CPT code 30140: Turbinate reduction, submucosal tissue reduction2026 Medicare rate & RVUs in Virginia

Report 30140 when a surgeon reduces inferior turbinate tissue beneath the mucosal lining to improve nasal airflow, rather than excising the turbinate.

CMS RVU26DEffective Oct 1, 2026One payment locality38.9K Medicare services in 2024

In Virginia, Medicare pays $286.62 for 30140 in the office and $148.39 when it’s performed in a hospital or facility.

$286.62Office (non-facility)
$148.39Hospital or facility
−2.5%vs the national office rate ($293.93)

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.

We’ll open 30140 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 30140 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 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 Virginia 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. Virginia pays $286.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

30140 in Virginia vs other payment areas
  1. Virginia · this page$286.62
  2. Los Angeles, CA · California$326.37+$39.75
  3. Washington, DC area · District of Columbia$333.18+$46.56
  4. Miami, FL · Florida$323.34+$36.72
  5. Chicago, IL · Illinois$314.12+$27.50
  6. Manhattan, NY · New York$338.04+$51.42
  7. Alaska · Alaska$348.22+$61.60

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

Every other payment area

30140 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
30140 office rate range by state
State / territoryOffice rate rangeLocalities
AK$348.221
AL$264.981
AR$261.341
AZ$286.231
CA$306.37–$378.3429
CO$303.591
CT$312.891
DC$333.181
DE$290.791
FL$293.16–$323.343
GA$277.06–$300.022
GU$312.771
HI$312.771
IA$269.821
ID$271.821
IL$286.21–$314.124
IN$273.281
KS$269.361
KY$272.541
LA$272.43–$285.162
MA$302.21–$331.612
MD$295.91–$333.183
ME$273.96–$286.992
MI$279.97–$297.422
MN$289.091
MO$268.48–$285.243
MS$264.921
MT$293.901
NC$276.571
ND$285.401
NE$271.001
NH$299.581
NJ$315.95–$330.142
NM$281.731
NV$291.711
NY$280.58–$346.845
OH$278.231
OK$271.281
OR$288.94–$311.992
PA$278.24–$305.912
PR$295.711
RI$300.231
SC$277.961
SD$284.391
TN$270.741
TX$276.56–$303.028
UT$281.561
VA$286.62–$333.182
VI$295.711
VT$285.021
WA$301.40–$337.442
WI$276.361
WV$276.321
WY$290.191

See 30140 in every payment locality

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

Office or facility?

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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 30140 in Virginia
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0002.9300
Practice expense5.44× 0.9835.3475
Malpractice0.43× 0.7060.3036
Total RVUs8.5811
Conversion factor× 33.4009

Office rate, Virginia$286.62

Office: (2.93 × 1 + 5.44 × 0.983 + 0.43 × 0.706) × $33.4009 = $286.62

Facility: (2.93 × 1 + 1.23 × 0.983 + 0.43 × 0.706) × $33.4009 = $148.39

Open 30140 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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.

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).

When to use modifier 50

How 30140 has changed in Virginia

30140 · Office / nonfacility

$286.62

Effective 2026-10-01

The base rate is $5.17 higher than on 2025-10-01, moving from $281.45 to $286.62 (1.8%).

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

    $281.45changed to$286.62

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $290.37changed to$281.45

    • 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.

  3. March 9, 2024

    RVU24AR

    $285.63changed to$290.37

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $298.88changed to$285.63

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.52 changed to 5.48
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755
  5. January 1, 2023

    RVU23A

    $304.86changed to$298.88

    • 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 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $301.45changed to$304.86

    • 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.

  7. January 1, 2021

    RVU21A

    $288.62changed to$301.45

    • 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 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $281.77changed to$288.62

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.50 changed to 4.66
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $277.50changed to$281.77

    • 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.

  10. January 1, 2018

    RVU18AR1

    No ratechanged to$277.50

    Held through RVU18B, RVU18C, RVU18D.

  11. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$286.62$148.39RVU26D
2026-07-01$286.62$148.39RVU26C
2026-04-01$286.62$148.39RVU26B
2026-01-01$286.62$148.39RVU26A
2025-10-01$281.45$169.41RVU25D
2025-07-01$281.45$169.41RVU25C
2025-04-01$281.45$169.41RVU25B
2025-01-01$281.45$169.41RVU25A
2024-10-01$290.37$173.10RVU24D
2024-07-01$290.37$173.10RVU24C
2024-04-01$290.37$173.10RVU24B
2024-03-09$290.37$173.10RVU24AR
2024-01-01$285.63$170.28RVU24A
2023-10-01$298.88$177.10RVU23D
2023-07-01$298.88$177.10RVU23C
2023-04-01$298.88$177.10RVU23B
2023-01-01$298.88$177.10RVU23A
2022-10-01$304.86$179.18RVU22D
2022-07-01$304.86$179.18RVU22C
2022-04-01$304.86$179.18RVU22B
2022-01-01$304.86$179.18RVU22A
2021-10-01$301.45$178.90RVU21D
2021-07-01$301.45$178.90RVU21C
2021-04-01$301.45$178.90RVU21B
2021-01-01$301.45$178.90RVU21A
2020-10-01$288.62$182.40RVU20D
2020-07-01$288.62$182.40RVU20C
2020-04-01$288.62$182.40RVU20B
2020-01-01$288.62$182.40RVU20A
2019-10-01$281.77$182.27RVU19D
2019-07-01$281.77$182.27RVU19C
2019-04-01$281.77$182.27RVU19B
2019-01-01$281.77$182.27RVU19A
2018-10-01$277.50$182.01RVU18D
2018-07-01$277.50$182.01RVU18C
2018-04-01$277.50$182.01RVU18B
2018-01-01$277.50$182.01RVU18AR1
2017-10-01Not available in this setting$440.17RVU17D
2017-07-01Not available in this setting$440.17RVU17C
2017-04-01Not available in this setting$440.17RVU17B
2017-01-01Not available in this setting$440.17RVU17A
2016-10-01Not available in this setting$443.38RVU16D
2016-07-01Not available in this setting$443.38RVU16C
2016-04-01Not available in this setting$443.38RVU16B
2016-01-01Not available in this setting$443.38RVU16A
2015-10-01Not available in this setting$442.86RVU15D
2015-07-01Not available in this setting$442.86RVU15C
2015-04-01Not available in this setting$440.66RVU15B
2015-01-01Not available in this setting$440.66RVU15A
2014-10-01Not available in this setting$439.68RVU14D
2014-07-01Not available in this setting$439.68RVU14C
2014-04-01Not available in this setting$439.68RVU14B
2014-01-01Not available in this setting$439.68RVU14A
2013-10-01Not available in this setting$448.11RVU13D
2013-07-01Not available in this setting$448.11RVU13C
2013-04-01Not available in this setting$448.11RVU13B
2013-01-01Not available in this setting$448.11RVU13AR

Price 30140 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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
RVUs for 30140PPRRVU2026_Oct_nonQPP.csv, line 3,404 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 30140 pays in Virginia?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 30140 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist