CPT code 30117: Intranasal lesion removal, internal approach2026 Medicare rate & RVUs in Texas
Report this service when a clinician removes or destroys a nonpolyp lesion inside the nasal passage through an internal approach.
Medicare pays $877.75–$996.50 for 30117 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 30117 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$877.75 to $996.50
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $996.50 | $385.85 |
| Beaumont, TX | $877.75 | $352.53 |
| Brazoria, TX | $941.31 | $369.34 |
| Dallas, TX | $946.90 | $372.05 |
| Fort Worth, TX | $939.08 | $370.00 |
| Galveston, TX | $943.81 | $370.68 |
| Houston, TX | $953.88 | $380.75 |
| Rest of Texas | $908.71 | $360.97 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share 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.
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%).
30117 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 30118Nasal lesion removalExternal approach
- Both treat intranasal lesions by an internal approach. Choose 30118 when the documented work is extensive; 30117 describes the less extensive service.
- 30100Nasal biopsyIntranasal tissue sampling
- 30100 is for diagnostic biopsy or sampling. Choose 30117 when the service removes or destroys the lesion.
- 30110Nasal polypectomySimple removal
- 30110 is for removal of nasal polyp or polyps. Use 30117 for a nonpolyp intranasal lesion.
- 30124Nasal lesion removalExternal approach
- 30124 is for a lesion on the external nose. 30117 is for a lesion inside the nasal passage treated through an internal approach.
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
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