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CPT code 30560: Nasal adhesion lysis, intranasal synechia2026 Medicare rate & RVUs in Vermont

Reports surgical release of scar bands inside the nose, such as adhesions between the septum and lateral nasal wall that obstruct airflow.

CMS RVU26DEffective Oct 1, 2026One payment locality685 Medicare services in 2024

In Vermont, Medicare pays $309.51 for 30560 in the office and $135.58 when it’s performed in a hospital or facility.

$309.51Office (non-facility)
$135.58Hospital or facility
−1.8%vs the national office rate ($315.30)

Check a contract rate as a % of Medicare · 30560 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 30560 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 30560 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 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.

How Vermont compares for 30560

Across 109 of 109 payment localities, the office rate for 30560 runs from $274.69 in Arkansas to $434.73 in San Benito County, CA. Vermont pays $309.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

30560 in Vermont vs other payment areas
  1. Vermont · this page$309.51
  2. Los Angeles, CA · California$363.64+$54.13
  3. Washington, DC area · District of Columbia$365.71+$56.20
  4. Miami, FL · Florida$335.92+$26.41
  5. Chicago, IL · Illinois$325.15+$15.64
  6. Manhattan, NY · New York$364.88+$55.37
  7. Alaska · Alaska$351.13+$41.62

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

Every other payment area

30560 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$279.27$125.55
ArkansasArkansas$274.69$123.78
ArizonaArizona$306.14$135.90
Bakersfield, CACalifornia$339.19$146.64
Chico, CACalifornia$338.64$146.09
El Centro, CACalifornia$338.67$146.12
Fresno, CACalifornia$338.64$146.09
Hanford, CACalifornia$338.64$146.09

30560 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.

$274.69

$386.69

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
30560 office rate range by state
State / territoryOffice rate rangeLocalities
AK$351.131
AL$279.271
AR$274.691
AZ$306.141
CA$338.64–$434.7329
CO$331.461
CT$337.991
DC$365.711
DE$311.681
FL$306.78–$335.923
GA$287.77–$320.972
GU$349.101
HI$349.101
IA$288.851
ID$290.661
IL$295.72–$327.694
IN$292.611
KS$286.601
KY$285.221
LA$284.42–$300.462
MA$328.81–$368.002
MD$318.41–$365.713
ME$291.61–$310.572
MI$292.96–$310.342
MN$318.561
MO$278.40–$302.543
MS$276.651
MT$315.291
NC$295.181
ND$311.531
NE$290.861
NH$325.431
NJ$342.12–$361.022
NM$294.491
NV$314.511
NY$300.11–$373.795
OH$292.201
OK$285.411
OR$312.35–$343.912
PA$293.13–$328.212
PR$318.141
RI$324.221
SC$294.121
SD$311.091
TN$288.141
TX$290.90–$330.118
UT$298.681
VA$308.91–$365.712
VI$318.141
VT$309.511
WA$328.45–$376.712
WI$299.731
WV$283.171
WY$313.651

See 30560 in every payment locality

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

Office or facility?

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.

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,453

Code
30560
Physician work
1.28
Practice expense
7.97
Malpractice
0.19

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 30560 in Vermont
ComponentRVULocality factorAdjusted
Physician work1.28× 1.0001.2800
Practice expense7.97× 0.9907.8903
Malpractice0.19× 0.5060.0961
Total RVUs9.2664
Conversion factor× 33.4009

Office rate, Vermont$309.51

Office: (1.28 × 1 + 7.97 × 0.99 + 0.19 × 0.506) × $33.4009 = $309.51

Facility: (1.28 × 1 + 2.71 × 0.99 + 0.19 × 0.506) × $33.4009 = $135.58

Open 30560 in the RVU calculator

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

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)0.10/0.80/0.10Share 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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%).

When to use modifier 51

Codes related to 30560

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

Codes related to 30560
CodeHow it relatesOffice range, Vermont
Often billed with
30520Septoplasty, septal deviation correctionSeptal repair may be performed in the same session when independently indicated.No office rate
30140Turbinate reduction, submucosal tissue reductionInferior turbinate reduction may accompany adhesion lysis when separately performed.$285.02
31231Nasal endoscopy, diagnostic, without sinusoscopyNasal endoscopy may be reported for a separate diagnostic examination when appropriate.$189.23

How 30560 has changed in Vermont

30560 · Office / nonfacility

$309.51

Effective 2026-10-01

The base rate is $10.36 higher than on 2025-10-01, moving from $299.15 to $309.51 (3.5%).

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

    $299.15changed to$309.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.31 changed to 1.28
    • Practice expense RVU 7.89 changed to 7.97
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $317.44changed to$299.15

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.18 changed to 7.89

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $312.26changed to$317.44

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $328.98changed to$312.26

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.32 changed to 8.18
    • Malpractice RVU 0.19 changed to 0.20
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518

  5. January 1, 2023

    RVU23A

    $339.22changed to$328.98

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.37 changed to 8.32
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $326.11changed to$339.22

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.92 changed to 8.37
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $300.25changed to$326.11

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.85 changed to 7.92
    • Malpractice RVU 0.18 changed to 0.19
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $287.59changed to$300.25

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.46 changed to 6.85
    • Malpractice RVU 0.19 changed to 0.18
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $269.74changed to$287.59

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.98 changed to 6.46

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $271.39changed to$269.74

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.07 changed to 5.98
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $274.06changed to$271.39

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.19 changed to 6.07
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $273.96changed to$274.06

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.16 changed to 6.19

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $272.60changed to$273.96

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $274.85changed to$272.60

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.22 changed to 6.16
    • Malpractice RVU 0.17 changed to 0.19
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$274.85

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$309.51$135.58RVU26D
2026-07-01$309.51$135.58RVU26C
2026-04-01$309.51$135.58RVU26B
2026-01-01$309.51$135.58RVU26A
2025-10-01$299.15$143.05RVU25D
2025-07-01$299.15$143.05RVU25C
2025-04-01$299.15$143.05RVU25B
2025-01-01$299.15$143.05RVU25A
2024-10-01$317.44$148.53RVU24D
2024-07-01$317.44$148.53RVU24C
2024-04-01$317.44$148.53RVU24B
2024-03-09$317.44$148.53RVU24AR
2024-01-01$312.26$146.11RVU24A
2023-10-01$328.98$150.93RVU23D
2023-07-01$328.98$150.93RVU23C
2023-04-01$328.98$150.93RVU23B
2023-01-01$328.98$150.93RVU23A
2022-10-01$339.22$153.54RVU22D
2022-07-01$339.22$153.54RVU22C
2022-04-01$339.22$153.54RVU22B
2022-01-01$339.22$153.54RVU22A
2021-10-01$326.11$148.33RVU21D
2021-07-01$326.11$148.33RVU21C
2021-04-01$326.11$148.33RVU21B
2021-01-01$326.11$148.33RVU21A
2020-10-01$300.25$143.10RVU20D
2020-07-01$300.25$143.10RVU20C
2020-04-01$300.25$143.10RVU20B
2020-01-01$300.25$143.10RVU20A
2019-10-01$287.59$140.91RVU19D
2019-07-01$287.59$140.91RVU19C
2019-04-01$287.59$140.91RVU19B
2019-01-01$287.59$140.91RVU19A
2018-10-01$269.74$136.73RVU18D
2018-07-01$269.74$136.73RVU18C
2018-04-01$269.74$136.73RVU18B
2018-01-01$269.74$136.73RVU18AR1
2017-10-01$271.39$138.00RVU17D
2017-07-01$271.39$138.00RVU17C
2017-04-01$271.39$138.00RVU17B
2017-01-01$271.39$138.00RVU17A
2016-10-01$274.06$139.26RVU16D
2016-07-01$274.06$139.26RVU16C
2016-04-01$274.06$139.26RVU16B
2016-01-01$274.06$139.26RVU16A
2015-10-01$273.96$139.40RVU15D
2015-07-01$273.96$139.40RVU15C
2015-04-01$272.60$138.70RVU15B
2015-01-01$272.60$138.70RVU15A
2014-10-01$274.85$139.34RVU14D
2014-07-01$274.85$139.34RVU14C
2014-04-01$274.85$139.34RVU14B
2014-01-01$274.85$139.34RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 30560 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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
RVUs for 30560PPRRVU2026_Oct_nonQPP.csv, line 3,453 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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