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CPT code 30117: Intranasal lesion removal, internal approach2026 Medicare rate & RVUs in Houston, TX

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 Houston, TX, Medicare pays $953.88 for 30117 in the office and $380.75 when it’s performed in a hospital or facility.

$953.88Office (non-facility)
$380.75Hospital or facility
+0.2%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $953.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

30117 in Houston, TX vs other payment areas
  1. Houston, TX · this page$953.88
  2. Austin, TX · Texas$996.50+$42.62
  3. Beaumont, TX · Texas$877.75−$76.13
  4. Brazoria, TX · Texas$941.31−$12.57
  5. Dallas, TX · Texas$946.90−$6.98
  6. Fort Worth, TX · Texas$939.08−$14.80
  7. Galveston, TX · Texas$943.81−$10.07

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

Every other payment area

30117 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$908.71$360.97
Los Angeles, CACalifornia$1,098.13$415.34
Washington, DC areaDistrict of Columbia$1,104.00$424.10
Miami, FLFlorida$1,012.72$411.89
Chicago, ILIllinois$980.30$400.25
Manhattan, NYNew York$1,101.07$430.40
AlaskaAlaska$1,059.36$444.68
AlabamaAlabama$842.87$337.85

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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 30117 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work3.81× 1.0083.8405
Practice expense24.13× 0.99323.9611
Malpractice0.55× 1.3760.7568
Total RVUs28.5584
Conversion factor× 33.4009

Office rate, Houston, TX$953.88

Office: (3.81 × 1.008 + 24.13 × 0.993 + 0.55 × 1.376) × $33.4009 = $953.88

Facility: (3.81 × 1.008 + 6.85 × 0.993 + 0.55 × 1.376) × $33.4009 = $380.75

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, Houston, TX
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.$142.42
30110Nasal polypectomy, simple removalRemoval of nasal polyp or polyps when the service is not extensive.$248.87
30115Nasal polypectomy, extensive removalRemoval of nasal polyp or polyps when the service is extensive.No office rate

How 30117 has changed in Houston, TX

30117 · Office / nonfacility

$953.88

Effective 2026-10-01

The base rate is $14.33 higher than on 2025-10-01, moving from $939.55 to $953.88 (1.5%).

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

    $939.55changed to$953.88

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1001.61changed to$939.55

    • 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

    $985.26changed to$1001.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1014.80changed to$985.26

    • 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
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $1053.14changed to$1014.80

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1047.82changed to$1053.14

    • 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.

  7. January 1, 2021

    RVU21A

    $973.48changed to$1047.82

    • 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
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $935.15changed to$973.48

    • 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
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $892.56changed to$935.15

    • 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.

  10. January 1, 2018

    RVU18AR1

    $895.74changed to$892.56

    • 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 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $905.10changed to$895.74

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 21.38 changed to 21.00
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $904.01changed to$905.10

    • 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.

  13. July 1, 2015

    RVU15C

    $899.51changed to$904.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $896.18changed to$899.51

    • 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
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $935.47changed to$896.18

    • 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
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $935.47

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$953.88$380.75RVU26D
2026-07-01$953.88$380.75RVU26C
2026-04-01$953.88$380.75RVU26B
2026-01-01$953.88$380.75RVU26A
2025-10-01$939.55$409.75RVU25D
2025-07-01$939.55$409.75RVU25C
2025-04-01$939.55$409.75RVU25B
2025-01-01$939.55$409.75RVU25A
2024-10-01$1,001.61$426.34RVU24D
2024-07-01$1,001.61$426.34RVU24C
2024-04-01$1,001.61$426.34RVU24B
2024-03-09$1,001.61$426.34RVU24AR
2024-01-01$985.26$419.38RVU24A
2023-10-01$1,014.80$348.94RVU23D
2023-07-01$1,014.80$348.94RVU23C
2023-04-01$1,014.80$348.94RVU23B
2023-01-01$1,014.80$348.94RVU23A
2022-10-01$1,053.14$350.20RVU22D
2022-07-01$1,053.14$350.20RVU22C
2022-04-01$1,053.14$350.20RVU22B
2022-01-01$1,053.14$350.20RVU22A
2021-10-01$1,047.82$350.18RVU21D
2021-07-01$1,047.82$350.18RVU21C
2021-04-01$1,047.82$350.18RVU21B
2021-01-01$1,047.82$350.18RVU21A
2020-10-01$973.48$347.69RVU20D
2020-07-01$973.48$347.69RVU20C
2020-04-01$973.48$347.69RVU20B
2020-01-01$973.48$347.69RVU20A
2019-10-01$935.15$348.32RVU19D
2019-07-01$935.15$348.32RVU19C
2019-04-01$935.15$348.32RVU19B
2019-01-01$935.15$348.32RVU19A
2018-10-01$892.56$347.55RVU18D
2018-07-01$892.56$347.55RVU18C
2018-04-01$892.56$347.55RVU18B
2018-01-01$892.56$347.55RVU18AR1
2017-10-01$895.74$349.67RVU17D
2017-07-01$895.74$349.67RVU17C
2017-04-01$895.74$349.67RVU17B
2017-01-01$895.74$349.67RVU17A
2016-10-01$905.10$352.57RVU16D
2016-07-01$905.10$352.57RVU16C
2016-04-01$905.10$352.57RVU16B
2016-01-01$905.10$352.57RVU16A
2015-10-01$904.01$352.01RVU15D
2015-07-01$904.01$352.01RVU15C
2015-04-01$899.51$350.26RVU15B
2015-01-01$899.51$350.26RVU15A
2014-10-01$896.18$345.89RVU14D
2014-07-01$896.18$345.89RVU14C
2014-04-01$896.18$345.89RVU14B
2014-01-01$896.18$345.89RVU14A
2013-10-01$935.47$350.47RVU13D
2013-07-01$935.47$350.47RVU13C
2013-04-01$935.47$350.47RVU13B
2013-01-01$935.47$350.47RVU13AR

Price 30117 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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