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See a sample rate comparisonCPT 30580 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.
Rpair Fistula; Oromxillary (Cmbine W/ 31030 If Antrotomy Is Inclu, Repair Fistula; Oromaxillary (Combine With 31030 If Antrotomy Is Inclu
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 30580 |
| Medicaid Fee Schedule | View Medicaid rates for 30580 |
National average reimbursement for CPT 30580 by major payers:
$777.08
$812.10
$864.99
$794.24
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CPT 30580
5 of 25 sample ratesHigher to lower in this preview
Tresanti Surgical Center LLC, Tresanti Medical Corporation
Tresanti Surgical Center LLC
$6,506.00Published rateFirst Gi Endoscopy And Surgery Center LLC
$3,162.00Published rateDialysis Access Center Corpus Christi Asc LLC
$2,800.00Published rateOrange County Ophthalmology Medical Group, Orange County Eye Surgical Center
Robert H. Collier, Md, Inc. Et Al, Ptr. Orange County Ophthalmology Me
$2,009.00Published rateConnecticut Gi Endoscopy Center LLC
$971.00Published rate
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See a sample payer proposalCPT 30580 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30580 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 30580 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 |
|---|---|---|
| 30580-CPT | Moderate | Rpair Fistula; Oromxillary (Cmbine W/ 31030 If Antrotomy Is Inclu, Repair Fistula; Oromaxillary (Combine With 31030 If Antrotomy Is Inclu |
| 30600-CPT | Moderate | Repair Fistula; Oronasal |
| 30620-CPT | Moderate | Septal Or Other Intranasal Dermatoplasty (Does Not Inclu Obtain G, Septal Or Other Intranasal Dermatoplasty (Does Not Include Obtaining G |
| 30630-CPT | Moderate | Surgery To Repair Nasal Septum, Surgery To Repair A Hole In The Nasal Septum (Cartilage Dividing Nose Passages). Nose Tissue Or An Artificial Plug (Silicone) May Be Used. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30580. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30580 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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