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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 30462 |
| Medicaid Fee Schedule | View Medicaid rates for 30462 |
National average reimbursement for CPT 30462 by major payers:

$1,932.58

$2,070.40

$2,287.54

$2,557.58
Choose a payer to see a sample of rates for CPT 30462.
Hhc Southington Surgery Center, LLC
Springfield Surgery Center LLC
Surgery Center At The Reserve PA Inc
North Pinellas Surgery Center, LLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 30462 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30462 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 30462 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 |
|---|---|---|
| 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. |
| 30460-CPT | High | Surgery For Misshapen Nose, Surgery To Correct A Misshapen Nose And Reshape A Cleft Lip Or Palate. The Procedure May Be Limited To The Nose Tip Or Include Reshaping The Bones Inside The Nose. |
| 30462-CPT | High | Surgery For Misshapen Nose, Surgery To Correct A Misshapen Nose And Reshape A Cleft Lip Or Palate. The Procedure May Be Limited To The Nose Tip Or Include Reshaping The Bones Inside The Nose. |
| 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 30462. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30462 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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