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See a sample rate comparisonCPT 30999 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.
Nose Procedure, Surgery Or Other Procedure For The Nose.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 30999 |
| Medicaid Fee Schedule | $182.425 median of the 4 states in the free preview · View Medicaid rates for 30999 |
National average reimbursement for CPT 30999 by major payers:
$920.10
$163.51
$560.80
$741.05
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CPT 30999
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$1,187.00Published rateMedstar Surgery Center At Timonium, LLC
Medstar Surgery Center At Timo
$572.00Published rateThe Alexandria Ophthalmology Asc LLC, Wallace Laser And Surgery Center
$420.00Published rateModesto Surgery Center
$129.00Published rateAdvanced Eye Surgery Center
$53.04Published rate
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See a sample payer proposalCPT 30999 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30999 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 30999 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 |
|---|---|---|
| 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 |
| 30901-CPT | Low | Cntrol Nasal Hemorrhag Anterio Smple (Lmtd Cautery, Control Nasal Hemorrhage Anterior Simple (Limited Cautery And/Or Pac |
| 30999-CPT | Moderate | Nose Procedure, Surgery Or Other Procedure For The Nose. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30999. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30999 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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