CPT code 30125: Nasal lesion excision, extensive, involving cartilage or bone2026 Medicare rate & RVUs

Medicare pays $590.86 for 30125 nationally in a facility.

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

What 30125 covers

This code describes extensive removal of a dermoid cyst of the nose involving deeper structures such as cartilage or bone. It is generally performed by an otolaryngologist or facial plastic surgeon in an operating-room setting. The operative report should identify the nasal lesion, describe the extent of dissection and tissues removed, and support why the excision was extensive rather than a limited removal. It is distinct from procedures directed at intranasal polyps or lesions.

Report the code for the extensive excision, not a biopsy or a more limited nasal cyst excision. The day-before preoperative visit and 90 days of related postoperative care are included in its 90-day global period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons and team surgery 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 30125 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

30125 rates by state

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

How the 30125 rate is calculated

Each of 30125’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.

Payment rules and modifiers for 30125

30125 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

30125 compared with similar codes

How to choose

30124Nasal lesion removalExternal approach

30124 describes a more limited nasal dermoid cyst excision. Choose 30125 when the operative extent supports extensive removal involving deeper structures such as cartilage or bone.

30117Intranasal lesion removalInternal approach

30117 addresses removal of an intranasal lesion. 30125 is for extensive excision of a nasal dermoid cyst, not a lesion approached within the nasal cavity.

30118Nasal lesion removalExternal approach

30118 is the extensive intranasal-lesion procedure. Use 30125 for an extensive nasal dermoid cyst excision involving deeper nasal structures.

30100Nasal biopsyIntranasal tissue sampling

30100 reports an intranasal biopsy for tissue sampling. 30125 reports extensive excision of a nasal dermoid cyst rather than diagnostic sampling.

Codes related to 30125

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

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

Open CMS sourceHow we calculate rates