CPT CODESurgery (Respiratory/Cardiovascular)Status A

CPT Code 31500Complete Billing & Coding Guide (2026)Insert emergency airway

Reviewed by AAPC-Certified Coders2026 Medicare Fee ScheduleCMS + AMA Sources
Medicare Payment
$133
Non-facility · National avg
Facility
$133
Total RVU
3.98
Global
000
Payment
$133
non-facility
Work RVU
2.93
physician effort
Global Period
000
post-op days
Bundling Edits
10
NCCI pairs

About CPT 31500

CPT 31500 is a Current Procedural Terminology code in the Surgery (Respiratory/Cardiovascular) category maintained by the American Medical Association. The CMS short descriptor reads "Insert emergency airway". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.

Documentation specificity, correct ICD-10 linkage, and modifier accuracy determine whether 31500 pays cleanly or triggers a denial. Verify CMS National Physician Fee Schedule status, applicable Medicare LCDs, and any payer-specific medical policies before submission.

Pro Tip

31500 has 10 NCCI bundling edit pairs documented. Run your scrubber against the NCCI quarterly update before submission. When clinically warranted, use modifier 59 or the X-modifiers (XE, XS, XP, XU) to bypass an indicator-1 edit, with chart documentation supporting the distinct service.

Code Properties

Global Period
000
0-day global period (no postoperative days)
Status Indicator
A
Active. Payment under Medicare PFS.
Conversion Factor
$33.4009
CMS national rate
Effective Date
2026-04-01
per CMS publication

RVU Breakdown

Every CPT code’s Medicare payment is calculated from three Relative Value Unit components: physician work, practice expense, and malpractice. Together they multiply by the conversion factor to produce the payment amount.

RVU Composition
3.98 total RVU
2.93
0.57
0.48
Work RVU
2.93 · 74%
Physician time + skill
Practice Expense
0.57 · 14%
Office & equipment
Malpractice
0.48 · 12%
Liability insurance
Non-Facility
Private office · urgent care · ambulatory
Most billed
$132.94
3.98 RVU × $33.4009 CF
Facility
Hospital · ASC · nursing home
$132.94
3.98 RVU × $33.4009 CF

Payment = Total RVU × Conversion Factor ($33.4009) × Geographic Adjustment (GPCI). National averages shown. Actual payment varies by locality.

Medicare Payment by State

Medicare adjusts payment by locality based on GPCI (Geographic Practice Cost Index). Higher cost-of-living areas like California and New York pay more. Rural states pay less. Top 12 states shown.

AK
$176
FL
$148
IL
$147
NY
$146
DC
$143
NJ
$142
CT
$140
MI
$138
WV
$137
MD
$136
MA
$136
GA
$135

Showing top 12 of 53 states. Full locality data available in CMS PFS Locality file.

NCCI Bundling Edits

10 pairs

These codes trigger National Correct Coding Initiative edits when billed with 31500. An indicator of 0 means the pair cannot be unbundled. Indicator 1 means modifier 59 or X-modifiers may allow separate billing with supporting documentation.

Common Denial Risk

Billing 31500 alongside a bundled code without the correct modifier generates CARC 97 denials. Payers often flag these as audit risks. Document medical necessity for the separate service and apply modifier 59 or the appropriate X-modifier (XE, XS, XP, XU) only when clinically justified.

AR Recovery Note

Multi-procedure NCCI edits hit surgical specialties harder than any other category. CO-97 denials on 31500 are frequently recoverable when the operative note documents distinct anatomic sites or staged steps. Our coders read the op note against the edit pair and pick the right modifier (XS preferred over modifier 59 for distinct structures).

Applicable Modifiers

Modifiers commonly paired with 31500 based on its category. Apply only when the clinical circumstance warrants. Incorrect modifier use is a top audit target.

22
Increased procedural services — work substantially greater than typically required
When to use · When the work required for a procedure is substantially more than usual (e.g., morbid obesity, extensive adhesions, unusual anatomy). Request additional payment.
33
Preventive services — when the primary purpose is delivery of an evidence-based service per USPSTF A or B recommendation
When to use · Screening services (colonoscopy, mammography, etc.) to indicate the primary purpose is preventive. Waives cost-sharing under ACA.
50
Bilateral procedure — performed on both sides of the body during the same operative session
When to use · When a procedure is performed on both sides (e.g., bilateral knee injections, bilateral cataract surgery). Payment = 150% of unilateral rate.
51
Multiple procedures — when multiple procedures (other than E/M) are performed at the same session
When to use · Second and subsequent procedures during the same session. Payment is typically reduced to 50% for the 2nd procedure, 25% for the 3rd+.
52
Reduced services — when a procedure is partially reduced or eliminated at the physician's discretion
When to use · When a procedure is not completed to its full extent (e.g., incomplete colonoscopy that didn't reach cecum). Payment reduced by payer discretion.
53
Discontinued procedure — physician elected to terminate/discontinue a procedure due to patient risk
When to use · When a surgical procedure is started but discontinued due to patient safety concerns (e.g., anesthesia complications, intraoperative findings).
54
Surgical care only
When to use · When the surgeon provided ONLY the surgery, not pre/post op care
55
Postoperative management only
When to use · When you managed post-op but another physician performed the surgery
AR Recovery Note

Modifier 24, 79, 78, and 58 on global-period claims are the highest-recovery surgical billing levers. 31500 carries a 000 global indicator. Our team flags every encounter inside an active global period for the right modifier decision.

Supporting ICD-10 Diagnoses

These diagnosis codes commonly support medical necessity for CPT 31500. Using the correct ICD-10 prevents CARC 50 denials. Payer rejects when the diagnosis doesn’t support the procedure.

1
CMS LCD: Billing and Coding: Respiratory Therapy (Respiratory Care)
CMS LCD
A15.0See ICD-10-CM tabular index
A15.5See ICD-10-CM tabular index
A15.6See ICD-10-CM tabular index
A15.7See ICD-10-CM tabular index
A15.8See ICD-10-CM tabular index
A20.2See ICD-10-CM tabular index
A20.7See ICD-10-CM tabular index
A22.1See ICD-10-CM tabular index
A31.0See ICD-10-CM tabular index
A36.2See ICD-10-CM tabular index
A37.00See ICD-10-CM tabular index
A37.01See ICD-10-CM tabular index
AR Recovery Note

Surgical CO-50 denials usually trace to ICD-10 specificity gaps (E11.9 instead of E11.65, M17.11 instead of M17.0, etc.). Our coders map every diagnosis to the highest-specificity code the chart supports, eliminating the common medical-necessity denial pattern.

Free 90-Day AR Recovery Audit

Find the revenue leakage in your 31500 claims.

Wrong modifier, missing documentation, bundling without justification, stale ICD-10 linkage: these are the silent revenue killers on Surgery (Respiratory/Cardiovascular) claims. Our AAPC-certified team audits your last 90 days of 31500 claims, surfaces the recoverable dollars, and appeals them. Free, no obligation.

Claim my audit
FREE 90-DAY AR RECOVERY AUDIT

Losing revenue on CPT 31500? We’ll find it.

We audit your last 90 days of claims and surface the recoverable revenue leakage: wrong modifiers, missed bundling appeals, ICD-10 specificity gaps. AAPC-certified coders. 2.49% of collections. No setup fees.

Get Your Free Billing Assessment

Free audit, no obligation. We'll review your billing and show you exactly where revenue is leaking.

98%+ clean claim rate
2.49% starting rate
Results in 30 days

Fill in your details and we'll call you back

Or call directly:888-701-6090
COMMONLY BILLED IN

Specialty billing guides

Browse all specialties

CPT 31500 is among the top codes profiled in these specialty billing guides.

FAQ

Everything about CPT 31500

What does CPT code 31500 cover?

CPT 31500 is a Current Procedural Terminology code in the Surgery (Respiratory/Cardiovascular) category maintained by the American Medical Association. The CMS short descriptor reads "Insert emergency airway". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.

What is the Medicare payment for CPT 31500?

The national average Medicare payment for CPT 31500 is approximately $132.94 in a non-facility setting and $132.94 in a facility setting. Actual payment varies by locality based on GPCI adjustments. Total RVU is 3.98 with a conversion factor of $33.4009.

What is the global period for CPT 31500?

CPT 31500 has a 0-day global period (indicator 000). Same-day E/M is bundled into the procedure, but office visits the next day or after are separately billable for unrelated care. Use modifier 24 for unrelated E/M during the global period.

What codes bundle with CPT 31500?

CPT 31500 has NCCI Procedure-to-Procedure edits with 10+ codes including 00320, 00326, 0596T. Modifier indicator 0 means the edit cannot be bypassed. Indicator 1 means modifier 59 or X-modifiers may allow separate billing with documentation.

CMS Medicare Physician Fee ScheduleNCCI Edits · Current QuarterAMA CPT Code Set

CPT codes and descriptions are copyright of the American Medical Association. RVU values reflect current CMS publications. Actual payment varies by locality. Commercial payer rates vary by contract.

Free 90-Day AR Recovery Audit

We audit your last 90 days of claims and surface the revenue leakage: wrong modifiers, missed bundling appeals, ICD-10 specificity gaps. AAPC-certified coders. 2.49% of collections. No setup fees.