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See a sample rate comparisonCPT 10030 Fee Schedule
Last Verified: September 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 To Drain Fluid, Ultrasound Or Ct Scan Is Used To Locate A Fluid Collection (Abscess Cyst Etc) And To Provide Guidance For The Insertion Of A Needle Into The Affected Area. A Thin Tube (Catheter) Is Then Inserted And Used To Drain The Fluid.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 10030 |
| Medicaid Fee Schedule | View Medicaid rates for 10030 |
National average reimbursement for CPT 10030 by major payers:
$742.94
$889.36
$888.57
$300.20
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CPT 10030
5 of 25 sample ratesHigher to lower in this preview
Matthew Lilley
Bend Memorial Clinic, PC
$1,781.05Published rateJennifer Hsieh
$1,092.03Published rateTown Center Orthopaedic Associates, P.C.
$891.99Published rateNatalia Castro
Town Center Orthopaedic Associates, P.C.
$799.05Published rateJennifer Hsieh
$245.39Published rate
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See a sample payer proposalCPT 10030 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 10030 code is part of the Surgery services used for Surgical Procedures on the Integumentary 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 10030 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 |
|---|---|---|
| 10030-CPT | Moderate | Surgery To Drain Fluid, Ultrasound Or Ct Scan Is Used To Locate A Fluid Collection (Abscess Cyst Etc) And To Provide Guidance For The Insertion Of A Needle Into The Affected Area. A Thin Tube (Catheter) Is Then Inserted And Used To Drain The Fluid. |
| 10035-CPT | Moderate | Plmt Sft Tiss Loclzj Dev 1st, Placement Of Soft Tissue Localization Device S Eg Clip Metallic Pellet Wire Needle Radioactive Seeds Percutaneous Including Imaging Guidance First Lesion |
| 10036-CPT | Moderate | Plmt Sft Tiss Loclzj Dev Ea, Placement Of Soft Tissue Localization Device S Eg Clip Metallic Pellet Wire Needle Radioactive Seeds Percutaneous Including Imaging Guidance Each Additional Lesion List Separately In Addition To Code For Primary Procedure |
| 10040-CPT | Low | Acne Surgery, A Surgical Procedure For Acne That Opens And Removes A Cyst Milia Or Pustule From The Skin To Help Prevent It From Coming Back. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 10030. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 10030 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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