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See a sample rate comparisonCPT 30468 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.
Repair Nasal Valve Collapse W/ Subq / Submucosal L, Repair Of Nasal Valve Collapse With Subcutaneous/Submucosal Lateral Wall Implant(S)
| 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 51 - Multiple procedures 50 - Bilateral Procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 30468 |
| Medicaid Fee Schedule | View Medicaid rates for 30468 |
National average reimbursement for CPT 30468 by major payers:
$2,888.19
$4,095.20
$3,656.97
$532.86
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CPT 30468
5 of 25 sample ratesHigher to lower in this preview
Indianapolis Endoscopy Center LLP
$10,317.00Published rateLarry Crick
Deaconess Hospital Inc
$5,463.47Published rateSph Irvine, L.L.C.
$3,708.00Published rateUch Vascular Access Asc LLC
$2,515.00Published rateUniversity Of Houston System, Uh College Of Optometry Surgery Center
$1,400.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 30468 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30468 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 30468 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 |
|---|---|---|
| 30468-CPT | High | Repair Nasal Valve Collapse W/ Subq / Submucosal L, Repair Of Nasal Valve Collapse With Subcutaneous/Submucosal Lateral Wall Implant(S) |
| 30469-CPT | High | Repair Nasl Vlv Collapse Low Nrg Subq/Sbmcsl Rmdlg, Repair Of Nasal Valve Collapse With Low Energy Temperature-Controlled (Ie Radiofrequency) Subcutaneous/Submucosal Remo |
| 30520-CPT | Moderate | Septoplasty Or Submucous Resec, Septoplasty Or Submucous Resection With Or Withoutcartilage Scoring Contouring Or Replacement Withgraft |
| 30560-CPT | Moderate | Lysis Intranasal Synechia |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30468. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30468 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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