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See a sample rate comparisonCPT 30020 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.
Drain Pus Or Blood From Nose, Surgery To Open Up And Drain A Pocket Of Infection Or Blood From The Inside Of The Nose Or The Wall Between The Nostrils (Septum).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 79 - Unrelated procedure - postop period 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 30020 |
| Medicaid Fee Schedule | View Medicaid rates for 30020 |
National average reimbursement for CPT 30020 by major payers:
$293.61
$307.69
$353.11
$217.95
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CPT 30020
5 of 25 sample ratesHigher to lower in this preview
Glendale Endoscopy Center, LLC
$688.00Published rateTimonium Surgery Center, LLC
Timonium Surgery Center LLC
$555.00Published rateEnti Surgery Center LLC
$193.00Published ratePcet Surgery Center LLC
$111.00Published rateZachary Asc Partners, LLC, Zachary Asc Partners, LLC
Zachary Asc Partners LLC
$71.00Published rate
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See a sample payer proposalCPT 30020 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30020 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 30020 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 |
|---|---|---|
| 30000-CPT | Moderate | Drain Pus Or Blood From Nose, Surgery To Open Up And Drain A Pocket Of Infection Or Blood From The Inside Of The Nose Or The Wall Between The Nostrils (Septum). |
| 30020-CPT | Moderate | Drain Pus Or Blood From Nose, Surgery To Open Up And Drain A Pocket Of Infection Or Blood From The Inside Of The Nose Or The Wall Between The Nostrils (Septum). |
| 30100-CPT | Low | Biopsy, Intranasal |
| 30110-CPT | Moderate | Excision Nasal Polyp(S), Simple |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30020. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30020 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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