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See a sample rate comparisonCPT 30469 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 Nasl Vlv Collapse Low Nrg Subq/Sbmcsl Rmdlg, Repair Of Nasal Valve Collapse With Low Energy Temperature-Controlled (Ie Radiofrequency) Subcutaneous/Submucosal Remo
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 30469 |
| Medicaid Fee Schedule | View Medicaid rates for 30469 |
National average reimbursement for CPT 30469 by major payers:
$2,856.05
$3,492.64
$3,275.11
$3,878.90
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CPT 30469
5 of 25 sample ratesHigher to lower in this preview
Delray Beach Asc, LLC, Delray Beach Surgery Center
$6,506.00Published rateOrthopaedic Outpatient Surgery Center, LLC
Orthopaedic Outpatient Surgery Center LLC
$4,659.60Published rateFertility Lab Sciences Of Orange County, LLC
Fertility Lab Sciences Of Oran
$2,800.00Published rateBaptist Surgery And Endoscopy Centers LLC, Baptist Health Surgery Center At Northpoint
$1,700.00Published rateLake County Pain & Diagnostic
Lake County Pain Diagnostic
$932.00Published rate
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See a sample payer proposalCPT 30469 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30469 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 30469 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 |
| 30801-CPT | Moderate | Ablate Inf Turbinate Superf, Ablation Soft Tissue Of Inferior Turbinates Unilateral Or Bilateral Any Method Eg Electrocautery Radiofrequency Ablation Or Tissue Volume Reduction Superficial |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30469. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30469 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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