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See a sample rate comparisonCPT 30210 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.
Clearing Of Blocked Sinus, Removal Of Mucus And Pus That Is Blocking The Sinuses By Rinsing With Salt Water And Then Suctioning.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 30210 |
| Medicaid Fee Schedule | View Medicaid rates for 30210 |
National average reimbursement for CPT 30210 by major payers:
$181.23
$189.61
$201.33
$239.93
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CPT 30210
5 of 25 sample ratesHigher to lower in this preview
Hospital For Special Surgery West Side Ambulatory Surgery Center, LLC, Hss West Side Asc, LLC
$4,147.00Published rateSurgery Center Of Georgetown, LLC, Georgetown Surgery Center
Surgery Center Of Georgetown LLC
$1,535.00Published rateMeadowview Asc, LLC
Meadowview Asc LLC
$850.00Published rateNorth Texas Surgery Center, LLC
North Texas Surgery Center LLC
$677.00Published rateDeaconess Hospital, Inc, <Unavail>
Deaconess Hospital Inc
$260.73Published rate
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See a sample payer proposalCPT 30210 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30210 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 30210 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 |
| 30210-CPT | Low | Clearing Of Blocked Sinus, Removal Of Mucus And Pus That Is Blocking The Sinuses By Rinsing With Salt Water And Then Suctioning. |
| 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 30210. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30210 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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