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See a sample rate comparisonCPT 30200 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.
Medication Injection Into Nose, Injection Of A Medication Inside The Nose To Reduce Swelling Or Enlargement Of The Tissues For The Purpose Of Improving Airflow Through The Nose.
| 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 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 30200 |
| Medicaid Fee Schedule | View Medicaid rates for 30200 |
National average reimbursement for CPT 30200 by major payers:
$132.43
$142.25
$149.22
$106.49
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CPT 30200
5 of 25 sample ratesHigher to lower in this preview
South Campus Surgery Center
$3,922.00Published rateCenter For Endoscopy LLC
$688.00Published rateSt. Mary'S Surgical Center LLC, St. Mary'S Surgical Center
St Marys Surgical Center LLC
$445.00Published rateChildren 1st Houston South, LLC, Children 1st Dental & Surgery Center
$150.00Published rateCts Surgical Associates LLC, Cedar Tree Surgical Center
$68.00Published rate
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See a sample payer proposalCPT 30200 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30200 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 30200 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 |
|---|---|---|
| 30130-CPT | Moderate | Exc Turbinate Partial/Complete |
| 30140-CPT | Moderate | Submucous Resct Inferior Turbinate Partial Or Comple Any Metho, Submucous Resection Inferior Turbinate Partial Or Complete Any Metho |
| 30200-CPT | Low | Medication Injection Into Nose, Injection Of A Medication Inside The Nose To Reduce Swelling Or Enlargement Of The Tissues For The Purpose Of Improving Airflow Through The Nose. |
| 30801-CPT | Moderate | Ablate Inf Turbinate Superf, Ablation Soft Tissue Of Inferior Turbinates Unilateral Or Bilateral Any Method Eg Electrocautery Radiofrequency Ablation Or Tissue Volume Reduction Superficial |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30200 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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