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See a sample rate comparisonCPT 30560 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Lysis Intranasal Synechia
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None 51 - Multiple procedures RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 30560 |
| Medicaid Fee Schedule | View Medicaid rates for 30560 |
National average reimbursement for CPT 30560 by major payers:
$359.54
$358.22
$407.41
$479.53
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CPT 30560
5 of 25 sample ratesHigher to lower in this preview
Hackensack Musculoskeletal Surgery Center, LLC
Hackensack Musculoskeletal Surgery Center LLC
$1,691.00Published rateBon Secours Surgery Center At Virginia Beach LLC, Bon Secours Surgery Center At Virginia Beach
Bon Secours Surgery Center At Virginia Beach LLC
$586.00Published rateSpecialty Surgical Center Of Thousand Oaks, L.P.
Specialty Surgical Center Of Thousand Oaks, Lp
$260.00Published rateSouthern Maryland Endoscopy Center
$78.00Published rateIndiana Ambulatory Surgical Associates, Inc
Indiana Ambulatory Surgical Associates Inc
$50.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 30560 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30560 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 30560 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. |
| 30540-CPT | Moderate | Surgery For Nose Opening, Surgery To Create Openings From The Nose Through The Roof Of The Mouth When These Are Not Present. The Procedure May Involve Removing Bony Structure. Tubes Are Placed While Healing To Ensure The Openings Do Not Close Over. |
| 30545-CPT | High | Surgery For Nose Opening, Surgery To Create Openings From The Nose Through The Roof Of The Mouth When These Are Not Present. The Procedure May Involve Removing Bony Structure. Tubes Are Placed While Healing To Ensure The Openings Do Not Close Over. |
| 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 30560. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30560 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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