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CPT code 30117: Intranasal lesion removal, internal approach2026 Medicare rate & RVUs in Puerto Rico

Report this service when a clinician removes or destroys a nonpolyp lesion inside the nasal passage through an internal approach.

CMS RVU26DEffective Oct 1, 2026One payment locality17.5K Medicare services in 2024

In Puerto Rico, Medicare pays $960.18 for 30117 in the office and $376.67 when it’s performed in a hospital or facility.

$960.18Office (non-facility)
$376.67Hospital or facility
+0.9%vs the national office rate ($951.59)

Check a contract rate as a % of Medicare · 30117 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 30117 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 30117 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 30117 covers

An otolaryngologist or other qualified surgeon uses an internal nasal approach to excise or destroy a lesion within the nasal passage. The service may be performed in an office procedure room or a facility operating room, depending on the lesion and the planned technique. This code is for a lesion treated through the nasal passage, not a lesion on the external nose or a nasal polyp handled under the polyp-removal codes.

Select the code based on the lesion and the work documented, including its intranasal location, the removal or destruction method, and the extent of treatment. The record should identify the target lesion and describe the service performed. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Puerto Rico compares for 30117

Across 109 of 109 payment localities, the office rate for 30117 runs from $829.04 in Arkansas to $1,313.30 in San Benito County, CA. Puerto Rico pays $960.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

30117 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$960.18
  2. Los Angeles, CA · California$1,098.13+$137.95
  3. Washington, DC area · District of Columbia$1,104.00+$143.82
  4. Miami, FL · Florida$1,012.72+$52.54
  5. Chicago, IL · Illinois$980.30+$20.12
  6. Manhattan, NY · New York$1,101.07+$140.89
  7. Alaska · Alaska$1,059.36+$99.18

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

30117 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$842.87$337.85
ArkansasArkansas$829.04$333.25
ArizonaArizona$923.96$364.69
Bakersfield, CACalifornia$1,024.20$391.62
Chico, CACalifornia$1,022.60$390.03
El Centro, CACalifornia$1,022.70$390.12
Fresno, CACalifornia$1,022.60$390.03
Hanford, CACalifornia$1,022.60$390.03

30117 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$829.04

$1,167.95

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
30117 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,059.361
AL$842.871
AR$829.041
AZ$923.961
CA$1,022.60–$1,313.3029
CO$1,000.681
CT$1,020.051
DC$1,104.001
DE$940.701
FL$925.37–$1,012.723
GA$868.07–$968.562
GU$1,054.271
HI$1,054.271
IA$872.011
ID$877.431
IL$891.82–$988.434
IN$883.311
KS$865.111
KY$860.571
LA$858.13–$906.542
MA$992.61–$1,111.152
MD$961.03–$1,104.003
ME$880.17–$937.562
MI$883.84–$935.992
MN$962.031
MO$839.89–$912.943
MS$834.771
MT$951.551
NC$890.961
ND$940.681
NE$878.111
NH$982.341
NJ$1,032.61–$1,089.812
NM$888.391
NV$949.331
NY$905.84–$1,127.815
OH$881.621
OK$861.261
OR$942.91–$1,038.392
PA$884.49–$990.472
PR$960.181
RI$978.621
SC$887.581
SD$939.391
TN$869.741
TX$877.75–$996.508
UT$901.361
VA$932.49–$1,104.002
VI$960.181
VT$934.461
WA$991.57–$1,137.552
WI$905.031
WV$853.931
WY$946.821

See 30117 in every payment locality

How the 30117 rate is calculated

Each of 30117’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 30117

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.81

3.81 RVUs× 1.000 GPCI

Practice expense24.13

24.13 RVUs× 1.000 GPCI

Malpractice0.55

0.55 RVUs× 1.000 GPCI

Adjusted RVUs

28.4900

Conversion factor

$33.4009

Medicare rate

$951.59

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,397

Code
30117
Physician work
3.81
Practice expense
24.13
Malpractice
0.55

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 30117 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work3.81× 1.0003.8100
Practice expense24.13× 1.01124.3954
Malpractice0.55× 0.9850.5418
Total RVUs28.7472
Conversion factor× 33.4009

Office rate, Puerto Rico$960.18

Office: (3.81 × 1 + 24.13 × 1.011 + 0.55 × 0.985) × $33.4009 = $960.18

Facility: (3.81 × 1 + 6.85 × 1.011 + 0.55 × 0.985) × $33.4009 = $376.67

Open 30117 in the RVU calculator

Payment rules and modifiers for 30117

30117 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 30117

Intranasal lesion removal, internal approach

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.76/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 30117

Intranasal lesion removal, internal approach

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

30117 without 51 · national office

$951.59

Intranasal lesion removal, internal approach

30117-51 · Second procedure: 50%

$475.80

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 30117

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 30117
CodeHow it relatesOffice range, Puerto Rico
Same family
30118Nasal lesion removal, external approachIntranasal lesion treatment when the documented service is extensive.No office rate
Used instead
30100Nasal biopsy, intranasal tissue samplingDiagnostic intranasal sampling rather than definitive lesion removal or destruction.$142.39
30110Nasal polypectomy, simple removalRemoval of nasal polyp or polyps when the service is not extensive.$248.75
30115Nasal polypectomy, extensive removalRemoval of nasal polyp or polyps when the service is extensive.No office rate

How 30117 has changed in Puerto Rico

30117 · Office / nonfacility

$960.18

Effective 2026-10-01

The base rate is $27.00 higher than on 2025-10-01, moving from $933.18 to $960.18 (2.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $933.18changed to$960.18

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.91 changed to 3.81
    • Practice expense RVU 24.22 changed to 24.13
    • Malpractice RVU 0.56 changed to 0.55
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $995.19changed to$933.18

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 25.26 changed to 24.22

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $978.94changed to$995.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1002.65changed to$978.94

    • Conversion factor 33.8872 changed to 32.7442
    • Work RVU 3.26 changed to 3.91
    • Practice expense RVU 25.67 changed to 25.26
    • Malpractice RVU 0.46 changed to 0.56
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $995.94changed to$1002.65

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $1032.00changed to$995.94

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 25.92 changed to 25.67
    • Malpractice RVU 0.44 changed to 0.46
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $1026.83changed to$1032.00

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 25.52 changed to 25.92
    • Malpractice RVU 0.45 changed to 0.44

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $961.68changed to$1026.83

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 22.77 changed to 25.52
    • Malpractice RVU 0.44 changed to 0.45
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $929.76changed to$961.68

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 21.92 changed to 22.77
    • Malpractice RVU 0.47 changed to 0.44
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $887.41changed to$929.76

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 20.77 changed to 21.92
    • Malpractice RVU 0.48 changed to 0.47

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $772.96changed to$887.41

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 21.00 changed to 20.77
    • Malpractice RVU 0.47 changed to 0.48
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $661.33changed to$772.96

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 21.38 changed to 21.00
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $660.53changed to$661.33

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 21.25 changed to 21.38
    • Malpractice RVU 0.48 changed to 0.47

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $657.24changed to$660.53

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $647.59changed to$657.24

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 21.26 changed to 21.25
    • Malpractice RVU 0.39 changed to 0.48
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $662.94changed to$647.59

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 23.78 changed to 21.26
    • Malpractice RVU 0.41 changed to 0.39
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $662.94

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$960.18$376.67RVU26D
2026-07-01$960.18$376.67RVU26C
2026-04-01$960.18$376.67RVU26B
2026-01-01$960.18$376.67RVU26A
2025-10-01$933.18$401.26RVU25D
2025-07-01$933.18$401.26RVU25C
2025-04-01$933.18$401.26RVU25B
2025-01-01$933.18$401.26RVU25A
2024-10-01$995.19$417.63RVU24D
2024-07-01$995.19$417.63RVU24C
2024-04-01$995.19$417.63RVU24B
2024-03-09$995.19$417.63RVU24AR
2024-01-01$978.94$410.81RVU24A
2023-10-01$1,002.65$342.03RVU23D
2023-07-01$995.94$340.57RVU23C
2023-04-01$995.94$340.57RVU23B
2023-01-01$995.94$340.57RVU23A
2022-10-01$1,032.00$343.41RVU22D
2022-07-01$1,032.00$343.41RVU22C
2022-04-01$1,032.00$343.41RVU22B
2022-01-01$1,032.00$343.41RVU22A
2021-10-01$1,026.83$343.43RVU21D
2021-07-01$1,026.83$343.43RVU21C
2021-04-01$1,026.83$343.43RVU21B
2021-01-01$1,026.83$343.43RVU21A
2020-10-01$961.68$343.24RVU20D
2020-07-01$961.68$343.24RVU20C
2020-04-01$961.68$343.24RVU20B
2020-01-01$961.68$343.24RVU20A
2019-10-01$929.76$345.84RVU19D
2019-07-01$929.76$345.84RVU19C
2019-04-01$929.76$345.84RVU19B
2019-01-01$929.76$345.84RVU19A
2018-10-01$887.41$345.09RVU18D
2018-07-01$887.41$345.09RVU18C
2018-04-01$887.41$345.09RVU18B
2018-01-01$887.41$345.09RVU18AR1
2017-10-01$772.96$309.69RVU17D
2017-07-01$772.96$309.69RVU17C
2017-04-01$772.96$309.69RVU17B
2017-01-01$772.96$309.69RVU17A
2016-10-01$661.33$274.11RVU16D
2016-07-01$661.33$274.11RVU16C
2016-04-01$661.33$274.11RVU16B
2016-01-01$661.33$274.11RVU16A
2015-10-01$660.53$273.69RVU15D
2015-07-01$660.53$273.69RVU15C
2015-04-01$657.24$272.33RVU15B
2015-01-01$657.24$272.33RVU15A
2014-10-01$647.59$268.31RVU14D
2014-07-01$647.59$268.31RVU14C
2014-04-01$647.59$268.31RVU14B
2014-01-01$647.59$268.31RVU14A
2013-10-01$662.94$267.10RVU13D
2013-07-01$662.94$267.10RVU13C
2013-04-01$662.94$267.10RVU13B
2013-01-01$662.94$267.10RVU13AR

Price 30117 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

30117 billing questions

How does this differ from 30118?

Both address an intranasal lesion treated internally. Use 30118 when the documented removal or destruction is extensive; use 30117 for the less extensive service.

Can I report 30117 for a nasal polyp?

Use the nasal polyp removal codes when the treated target is a polyp. Codes 30110 and 30115 distinguish polyp removal by extent.

When is 30100 more appropriate?

30100 describes intranasal biopsy for diagnostic sampling. 30117 is for treatment by removing or destroying the lesion, rather than sampling it alone.

Should modifier 50 be appended for treatment on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code, so do not use modifier 50.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be billed?

Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 30117PPRRVU2026_Oct_nonQPP.csv, line 3,397 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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