CPT code 30560: Nasal adhesion lysis, intranasal synechia2026 Medicare rate & RVUs in Missouri
Reports surgical release of scar bands inside the nose, such as adhesions between the septum and lateral nasal wall that obstruct airflow.
Medicare pays $278.40–$302.54 for 30560 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. 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 30560 covers
Intranasal synechiae are scar bands that join surfaces inside the nasal cavity, often after nasal surgery or trauma. An otolaryngologist releases the adhesion by cutting or separating the scar tissue to restore an open passage. The procedure may be performed in an office or operating room, depending on the extent of the adhesion and the treatment plan.
Report this service when the surgeon performs therapeutic lysis, not for inspection alone. The operative note should identify the adhesion’s location, the work performed, and the reason for treatment. This minor procedure has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; 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 30560 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$278.40 to $302.54
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $298.92 | $133.95 |
| Metropolitan St. Louis, MO | $302.54 | $135.28 |
| Rest of Missouri | $278.40 | $126.96 |
How the 30560 rate is calculated
Each of 30560’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 · 30560
RVUs × geographic indexes × conversion factor
Work1.28
1.28 RVUs× 1.000 GPCI
Practice expense7.97
7.97 RVUs× 1.000 GPCI
Malpractice0.19
0.19 RVUs× 1.000 GPCI
Adjusted RVUs
9.4400
Conversion factor
$33.4009
Medicare rate
$315.30
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 30560
30560 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 30560
Nasal adhesion lysis, intranasal synechia
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 30560
Nasal adhesion lysis, intranasal synechia
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
30560 without 51 · national office
$315.30
Nasal adhesion lysis, intranasal synechia
30560-51 · Second procedure: 50%
$157.65
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%).
30560 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 30520SeptoplastySeptal deviation correction
- Use 30560 for releasing intranasal scar bands. Use 30520 when the surgeon repairs or reshapes the nasal septum.
- 30140Turbinate reductionSubmucosal tissue reduction
- Use 30140 for submucous reduction of the inferior turbinate, not for releasing an adhesion between nasal surfaces.
- 31231Nasal endoscopyDiagnostic, without sinusoscopy
- 31231 describes diagnostic nasal endoscopy. It does not represent surgical release of an intranasal adhesion.
30560 billing questions
How is adhesion lysis different from septoplasty?
Adhesion lysis releases scar tissue joining surfaces inside the nose. Septoplasty repairs or reshapes the nasal septum; report it when that separate work is performed.
Can modifier 50 be used for adhesions on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
What documentation supports reporting this service?
Document the intranasal scar band’s location, the symptoms or obstruction prompting treatment, and the lysis performed.
How is this code paid when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures at 50%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service, and 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
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