CPT 10030 Fee Schedule
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.
| 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 |
National average reimbursement for CPT 10030 by major payers:
$742.94
$889.36
$888.57
$1,058.01
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 10030 | ||||||
United | 10030 | $1002.73 | 1669570206 - LAWRENCE KILINSKI | 350593390 - DEACONESS HOSPITAL INC | IN | Anesthesiology Physician (207L00000X) |
United | 10030 | $460.72 | 1447825377 - PAIGE RUDDICK | 350593390 - DEACONESS HOSPITAL INC | IN | Certified Registered Nurse Anesthetist (367500000X) |
United | 10030 | $1107.70 | 1801813266 - GREGG BEAN | 741586031 | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 10030 | $1002.73 | 1063823193 - HENDY JEAN | 350593390 - DEACONESS HOSPITAL INC | IN | Internal Medicine Physician (207R00000X) |
United | 10030 | $1283.02 | 1801813266 - GREGG BEAN | 741671142 - (TX) SOUTH TEXAS RADIOLOGY GROUP, P.A. | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 10030 | $460.72 | 1588238703 - MICHAEL WARD | 350593390 - DEACONESS HOSPITAL INC | AL | Certified Registered Nurse Anesthetist (367500000X) |
United | 10030 | $1283.02 | 1801813266 - GREGG BEAN | 741671142 - (TX) SOUTH TEXAS RADIOLOGY GROUP, P.A. | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 10030 | $460.72 | 1376825786 - BRITTNEY FULCHER | 350593390 - DEACONESS HOSPITAL INC | IN | Family Nurse Practitioner (363LF0000X) |
United | 10030 | $1002.73 | 1013967835 - FAKHRI DALATI | 350593390 - DEACONESS HOSPITAL INC | MS | Hospitalist Physician (208M00000X) |
United | 10030 | $460.72 | 1144740549 - DAVID MAVER | 350593390 - DEACONESS HOSPITAL INC | IN | Nurse Practitioner (363L00000X) |
United | 10030 | $1002.73 | 1770842890 - WILLIAM SMITH | 350593390 - DEACONESS HOSPITAL INC | IN | Family Medicine Physician (207Q00000X) |
United | 10030 | $1002.73 | 1346702065 - DONALD BRAKE | 350593390 - DEACONESS HOSPITAL INC | AZ | Hospitalist Physician (208M00000X) |
United | 10030 | $1002.73 | 1588749204 - JOHN HOLEMAN | 350593390 - DEACONESS HOSPITAL INC | SC | Hospitalist Physician (208M00000X) |
United | 10030 | $460.72 | 1548658420 - REMY MONTEJANO | 350593390 - DEACONESS HOSPITAL INC | IN | Mental Health Counselor (101YM0800X) |
United | 10030 | $1002.73 | 1295933810 - KURT LANCASTER | 350593390 - DEACONESS HOSPITAL INC | MO | Anesthesiology Physician (207L00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 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 | Moderate | Soft Tissue Fluid Collection Drainage By Image-Guided Catheter Such As Drainage Of An Absess Of The Neck, Abdominal Wall Or Extremity. Includes Moderate Sedation And Guidance |
| 10035 | Moderate | Placement Of Soft Tissue Localization Device(S) (Eg Clip Metallic Pellet Wire/Needle Radioactive Seed(S) Percutaneous Including Imaging Guidance; First Lesion. |
| 10036 | Moderate | 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 | Low | Acne Surgery |
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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