CPT code 30801: Turbinate ablation, superficial treatment2026 Medicare rate & RVUs in Santa Clara County, CA
Superficial inferior turbinate ablation is reported for mucosal-surface reduction to improve nasal airflow, whether one or both inferior turbinates are treated.
In Santa Clara County, CA, Medicare pays $297.58 for 30801 in the office and $184.40 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 30801 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 30801 covers
An otolaryngologist uses a superficial technique to reduce tissue at the mucosal surface of an inferior turbinate. The procedure is performed for enlarged turbinates contributing to nasal obstruction and may be done in an office or surgical facility. The treated area is the inferior turbinate; this code distinguishes surface ablation from treatment beneath the mucosa or tissue excision.
Report the code when the operative documentation supports superficial ablation, rather than submucosal reduction or resection. Document the treated turbinate or turbinates and the method and extent of treatment. CMS prices the code as bilateral, so modifier 50 does not increase payment. 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 multiple-procedure reduction. Related postoperative visits during the 10-day global period are included. 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 Santa Clara County, CA compares for 30801
Across 109 of 109 payment localities, the office rate for 30801 runs from $191.32 in Arkansas to $298.32 in San Benito County, CA. Santa Clara County, CA pays $297.58. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Santa Clara County, CA · this page$297.58
- Bakersfield, CA · California$234.32−$63.26
- Chico, CA · California$233.86−$63.72
- El Centro, CA · California$233.88−$63.70
- Fresno, CA · California$233.86−$63.72
- Hanford, CA · California$233.86−$63.72
- Los Angeles, CA · California$250.77−$46.81
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $233.86 | $147.83 |
| Merced, CACalifornia | $233.86 | $147.83 |
| Modesto, CACalifornia | $233.86 | $147.83 |
| Napa, CACalifornia | $274.56 | $171.11 |
| Oxnard, CACalifornia | $249.90 | $157.12 |
| Redding, CACalifornia | $233.86 | $147.83 |
| Rest of CaliforniaCalifornia | $233.86 | $147.83 |
| Riverside, CACalifornia | $235.59 | $149.56 |
| Sacramento, CACalifornia | $246.38 | $155.09 |
| Salinas, CACalifornia | $245.49 | $154.51 |
| San Diego, CACalifornia | $252.01 | $158.13 |
| Marin County, CACalifornia | $291.71 | $181.04 |
| San Francisco, CACalifornia | $291.53 | $180.86 |
| San Benito County, CACalifornia | $298.32 | $185.14 |
| San Luis Obispo, CACalifornia | $241.44 | $152.04 |
| Santa Cruz, CACalifornia | $254.99 | $159.62 |
| Santa Maria, CACalifornia | $246.61 | $155.09 |
| Santa Rosa, CACalifornia | $257.62 | $161.23 |
| Stockton, CACalifornia | $233.86 | $147.83 |
| Vallejo, CACalifornia | $274.30 | $170.85 |
| Visalia, CACalifornia | $233.86 | $147.83 |
| Yuba City, CACalifornia | $233.86 | $147.83 |
| Washington, DC areaDistrict of Columbia | $252.77 | $160.31 |
| Miami, FLFlorida | $234.18 | $152.47 |
| Chicago, ILIllinois | $226.84 | $147.95 |
| Manhattan, NYNew York | $252.85 | $161.64 |
| AlaskaAlaska | $246.38 | $162.78 |
| AlabamaAlabama | $194.41 | $125.73 |
| ArkansasArkansas | $191.32 | $123.89 |
| ArizonaArizona | $212.54 | $136.48 |
| ColoradoColorado | $229.34 | $145.82 |
| ConnecticutConnecticut | $234.22 | $149.68 |
| DelawareDelaware | $216.31 | $138.76 |
| Fort Lauderdale, FLFlorida | $225.39 | $145.87 |
| Rest of FloridaFlorida | $213.70 | $138.67 |
| Atlanta, GAGeorgia | $222.78 | $143.04 |
| Rest of GeorgiaGeorgia | $200.76 | $130.74 |
| Hawaii, Guam, HIHawaii | $240.69 | $151.44 |
| IowaIowa | $200.56 | $128.74 |
| IdahoIdaho | $201.85 | $129.64 |
| East St. Louis, ILIllinois | $210.09 | $137.87 |
| Rest of IllinoisIllinois | $206.44 | $134.78 |
| Suburban Chicago, ILIllinois | $227.92 | $147.31 |
| IndianaIndiana | $203.15 | $130.39 |
| KansasKansas | $199.19 | $128.24 |
| KentuckyKentucky | $198.75 | $128.97 |
| New Orleans, LALouisiana | $209.10 | $135.24 |
| Rest of LouisianaLouisiana | $198.27 | $128.80 |
| Metropolitan Boston, MAMassachusetts | $253.92 | $160.20 |
| Rest of MassachusettsMassachusetts | $227.63 | $144.98 |
| Baltimore area, MDMaryland | $233.51 | $149.29 |
| Rest of MarylandMaryland | $220.82 | $141.39 |
| Rest of MaineMaine | $202.65 | $130.43 |
| Southern Maine, MEMaine | $215.22 | $137.43 |
| Detroit, MIMichigan | $216.27 | $140.52 |
| Rest of MichiganMichigan | $204.12 | $132.46 |
| MinnesotaMinnesota | $220.13 | $139.36 |
| Metropolitan Kansas City, MOMissouri | $207.90 | $134.19 |
| Metropolitan St. Louis, MOMissouri | $210.32 | $135.60 |
| Rest of MissouriMissouri | $194.30 | $126.64 |
| MississippiMississippi | $192.87 | $125.29 |
| MontanaMontana | $218.77 | $140.27 |
| North CarolinaNorth Carolina | $205.03 | $131.80 |
| North DakotaNorth Dakota | $215.60 | $137.11 |
| NebraskaNebraska | $201.87 | $129.42 |
| New HampshireNew Hampshire | $225.34 | $143.63 |
| Northern New JerseyNew Jersey | $249.69 | $158.64 |
| Rest of New JerseyNew Jersey | $237.00 | $151.29 |
| New MexicoNew Mexico | $205.21 | $133.24 |
| NevadaNevada | $218.06 | $139.49 |
| NYC suburbs and Long Island, NYNew York | $259.06 | $165.73 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $238.32 | $152.37 |
| Queens, NYNew York | $255.61 | $162.83 |
| Rest of New YorkNew York | $208.37 | $133.80 |
| OhioOhio | $203.48 | $131.81 |
| OklahomaOklahoma | $198.71 | $128.62 |
| Portland, OROregon | $237.58 | $150.37 |
| Rest of OregonOregon | $216.48 | $138.31 |
| Metropolitan Philadelphia, PAPennsylvania | $227.71 | $145.99 |
| Rest of PennsylvaniaPennsylvania | $204.02 | $131.96 |
| Puerto RicoPuerto Rico | $220.64 | $141.28 |
| Rhode IslandRhode Island | $224.72 | $143.64 |
| South CarolinaSouth Carolina | $204.57 | $132.04 |
| South DakotaSouth Dakota | $215.23 | $136.74 |
| TennesseeTennessee | $200.25 | $128.90 |
| Austin, TXTexas | $228.47 | $145.42 |
| Beaumont, TXTexas | $202.52 | $131.10 |
| Brazoria, TXTexas | $216.31 | $138.52 |
| Dallas, TXTexas | $217.65 | $139.47 |
| Fort Worth, TXTexas | $215.95 | $138.56 |
| Galveston, TXTexas | $216.92 | $138.98 |
| Houston, TXTexas | $219.85 | $141.90 |
| Rest of TexasTexas | $209.26 | $134.77 |
| UtahUtah | $207.65 | $133.87 |
| VirginiaVirginia | $214.21 | $137.05 |
| Virgin Islands, VIUnited States Virgin Islands | $220.64 | $141.28 |
| VermontVermont | $214.37 | $136.67 |
| Rest of WashingtonWashington | $227.33 | $144.68 |
| King County, WAWashington | $259.68 | $163.37 |
| WisconsinWisconsin | $207.67 | $132.48 |
| West VirginiaWest Virginia | $197.98 | $129.77 |
| WyomingWyoming | $217.39 | $138.89 |
30801 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.
$191.32
$266.09
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 | $246.38 | 1 |
| AL | $194.41 | 1 |
| AR | $191.32 | 1 |
| AZ | $212.54 | 1 |
| CA | $233.86–$298.32 | 29 |
| CO | $229.34 | 1 |
| CT | $234.22 | 1 |
| DC | $252.77 | 1 |
| DE | $216.31 | 1 |
| FL | $213.70–$234.18 | 3 |
| GA | $200.76–$222.78 | 2 |
| GU | $240.69 | 1 |
| HI | $240.69 | 1 |
| IA | $200.56 | 1 |
| ID | $201.85 | 1 |
| IL | $206.44–$227.92 | 4 |
| IN | $203.15 | 1 |
| KS | $199.19 | 1 |
| KY | $198.75 | 1 |
| LA | $198.27–$209.10 | 2 |
| MA | $227.63–$253.92 | 2 |
| MD | $220.82–$252.77 | 3 |
| ME | $202.65–$215.22 | 2 |
| MI | $204.12–$216.27 | 2 |
| MN | $220.13 | 1 |
| MO | $194.30–$210.32 | 3 |
| MS | $192.87 | 1 |
| MT | $218.77 | 1 |
| NC | $205.03 | 1 |
| ND | $215.60 | 1 |
| NE | $201.87 | 1 |
| NH | $225.34 | 1 |
| NJ | $237.00–$249.69 | 2 |
| NM | $205.21 | 1 |
| NV | $218.06 | 1 |
| NY | $208.37–$259.06 | 5 |
| OH | $203.48 | 1 |
| OK | $198.71 | 1 |
| OR | $216.48–$237.58 | 2 |
| PA | $204.02–$227.71 | 2 |
| PR | $220.64 | 1 |
| RI | $224.72 | 1 |
| SC | $204.57 | 1 |
| SD | $215.23 | 1 |
| TN | $200.25 | 1 |
| TX | $202.52–$228.47 | 8 |
| UT | $207.65 | 1 |
| VA | $214.21–$252.77 | 2 |
| VI | $220.64 | 1 |
| VT | $214.37 | 1 |
| WA | $227.33–$259.68 | 2 |
| WI | $207.67 | 1 |
| WV | $197.98 | 1 |
| WY | $217.39 | 1 |
How the 30801 rate is calculated
Each of 30801’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 · 30801
RVUs × geographic indexes × conversion factor
Work1.11
1.11 RVUs× 1.000 GPCI
Practice expense5.28
5.28 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
6.5500
Conversion factor
$33.4009
Medicare rate
$218.78
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Santa Clara County, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,470
- Code
- 30801
- Physician work
- 1.11
- Practice expense
- 5.28
- Malpractice
- 0.16
GPCI2026.csv
28
- Locality
- Santa Clara County, CA
- Physician work
- 1.110
- Practice expense
- 1.442
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.11 | × 1.110 | 1.2321 |
| Practice expense | 5.28 | × 1.442 | 7.6138 |
| Malpractice | 0.16 | × 0.397 | 0.0635 |
| Total RVUs | 8.9094 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Santa Clara County, CA$297.58
Office: (1.11 × 1.11 + 5.28 × 1.442 + 0.16 × 0.397) × $33.4009 = $297.58
Facility: (1.11 × 1.11 + 2.93 × 1.442 + 0.16 × 0.397) × $33.4009 = $184.40
Payment rules and modifiers for 30801
30801 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 30801
Turbinate ablation, superficial treatment
| 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) | 2 | Already bilateral by definition: paid once at 100%. |
| 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 · 30801
Turbinate ablation, superficial treatment
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
30801 without 51 · national office
$218.78
Turbinate ablation, superficial treatment
30801-51 · Second procedure: 50%
$109.39
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%).
How 30801 has changed in Santa Clara County, CA
30801 · Office / nonfacility
$297.58
Effective 2026-10-01
The base rate is $12.08 higher than on 2025-10-01, moving from $285.50 to $297.58 (4.2%).
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
$285.50changed to$297.58
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.14 changed to 1.11
- Practice expense RVU 5.23 changed to 5.28
- Work GPCI 1.100 changed to 1.110
- Practice expense GPCI 1.435 changed to 1.442
- Malpractice GPCI 0.420 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$296.33changed to$285.50
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.28 changed to 5.23
- Malpractice RVU 0.17 changed to 0.16
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$291.50changed to$296.33
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$299.31changed to$291.50
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.33 changed to 5.28
- Work GPCI 1.098 changed to 1.100
- Practice expense GPCI 1.409 changed to 1.435
- Malpractice GPCI 0.417 changed to 0.420
January 1, 2023
RVU23A
$300.29changed to$299.31
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.32 changed to 5.33
- Work GPCI 1.096 changed to 1.098
- Practice expense GPCI 1.383 changed to 1.409
- Malpractice GPCI 0.414 changed to 0.417
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$304.90changed to$300.29
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.37 changed to 5.32
- Malpractice RVU 0.15 changed to 0.17
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$288.57changed to$304.90
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.89 changed to 5.37
- Work GPCI 1.089 changed to 1.096
- Practice expense GPCI 1.369 changed to 1.383
- Malpractice GPCI 0.401 changed to 0.414
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$292.04changed to$288.57
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.03 changed to 4.89
- Work GPCI 1.083 changed to 1.089
- Practice expense GPCI 1.354 changed to 1.369
- Malpractice GPCI 0.388 changed to 0.401
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$296.11changed to$292.04
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.12 changed to 5.03
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$297.75changed to$296.11
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.18 changed to 5.12
- Work GPCI 1.086 changed to 1.083
- Practice expense GPCI 1.351 changed to 1.354
- Malpractice GPCI 0.402 changed to 0.388
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$300.81changed to$297.75
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 5.27 changed to 5.18
- Work GPCI 1.088 changed to 1.086
- Practice expense GPCI 1.347 changed to 1.351
- Malpractice GPCI 0.416 changed to 0.402
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$299.62changed to$300.81
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 5.22 changed to 5.27
- Malpractice RVU 0.16 changed to 0.15
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$298.13changed to$299.62
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$297.35changed to$298.13
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.13 changed to 0.16
- Work GPCI 1.083 changed to 1.088
- Practice expense GPCI 1.342 changed to 1.347
- Malpractice GPCI 0.466 changed to 0.416
Held through RVU15B.
January 1, 2014
RVU14A
$310.79changed to$297.35
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 5.86 changed to 5.22
- Malpractice RVU 0.14 changed to 0.13
- Work GPCI 1.077 changed to 1.083
- Practice expense GPCI 1.337 changed to 1.342
- Malpractice GPCI 0.516 changed to 0.466
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$310.79
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $297.58 | $184.40 | RVU26D |
| 2026-07-01 | $297.58 | $184.40 | RVU26C |
| 2026-04-01 | $297.58 | $184.40 | RVU26B |
| 2026-01-01 | $297.58 | $184.40 | RVU26A |
| 2025-10-01 | $285.50 | $191.74 | RVU25D |
| 2025-07-01 | $285.50 | $191.74 | RVU25C |
| 2025-04-01 | $285.50 | $191.74 | RVU25B |
| 2025-01-01 | $285.50 | $191.74 | RVU25A |
| 2024-10-01 | $296.33 | $201.27 | RVU24D |
| 2024-07-01 | $296.33 | $201.27 | RVU24C |
| 2024-04-01 | $296.33 | $201.27 | RVU24B |
| 2024-03-09 | $296.33 | $201.27 | RVU24AR |
| 2024-01-01 | $291.50 | $197.99 | RVU24A |
| 2023-10-01 | $299.31 | $202.86 | RVU23D |
| 2023-07-01 | $299.31 | $202.86 | RVU23C |
| 2023-04-01 | $299.31 | $202.86 | RVU23B |
| 2023-01-01 | $299.31 | $202.86 | RVU23A |
| 2022-10-01 | $300.29 | $203.61 | RVU22D |
| 2022-07-01 | $300.29 | $203.61 | RVU22C |
| 2022-04-01 | $300.29 | $203.61 | RVU22B |
| 2022-01-01 | $300.29 | $203.61 | RVU22A |
| 2021-10-01 | $304.90 | $199.70 | RVU21D |
| 2021-07-01 | $304.90 | $199.70 | RVU21C |
| 2021-04-01 | $304.90 | $199.70 | RVU21B |
| 2021-01-01 | $304.90 | $199.70 | RVU21A |
| 2020-10-01 | $288.57 | $185.81 | RVU20D |
| 2020-07-01 | $288.57 | $185.81 | RVU20C |
| 2020-04-01 | $288.57 | $185.81 | RVU20B |
| 2020-01-01 | $288.57 | $185.81 | RVU20A |
| 2019-10-01 | $292.04 | $177.86 | RVU19D |
| 2019-07-01 | $292.04 | $177.86 | RVU19C |
| 2019-04-01 | $292.04 | $177.86 | RVU19B |
| 2019-01-01 | $292.04 | $177.86 | RVU19A |
| 2018-10-01 | $296.11 | $170.35 | RVU18D |
| 2018-07-01 | $296.11 | $170.35 | RVU18C |
| 2018-04-01 | $296.11 | $170.35 | RVU18B |
| 2018-01-01 | $296.11 | $170.35 | RVU18AR1 |
| 2017-10-01 | $297.75 | $171.69 | RVU17D |
| 2017-07-01 | $297.75 | $171.69 | RVU17C |
| 2017-04-01 | $297.75 | $171.69 | RVU17B |
| 2017-01-01 | $297.75 | $171.69 | RVU17A |
| 2016-10-01 | $300.81 | $173.00 | RVU16D |
| 2016-07-01 | $300.81 | $173.00 | RVU16C |
| 2016-04-01 | $300.81 | $173.00 | RVU16B |
| 2016-01-01 | $300.81 | $173.00 | RVU16A |
| 2015-10-01 | $299.62 | $173.29 | RVU15D |
| 2015-07-01 | $299.62 | $173.29 | RVU15C |
| 2015-04-01 | $298.13 | $172.43 | RVU15B |
| 2015-01-01 | $298.13 | $172.43 | RVU15A |
| 2014-10-01 | $297.35 | $173.31 | RVU14D |
| 2014-07-01 | $297.35 | $173.31 | RVU14C |
| 2014-04-01 | $297.35 | $173.31 | RVU14B |
| 2014-01-01 | $297.35 | $173.31 | RVU14A |
| 2013-10-01 | $310.79 | $178.42 | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Santa Clara County, CA rate applies
Santa Clara County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- San Jose
- Santa Clara
- Sunnyvale
- Alum Rock
- Burbank
- Cambrian Park
- Campbell
- Cupertino
30801 billing questions
How does 30801 differ from 30802?
30801 represents superficial treatment at the turbinate surface. Use 30802 when the documented ablation is submucosal.
Should modifier 50 be reported when both sides are treated?
CMS prices 30801 as bilateral. Modifier 50 does not increase payment.
Are postoperative visits separately reported during the global period?
Related postoperative visits within 10 days are included in the procedure's global period.
How is 30801 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 are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for 30801. 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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