CPT code 30140: Turbinate reduction, submucosal tissue reduction2026 Medicare rate & RVUs in North Carolina
Report 30140 when a surgeon reduces inferior turbinate tissue beneath the mucosal lining to improve nasal airflow, rather than excising the turbinate.
In North Carolina, Medicare pays $276.57 for 30140 in the office and $145.37 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 30140 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 30140 covers
An otolaryngologist uses a submucosal approach to reduce enlarged inferior turbinate tissue while preserving the overlying mucosal lining. The procedure is commonly performed for persistent nasal obstruction associated with inferior turbinate hypertrophy, including when symptoms remain despite medical treatment. It may be done in a hospital outpatient department, ambulatory surgery center, or an appropriately equipped office setting.
Select 30140 for the submucosal reduction, not removal of turbinate tissue by excision. The operative report should identify the inferior turbinate, the submucosal approach, and whether one or both sides were treated. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Assistant-at-surgery payment is restricted; 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.
How North Carolina compares for 30140
Across 109 of 109 payment localities, the office rate for 30140 runs from $261.34 in Arkansas to $378.34 in San Benito County, CA. North Carolina pays $276.57. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$276.57
- Los Angeles, CA · California$326.37+$49.80
- Washington, DC area · District of Columbia$333.18+$56.61
- Miami, FL · Florida$323.34+$46.77
- Chicago, IL · Illinois$314.12+$37.55
- Manhattan, NY · New York$338.04+$61.47
- Alaska · Alaska$348.22+$71.65
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $264.98 | $141.94 |
| ArkansasArkansas | $261.34 | $140.55 |
| ArizonaArizona | $286.23 | $149.97 |
| Bakersfield, CACalifornia | $307.61 | $153.50 |
| Chico, CACalifornia | $306.37 | $152.25 |
| El Centro, CACalifornia | $306.44 | $152.33 |
| Fresno, CACalifornia | $306.37 | $152.25 |
| Hanford, CACalifornia | $306.37 | $152.25 |
| Madera, CACalifornia | $306.37 | $152.25 |
| Merced, CACalifornia | $306.37 | $152.25 |
| Modesto, CACalifornia | $306.37 | $152.25 |
| Napa, CACalifornia | $350.81 | $165.47 |
| Oxnard, CACalifornia | $324.32 | $158.11 |
| Redding, CACalifornia | $306.37 | $152.25 |
| Rest of CaliforniaCalifornia | $306.37 | $152.25 |
| Riverside, CACalifornia | $311.02 | $156.90 |
| Sacramento, CACalifornia | $320.40 | $156.87 |
| Salinas, CACalifornia | $319.19 | $156.21 |
| San Diego, CACalifornia | $325.90 | $157.72 |
| Marin County, CACalifornia | $369.95 | $171.68 |
| San Francisco, CACalifornia | $369.46 | $171.19 |
| San Benito County, CACalifornia | $378.34 | $175.57 |
| Santa Clara County, CACalifornia | $376.34 | $173.57 |
| San Luis Obispo, CACalifornia | $314.18 | $154.02 |
| Santa Cruz, CACalifornia | $328.38 | $157.53 |
| Santa Maria, CACalifornia | $320.17 | $156.21 |
| Santa Rosa, CACalifornia | $331.63 | $158.95 |
| Stockton, CACalifornia | $306.37 | $152.25 |
| Vallejo, CACalifornia | $350.10 | $164.77 |
| Visalia, CACalifornia | $306.37 | $152.25 |
| Yuba City, CACalifornia | $306.37 | $152.25 |
| ColoradoColorado | $303.59 | $153.97 |
| ConnecticutConnecticut | $312.89 | $161.45 |
| DelawareDelaware | $290.79 | $151.86 |
| Fort Lauderdale, FLFlorida | $307.89 | $165.45 |
| Rest of FloridaFlorida | $293.16 | $158.73 |
| Atlanta, GAGeorgia | $300.02 | $157.15 |
| Rest of GeorgiaGeorgia | $277.06 | $151.63 |
| Hawaii, Guam, HIHawaii | $312.77 | $152.89 |
| IowaIowa | $269.82 | $141.16 |
| IdahoIdaho | $271.82 | $142.45 |
| East St. Louis, ILIllinois | $293.96 | $164.59 |
| Rest of IllinoisIllinois | $286.21 | $157.82 |
| Suburban Chicago, ILIllinois | $310.61 | $166.19 |
| IndianaIndiana | $273.28 | $142.93 |
| KansasKansas | $269.36 | $142.24 |
| KentuckyKentucky | $272.54 | $147.53 |
| New Orleans, LALouisiana | $285.16 | $152.84 |
| Rest of LouisianaLouisiana | $272.43 | $147.98 |
| Metropolitan Boston, MAMassachusetts | $331.61 | $163.71 |
| Rest of MassachusettsMassachusetts | $302.21 | $154.14 |
| Baltimore area, MDMaryland | $312.16 | $161.28 |
| Rest of MarylandMaryland | $295.91 | $153.60 |
| Rest of MaineMaine | $273.96 | $144.59 |
| Southern Maine, MEMaine | $286.99 | $147.64 |
| Detroit, MIMichigan | $297.42 | $161.72 |
| Rest of MichiganMichigan | $279.97 | $151.59 |
| MinnesotaMinnesota | $289.09 | $144.39 |
| Metropolitan Kansas City, MOMissouri | $282.51 | $150.47 |
| Metropolitan St. Louis, MOMissouri | $285.24 | $151.37 |
| Rest of MissouriMissouri | $268.48 | $147.27 |
| MississippiMississippi | $264.92 | $143.85 |
| MontanaMontana | $293.90 | $153.28 |
| North DakotaNorth Dakota | $285.40 | $144.78 |
| NebraskaNebraska | $271.00 | $141.21 |
| New HampshireNew Hampshire | $299.58 | $153.20 |
| Northern New JerseyNew Jersey | $330.14 | $167.03 |
| Rest of New JerseyNew Jersey | $315.95 | $162.40 |
| New MexicoNew Mexico | $281.73 | $152.79 |
| NevadaNevada | $291.71 | $150.95 |
| NYC suburbs and Long Island, NYNew York | $346.84 | $179.65 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $318.61 | $164.63 |
| Queens, NYNew York | $339.61 | $173.40 |
| Rest of New YorkNew York | $280.58 | $146.99 |
| OhioOhio | $278.23 | $149.85 |
| OklahomaOklahoma | $271.28 | $145.71 |
| Portland, OROregon | $311.99 | $155.76 |
| Rest of OregonOregon | $288.94 | $148.88 |
| Metropolitan Philadelphia, PAPennsylvania | $305.91 | $159.53 |
| Rest of PennsylvaniaPennsylvania | $278.24 | $149.15 |
| Puerto RicoPuerto Rico | $295.71 | $153.55 |
| Rhode IslandRhode Island | $300.23 | $154.97 |
| South CarolinaSouth Carolina | $277.96 | $148.03 |
| South DakotaSouth Dakota | $284.39 | $143.77 |
| TennesseeTennessee | $270.74 | $142.92 |
| Austin, TXTexas | $303.02 | $154.25 |
| Beaumont, TXTexas | $276.56 | $148.59 |
| Brazoria, TXTexas | $289.92 | $150.56 |
| Dallas, TXTexas | $292.04 | $151.99 |
| Fort Worth, TXTexas | $290.41 | $151.76 |
| Galveston, TXTexas | $290.97 | $151.34 |
| Houston, TXTexas | $298.84 | $159.21 |
| Rest of TexasTexas | $283.27 | $149.82 |
| UtahUtah | $281.56 | $149.38 |
| VirginiaVirginia | $286.62 | $148.39 |
| Virgin Islands, VIUnited States Virgin Islands | $295.71 | $153.55 |
| VermontVermont | $285.02 | $145.80 |
| Rest of WashingtonWashington | $301.40 | $153.33 |
| King County, WAWashington | $337.44 | $164.90 |
| WisconsinWisconsin | $276.36 | $141.65 |
| West VirginiaWest Virginia | $276.32 | $154.12 |
| WyomingWyoming | $290.19 | $149.58 |
30140 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$261.34
$348.22
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $348.22 | 1 |
| AL | $264.98 | 1 |
| AR | $261.34 | 1 |
| AZ | $286.23 | 1 |
| CA | $306.37–$378.34 | 29 |
| CO | $303.59 | 1 |
| CT | $312.89 | 1 |
| DC | $333.18 | 1 |
| DE | $290.79 | 1 |
| FL | $293.16–$323.34 | 3 |
| GA | $277.06–$300.02 | 2 |
| GU | $312.77 | 1 |
| HI | $312.77 | 1 |
| IA | $269.82 | 1 |
| ID | $271.82 | 1 |
| IL | $286.21–$314.12 | 4 |
| IN | $273.28 | 1 |
| KS | $269.36 | 1 |
| KY | $272.54 | 1 |
| LA | $272.43–$285.16 | 2 |
| MA | $302.21–$331.61 | 2 |
| MD | $295.91–$333.18 | 3 |
| ME | $273.96–$286.99 | 2 |
| MI | $279.97–$297.42 | 2 |
| MN | $289.09 | 1 |
| MO | $268.48–$285.24 | 3 |
| MS | $264.92 | 1 |
| MT | $293.90 | 1 |
| NC | $276.57 | 1 |
| ND | $285.40 | 1 |
| NE | $271.00 | 1 |
| NH | $299.58 | 1 |
| NJ | $315.95–$330.14 | 2 |
| NM | $281.73 | 1 |
| NV | $291.71 | 1 |
| NY | $280.58–$346.84 | 5 |
| OH | $278.23 | 1 |
| OK | $271.28 | 1 |
| OR | $288.94–$311.99 | 2 |
| PA | $278.24–$305.91 | 2 |
| PR | $295.71 | 1 |
| RI | $300.23 | 1 |
| SC | $277.96 | 1 |
| SD | $284.39 | 1 |
| TN | $270.74 | 1 |
| TX | $276.56–$303.02 | 8 |
| UT | $281.56 | 1 |
| VA | $286.62–$333.18 | 2 |
| VI | $295.71 | 1 |
| VT | $285.02 | 1 |
| WA | $301.40–$337.44 | 2 |
| WI | $276.36 | 1 |
| WV | $276.32 | 1 |
| WY | $290.19 | 1 |
How the 30140 rate is calculated
Each of 30140’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 · 30140
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense5.44
5.44 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
8.8000
Conversion factor
$33.4009
Medicare rate
$293.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,404
- Code
- 30140
- Physician work
- 2.93
- Practice expense
- 5.44
- Malpractice
- 0.43
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 5.44 | × 0.933 | 5.0755 |
| Malpractice | 0.43 | × 0.639 | 0.2748 |
| Total RVUs | 8.2803 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$276.57
Office: (2.93 × 1 + 5.44 × 0.933 + 0.43 × 0.639) × $33.4009 = $276.57
Facility: (2.93 × 1 + 1.23 × 0.933 + 0.43 × 0.639) × $33.4009 = $145.37
Payment rules and modifiers for 30140
The CMS indicators that decide how 30140 is paid alongside other services.
CMS payment indicators · 30140
Turbinate reduction, submucosal tissue reduction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
30140 without 50 · national office
$293.93
Turbinate reduction, submucosal tissue reduction
30140-50 · Bilateral: 150%
$440.90
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 30140 has changed in North Carolina
30140 · Office / nonfacility
$276.57
Effective 2026-10-01
The base rate is $6.82 higher than on 2025-10-01, moving from $269.75 to $276.57 (2.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$269.75changed to$276.57
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.00 changed to 2.93
- Practice expense RVU 5.45 changed to 5.44
- Malpractice RVU 0.44 changed to 0.43
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.665 changed to 0.639
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$278.30changed to$269.75
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.48 changed to 5.45
- Malpractice RVU 0.43 changed to 0.44
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$273.76changed to$278.30
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$285.88changed to$273.76
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.52 changed to 5.48
- Practice expense GPCI 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$291.07changed to$285.88
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.46 changed to 5.52
- Malpractice RVU 0.42 changed to 0.43
- Practice expense GPCI 0.928 changed to 0.927
- Malpractice GPCI 0.819 changed to 0.742
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$287.94changed to$291.07
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.28 changed to 5.46
- Malpractice RVU 0.43 changed to 0.42
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$276.15changed to$287.94
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.66 changed to 5.28
- Malpractice RVU 0.42 changed to 0.43
- Practice expense GPCI 0.930 changed to 0.928
- Malpractice GPCI 0.757 changed to 0.819
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$269.62changed to$276.15
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.50 changed to 4.66
- Practice expense GPCI 0.931 changed to 0.930
- Malpractice GPCI 0.695 changed to 0.757
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$265.47changed to$269.62
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.37 changed to 4.50
- Malpractice RVU 0.44 changed to 0.42
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$265.47
Held through RVU18B, RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $276.57 | $145.37 | RVU26D |
| 2026-07-01 | $276.57 | $145.37 | RVU26C |
| 2026-04-01 | $276.57 | $145.37 | RVU26B |
| 2026-01-01 | $276.57 | $145.37 | RVU26A |
| 2025-10-01 | $269.75 | $164.31 | RVU25D |
| 2025-07-01 | $269.75 | $164.31 | RVU25C |
| 2025-04-01 | $269.75 | $164.31 | RVU25B |
| 2025-01-01 | $269.75 | $164.31 | RVU25A |
| 2024-10-01 | $278.30 | $167.95 | RVU24D |
| 2024-07-01 | $278.30 | $167.95 | RVU24C |
| 2024-04-01 | $278.30 | $167.95 | RVU24B |
| 2024-03-09 | $278.30 | $167.95 | RVU24AR |
| 2024-01-01 | $273.76 | $165.21 | RVU24A |
| 2023-10-01 | $285.88 | $171.85 | RVU23D |
| 2023-07-01 | $285.88 | $171.85 | RVU23C |
| 2023-04-01 | $285.88 | $171.85 | RVU23B |
| 2023-01-01 | $285.88 | $171.85 | RVU23A |
| 2022-10-01 | $291.07 | $173.85 | RVU22D |
| 2022-07-01 | $291.07 | $173.85 | RVU22C |
| 2022-04-01 | $291.07 | $173.85 | RVU22B |
| 2022-01-01 | $291.07 | $173.85 | RVU22A |
| 2021-10-01 | $287.94 | $173.63 | RVU21D |
| 2021-07-01 | $287.94 | $173.63 | RVU21C |
| 2021-04-01 | $287.94 | $173.63 | RVU21B |
| 2021-01-01 | $287.94 | $173.63 | RVU21A |
| 2020-10-01 | $276.15 | $176.47 | RVU20D |
| 2020-07-01 | $276.15 | $176.47 | RVU20C |
| 2020-04-01 | $276.15 | $176.47 | RVU20B |
| 2020-01-01 | $276.15 | $176.47 | RVU20A |
| 2019-10-01 | $269.62 | $175.68 | RVU19D |
| 2019-07-01 | $269.62 | $175.68 | RVU19C |
| 2019-04-01 | $269.62 | $175.68 | RVU19B |
| 2019-01-01 | $269.62 | $175.68 | RVU19A |
| 2018-10-01 | $265.47 | $175.31 | RVU18D |
| 2018-07-01 | $265.47 | $175.31 | RVU18C |
| 2018-04-01 | $265.47 | $175.31 | RVU18B |
| 2018-01-01 | $265.47 | $175.31 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $421.44 | RVU17D |
| 2017-07-01 | Not available in this setting | $421.44 | RVU17C |
| 2017-04-01 | Not available in this setting | $421.44 | RVU17B |
| 2017-01-01 | Not available in this setting | $421.44 | RVU17A |
| 2016-10-01 | Not available in this setting | $426.15 | RVU16D |
| 2016-07-01 | Not available in this setting | $426.15 | RVU16C |
| 2016-04-01 | Not available in this setting | $426.15 | RVU16B |
| 2016-01-01 | Not available in this setting | $426.15 | RVU16A |
| 2015-10-01 | Not available in this setting | $425.68 | RVU15D |
| 2015-07-01 | Not available in this setting | $425.68 | RVU15C |
| 2015-04-01 | Not available in this setting | $423.57 | RVU15B |
| 2015-01-01 | Not available in this setting | $423.57 | RVU15A |
| 2014-10-01 | Not available in this setting | $423.37 | RVU14D |
| 2014-07-01 | Not available in this setting | $423.37 | RVU14C |
| 2014-04-01 | Not available in this setting | $423.37 | RVU14B |
| 2014-01-01 | Not available in this setting | $423.37 | RVU14A |
| 2013-10-01 | Not available in this setting | $431.41 | RVU13D |
| 2013-07-01 | Not available in this setting | $431.41 | RVU13C |
| 2013-04-01 | Not available in this setting | $431.41 | RVU13B |
| 2013-01-01 | Not available in this setting | $431.41 | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
30140 billing questions
How does 30140 differ from 30130?
30140 describes submucosal reduction beneath the lining. 30130 describes excision of inferior turbinate tissue; use the code that matches the operative technique.
Can 30140 be reported for both inferior turbinates?
Yes. For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Is same-day postoperative care included?
Yes. The code has a 0-day global period, which includes same-day preoperative and postoperative care.
How does CMS handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for 30140. CMS does not permit co-surgeons or team surgery for this code.
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
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