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See a sample rate comparisonCPT 30420 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.
Plastic Surgery On The Nose, Surgery To Reshape The Nose. A Simple Procedure May Lift The Tip Or Remove Excess Fatty Tissue. A More Complex Procedure Can Repair A Damaged Septum And Reshape Internal Nose Bones By Filing Or Breaking Them.
| 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 SG - Scene to Hospital ESRD facility GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 30420 |
| Medicaid Fee Schedule | View Medicaid rates for 30420 |
National average reimbursement for CPT 30420 by major payers:
$1,796.70
$1,812.45
$2,038.85
$2,321.57
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CPT 30420
5 of 25 sample ratesHigher to lower in this preview
Reston Surgery Center, Lp
Reston Surgery Center Lp
$7,012.00Published rateVivere Health Dallas, LLC, Vivere-Dallas Surgery Center
Vivere Health Dallas LLC
$4,312.00Published rateParkway Surgery Center, LLC
Parkway Surgery Center
$3,200.00Published rateArmenia Ambulatory Surgical Center, LLC
Armenia Ambulatory Surgical Center LLC
$2,555.00Published rateDigestive Endoscopy Center LLC
Digestive Endoscopy Center, LLC
$848.00Published rate
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See a sample payer proposalCPT 30420 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30420 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 30420 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 |
|---|---|---|
| 30400-CPT | High | Plastic Surgery On The Nose, Surgery To Reshape The Nose. A Simple Procedure May Lift The Tip Or Remove Excess Fatty Tissue. A More Complex Procedure Can Repair A Damaged Septum And Reshape Internal Nose Bones By Filing Or Breaking Them. |
| 30410-CPT | High | Plastic Surgery On The Nose, Surgery To Reshape The Nose. A Simple Procedure May Lift The Tip Or Remove Excess Fatty Tissue. A More Complex Procedure Can Repair A Damaged Septum And Reshape Internal Nose Bones By Filing Or Breaking Them. |
| 30420-CPT | High | Plastic Surgery On The Nose, Surgery To Reshape The Nose. A Simple Procedure May Lift The Tip Or Remove Excess Fatty Tissue. A More Complex Procedure Can Repair A Damaged Septum And Reshape Internal Nose Bones By Filing Or Breaking Them. |
| 30450-CPT | High | Revise Nose Plastic Surgery, Surgery To Revise A Previous Nose Reshaping Surgery. This Can Involve Minor Tissue Removal Or More Major Bone Reshaping. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30420. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30420 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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