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See a sample rate comparisonCPT 30600 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.
Repair Fistula; Oronasal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 30600 |
| Medicaid Fee Schedule | View Medicaid rates for 30600 |
National average reimbursement for CPT 30600 by major payers:
$671.50
$747.95
$783.09
$672.58
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CPT 30600
5 of 25 sample ratesHigher to lower in this preview
Summit Orthopedic Surgery Center, LLC, Sosc
Summit Orthopedic Surgery Center LLC
$10,481.00Published rateMay Street Surgi Center, LLC, May Street Surgi Center
May Street Surgi Center, LLC
$4,839.00Published rateOrbis Surgery Center LLC
$3,100.00Published rateCareplex Orthopaedic Ambulatory Surgery Center, LLC, None
Careplex Orthopaedic Ambulatory Surgery Center LLC
$1,753.00Published rateLaressa Bazzell
Deaconess Hospital Inc
$454.82Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 30600 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30600 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 30600 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 30600. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30600 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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