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See a sample rate comparisonCPT 30465 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.
Rpair Of Nasal Vstibular Stenosis (Eg Spreader Grfting Lateral, Repair Of Nasal Vestibular Stenosis (Eg Spreader Grafting Lateral Na
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None SG - Scene to Hospital ESRD facility 52 - Reduced Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 30465 |
| Medicaid Fee Schedule | View Medicaid rates for 30465 |
National average reimbursement for CPT 30465 by major payers:
$1,280.27
$1,290.78
$1,452.30
$1,644.65
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CPT 30465
5 of 25 sample ratesHigher to lower in this preview
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
$11,972.00Published rateSt. Mary'S Ambulatory Surgery Center, LLC
St Marys Ambulatory Surgery Center LLC
$3,649.00Published rateNhpe, LLC, New Hyde Park Endoscopy
$2,510.00Published rateHazleton Ambulatory Surgical Center LLC
$1,374.00Published ratePremier Endoscopy Center LLC
$383.00Published rate
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See a sample payer proposalCPT 30465 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30465 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 30465 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 |
|---|---|---|
| 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. |
| 30465-CPT | High | Rpair Of Nasal Vstibular Stenosis (Eg Spreader Grfting Lateral, Repair Of Nasal Vestibular Stenosis (Eg Spreader Grafting Lateral Na |
| 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 30465. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30465 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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