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See a sample rate comparisonCPT 30120 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.
Exc/Surg Plane-Nose Skin-Rhinophyma
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None GC - Service performed by resident under supervision 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 30120 |
| Medicaid Fee Schedule | View Medicaid rates for 30120 |
National average reimbursement for CPT 30120 by major payers:
$632.73
$664.27
$705.92
$704.72
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CPT 30120
5 of 25 sample ratesHigher to lower in this preview
Greater New Haven Asc, LLC
Greater New Haven Asc LLC
$4,617.00Published rateRenaissance Surgery Center, LLC
$2,859.00Published rateShore Outpatient Surgicenter LLC
$2,307.00Published rateSouthern Okla Surgical Services, Ardmore Regional Surgery Center
Ardmore Regional Surgery Center
$1,404.00Published rateSpokane Digestive Disease Center, P.S., South Asc
Spokane Digestive Disease Center P.S.
$527.00Published rate
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See a sample payer proposalCPT 30120 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30120 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 30120 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 |
| 30120-CPT | Moderate | Exc/Surg Plane-Nose Skin-Rhinophyma |
| 30124-CPT | Moderate | Nose Surgery To Remove Growth, Surgery To Remove A Dermoid Cyst From The Nose. The Cyst Is A Sac That Contains Skin Hair Follicles Sweat Glands And Other Types Of Tissue. It Can Be Located Under The Skin Or Attached To Cartilage. |
| 30125-CPT | Moderate | Nose Surgery To Remove Growth, Surgery To Remove A Dermoid Cyst From The Nose. The Cyst Is A Sac That Contains Skin Hair Follicles Sweat Glands And Other Types Of Tissue. It Can Be Located Under The Skin Or Attached To Cartilage. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30120 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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