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See a sample rate comparisonCPT 30118 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Excision Or Destruction Any M, Excision Or Destruction Any Method (Including Laser)Intranasal Lesion External Approach (Lateral Rhinotomy)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 30118 |
| Medicaid Fee Schedule | View Medicaid rates for 30118 |
National average reimbursement for CPT 30118 by major payers:
$1,035.04
$1,002.32
$1,051.48
$1,238.50
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CPT 30118
5 of 25 sample ratesHigher to lower in this preview
East Mequon Surgery Center LLC
$7,810.00Published rateMichigan Outpatient Surgical Solutions, LLC
Michigan Outpatient Surgical Solutions LLC
$2,307.00Published rateBeaumont Asc, Lp, Beaumont Heart & Vascular Surgery Center
$1,550.00Published rateNovamed Surgery Center Of Cleveland LLC, The Surgery Center Of Cleveland
Novamed Surgery Center Of Cleveland LLC
$1,100.00Published rateGastroenterology Care Inc
$727.00Published rate
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See a sample payer proposalCPT 30118 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30118 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 30118 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 |
|---|---|---|
| 30110-CPT | Moderate | Excision Nasal Polyp(S), Simple |
| 30117-CPT | High | Remove Abnormal Tissue Nose, Surgery To Remove Abnormal Tissue From Inside Of The Nose. Several Techniques May Be Used Such As A Laser. |
| 30118-CPT | High | Excision Or Destruction Any M, Excision Or Destruction Any Method (Including Laser)Intranasal Lesion External Approach (Lateral Rhinotomy) |
| 30140-CPT | Moderate | Submucous Resct Inferior Turbinate Partial Or Comple Any Metho, Submucous Resection Inferior Turbinate Partial Or Complete Any Metho |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30118. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30118 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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