Medicare vs. My Fee Evaluation

Modifier Medicare Allowed 150% 200% My Fee
(none) $187.74 $281.61 $375.48 (your fee)

View calculated CPT fee values specifically for your Medicare locality.

Medicare Participating - Assignment Accepted (Mandatory)

Modifier Allowed Medicare 80% Patient Pays
(none) $187.74 $##.## $##.##

Medicare Non-Participating - Assignment Accepted (Check To Doctor)

Modifier Allowed Medicare 80% Patient Pays Limiting Charge (Amount Billed)
(none) $##.## $##.## $##.## $##.##

Medicare Non-Participating - Assignment NOT Accepted (Check To Patient)

Modifier Allowed Medicare 80% Patient Pays Limiting Charge (Amount Billed)
(none) $##.## $##.## $##.## $##.##

auto-open APC Fee Information

This section shows APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more.

auto-open Fee Schedules

View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Fee™ tool.

If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Fee™ tool.

auto-open UCR Fees (UCR, WC, Medicare)

View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below.

Note: Subscribers will see the fee graphs below.

View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts.

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auto-open RVUs - Relative Value Units

Calculated for National Unadjusted (00000)

* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.

auto-open Facility 5.640 (Hospital, etc.)

RVU Components (by modifier)
Modifier Work Practice Expense Malpractice Expense Total
(none) 3.16 2.02 0.46 5.640

Calculated fee values are available.

Practitioner Work Component: 3.16

Practitioner Labor
Pre-Service Intra-Service Post-Service Total Time*
## ## ## ## min
* Total Time may be greater than the displayed components. Work RVU Components (by modifier)
Modifier National Unadjusted Work RVU Work GPCI Adjusted Work RVU
(none) ##.## ##.## 3.16

Practice Expense: 2.02

Clinical Labor - Direct Expense
Staff Staff Rate Pre Time Intra Time Post Time Total Time
RN/LPN/MTA $0.50 / min ## min ## min ## min ## min
Equipment - Direct Expense
Item Purchase Price Expected Life Total Time
$##.## ## years ## min
Supplies - Direct Expense
Item Unit Price Quantity Unit Amount
Indirect Expenses (clerical,overhead, and other) are also included in the practice expense. PE RVU Components (by modifier)
Modifier National Unadjusted PE RVU PE GPCI Adjusted PE RVU
(none) ##.## ##.## 2.020

Malpractice Component: 0.460

MP RVU Components (by modifier)
Modifier National Unadjusted MP RVU MP GPCI Adjusted MP RVU
(none) ##.## ##.## 0.460

auto-open Non-Facility 5.640 (Office, etc.)

RVU Components (by modifier)
Modifier Work Practice Expense Malpractice Expense Total
(none) 3.16 2.02 0.46 5.640

View calculated CPT fee values specifically for your Medicare locality.

Practitioner Work Component: 3.16

Practitioner Labor
Pre-Service Intra-Service Post-Service Total Time*
## ## ## ## min
* Total Time may be greater than the displayed components. Work RVU Components (by modifier)
Modifier National Unadjusted Work RVU Work GPCI Adjusted Work RVU
(none) ##.## ##.## 3.16

Practice Expense: 2.02

Clinical Labor (Non-Facility)- Direct Expense
Staff Staff Rate Pre Time Intra Time Post Time Total Time
RN/LPN/MTA $0.50 / min ## min ## min ## min ## min
Equipment (Non-Facility)- Direct Expense
Item Purchase Price Expected Life Total Time
$##.## ## years ## min
Supplies (Non-Facility)- Direct Expense
Item Unit Price Quantity Unit Amount
Indirect Expenses (clerical,overhead, and other) are also included in the practice expense. PE RVU Components (by modifier)
Modifier National Unadjusted PE RVU PE GPCI Adjusted PE RVU
(none) ##.## ##.## 2.020

Malpractice Component: 0.460

MP RVU Components (by modifier)
Modifier National Unadjusted MP RVU MP GPCI Adjusted MP RVU
(none) ##.## ##.## 0.460

auto-open UCR-Based RVUs

View a table of UCR-Based Fees here.

Note: Subscribers will see UCR-based RVU tables below.

View relationships (or crosswalks) between code sets.

auto-open APCs & OPPS apc/apc_content.php?set=CPT&c=31535

auto-open NCCI Edits (PTP, MUE) ncciedits/ncci_content.php?set=CPT&c=31535

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auto-open QPP (Quality Payment Program) Measures qpp/qpp_content.php?set=CPT&c=31535

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