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See a sample rate comparisonCPT 30220 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.
Surgery To Repair Nasal Septum, Surgery To Repair A Hole In The Nasal Septum (Cartilage Dividing Nose Passages). Nose Tissue Or An Artificial Plug (Silicone) May Be Used.
| 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 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 30220 |
| Medicaid Fee Schedule | View Medicaid rates for 30220 |
National average reimbursement for CPT 30220 by major payers:
$327.63
$378.45
$415.18
$219.90
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CPT 30220
5 of 25 sample ratesHigher to lower in this preview
Franciscan Surgery Center, LLC
$3,787.00Published rateNorthridge Surgery Center, Lp, Northridge Surgery Center
Northridge Surgery Center Lp
$1,397.00Published rateSurgcenter Pinellas, LLC
$1,179.00Published rateGrossmont Outpatient Surgical Center
Grossmont Outpatient Surgical Ce
$649.00Published rateLaressa Bazzell
Deaconess Hospital Inc
$242.25Published rate
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See a sample payer proposalCPT 30220 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30220 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 30220 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 |
|---|---|---|
| 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. |
| 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. |
| 30220-CPT | Moderate | Surgery To Repair Nasal Septum, Surgery To Repair A Hole In The Nasal Septum (Cartilage Dividing Nose Passages). Nose Tissue Or An Artificial Plug (Silicone) May Be Used. |
| 30520-CPT | Moderate | Septoplasty Or Submucous Resec, Septoplasty Or Submucous Resection With Or Withoutcartilage Scoring Contouring Or Replacement Withgraft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30220 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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