Billing code 30000: Nasal drainageMedicare rate & RVUs
Reports internal drainage of an intranasal abscess or hematoma, with the nasal septum distinction guiding selection of the related drainage code.
Medicare pays $261.53 for 30000 nationally in the office and $110.56 in a hospital or facility. Local office rates run $229.02–$354.80.
Medicare rate · 30000
Nasal drainage
- Work RVUs
- 1.44
- Total RVUs
- 7.83
- Global days
- 010
National rate · 2026
$261.53
Office setting, before claim adjustments.
See every locality for 30000 →Billed by an NP, PA or therapist? →
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 10 sections
What 30000 covers
billing code 30000 describes drainage of an abscess or hematoma inside the nose through an internal approach. Otolaryngologists commonly perform it when a nasal collection requires evacuation; the operative record should identify the site and the drainage performed. The nasal septum has a separate drainage code, so confirm the documented location before selecting this code.
Report the service for drainage, not for diagnostic sampling or removal of a different nasal lesion. Document the collection, its location, the approach, and the procedure performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; 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 30000 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$229.02 to $354.80
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $232.68 | $100.58 |
| Alaska* | $295.85 | $135.06 |
| Arizona | $254.12 | $107.83 |
| Arkansas | $229.02 | $99.34 |
| Atlanta | $266.39 | $113.00 |
| Austin | $272.80 | $113.07 |
| Bakersfield | $279.52 | $114.05 |
| Baltimore/Surr. Cntys | $279.03 | $117.04 |
| Beaumont | $242.45 | $105.07 |
| Brazoria | $258.51 | $108.90 |
| Chicago | $271.98 | $120.25 |
| Chico | $278.91 | $113.44 |
| Colorado | $273.78 | $113.15 |
| Connecticut | $279.86 | $117.26 |
| Dallas | $260.14 | $109.77 |
| Dc + Md/Va Suburbs | $301.66 | $123.82 |
| Delaware | $258.58 | $109.42 |
| Detroit | $259.12 | $113.43 |
| East St. Louis | $252.13 | $113.23 |
| El Centro | $278.94 | $113.48 |
| Fort Lauderdale | $269.88 | $116.95 |
| Fort Worth | $258.17 | $109.31 |
| Fresno | $278.91 | $113.44 |
| Galveston | $259.26 | $109.35 |
| Hanford-Corcoran | $278.91 | $113.44 |
| Hawaii, Guam | $286.86 | $115.20 |
| Houston | $263.11 | $113.19 |
| Idaho | $241.32 | $102.42 |
| Indiana | $242.86 | $102.90 |
| Iowa | $239.75 | $101.61 |
| Kansas | $238.23 | $101.76 |
| Kentucky | $238.02 | $103.81 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $298.92 | $120.32 |
| Madera | $278.91 | $113.44 |
| Manhattan | $302.16 | $126.73 |
| Merced | $278.91 | $113.44 |
| Metropolitan Boston | $302.77 | $122.51 |
| Metropolitan Kansas City | $248.78 | $107.01 |
| Metropolitan Philadelphia | $272.21 | $115.05 |
| Metropolitan St. Louis | $251.64 | $107.91 |
| Miami | $280.72 | $123.55 |
| Minnesota | $262.58 | $107.23 |
| Mississippi | $231.01 | $101.02 |
| Modesto | $278.91 | $113.44 |
| Montana** | $261.52 | $110.54 |
| Napa | $326.75 | $127.77 |
| Nebraska | $241.27 | $101.92 |
| Nevada** | $260.56 | $109.44 |
| New Hampshire | $269.12 | $111.95 |
| New Mexico | $245.81 | $107.36 |
| New Orleans | $250.30 | $108.24 |
| North Carolina | $245.17 | $104.31 |
| North Dakota** | $257.36 | $106.39 |
| Northern Nj | $298.06 | $122.94 |
| Nyc Suburbs/Long Island | $309.63 | $130.13 |
| Ohio | $243.63 | $105.79 |
| Oklahoma | $237.88 | $103.06 |
| Oxnard-Thousand Oaks-Ventura | $297.80 | $119.35 |
| Portland | $283.42 | $115.69 |
| Poughkpsie/N Nyc Suburbs | $284.78 | $119.46 |
| Puerto Rico | $263.69 | $111.06 |
| Queens | $305.28 | $126.83 |
| Redding | $278.91 | $113.44 |
| Rest Of California | $278.91 | $113.44 |
| Rest Of Florida | $255.97 | $111.65 |
| Rest Of Georgia | $240.58 | $105.92 |
| Rest Of Illinois | $247.52 | $109.68 |
| Rest Of Louisiana | $237.50 | $103.89 |
| Rest Of Maine | $242.36 | $103.47 |
| Rest Of Maryland | $263.91 | $111.13 |
| Rest Of Massachusetts | $271.81 | $112.84 |
| Rest Of Michigan | $244.48 | $106.64 |
| Rest Of Missouri | $232.86 | $102.72 |
| Rest Of New Jersey | $283.12 | $118.26 |
| Rest Of New York | $249.12 | $105.70 |
| Rest Of Oregon | $258.62 | $108.25 |
| Rest Of Pennsylvania | $244.22 | $105.62 |
| Rest Of Texas | $250.32 | $107.05 |
| Rest Of Washington | $271.42 | $112.44 |
| Rhode Island | $268.50 | $112.54 |
| Riverside-San Bernardino-Ontario | $281.18 | $115.71 |
| Sacramento-Roseville-Folsom | $293.65 | $118.07 |
| Salinas | $292.59 | $117.61 |
| San Diego-Chula Vista-Carlsbad | $300.22 | $119.65 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $346.93 | $134.06 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $346.70 | $133.83 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $354.80 | $137.10 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $353.83 | $136.13 |
| San Luis Obispo-Paso Robles | $287.78 | $115.83 |
| Santa Cruz-Watsonville | $303.66 | $120.23 |
| Santa Maria-Santa Barbara | $293.89 | $117.85 |
| Santa Rosa-Petaluma | $306.78 | $121.39 |
| Seattle (King Cnty) | $309.51 | $124.26 |
| South Carolina | $244.79 | $105.29 |
| South Dakota** | $256.87 | $105.90 |
| Southern Maine | $257.08 | $107.47 |
| Stockton | $278.91 | $113.44 |
| Suburban Chicago | $272.85 | $117.81 |
| Tennessee | $239.50 | $102.26 |
| Utah | $248.43 | $106.51 |
| Vallejo | $326.41 | $127.42 |
| Vermont | $256.00 | $106.54 |
| Virgin Islands | $263.69 | $111.06 |
| Virginia | $255.96 | $107.55 |
| Visalia | $278.91 | $113.44 |
| West Virginia | $237.51 | $106.32 |
| Wisconsin | $248.01 | $103.37 |
| Wyoming** | $259.71 | $108.73 |
| Yuba City | $278.91 | $113.44 |
30000 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.
$229.02
$316.86
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 | $295.85 | 1 |
| AL | $232.68 | 1 |
| AR | $229.02 | 1 |
| AZ | $254.12 | 1 |
| CA | $278.91–$354.80 | 29 |
| CO | $273.78 | 1 |
| CT | $279.86 | 1 |
| DC | $301.66 | 1 |
| DE | $258.58 | 1 |
| FL | $255.97–$280.72 | 3 |
| GA | $240.58–$266.39 | 2 |
| GU | $286.86 | 1 |
| HI | $286.86 | 1 |
| IA | $239.75 | 1 |
| ID | $241.32 | 1 |
| IL | $247.52–$272.85 | 4 |
| IN | $242.86 | 1 |
| KS | $238.23 | 1 |
| KY | $238.02 | 1 |
| LA | $237.50–$250.30 | 2 |
| MA | $271.81–$302.77 | 2 |
| MD | $263.91–$301.66 | 3 |
| ME | $242.36–$257.08 | 2 |
| MI | $244.48–$259.12 | 2 |
| MN | $262.58 | 1 |
| MO | $232.86–$251.64 | 3 |
| MS | $231.01 | 1 |
| MT | $261.52 | 1 |
| NC | $245.17 | 1 |
| ND | $257.36 | 1 |
| NE | $241.27 | 1 |
| NH | $269.12 | 1 |
| NJ | $283.12–$298.06 | 2 |
| NM | $245.81 | 1 |
| NV | $260.56 | 1 |
| NY | $249.12–$309.63 | 5 |
| OH | $243.63 | 1 |
| OK | $237.88 | 1 |
| OR | $258.62–$283.42 | 2 |
| PA | $244.22–$272.21 | 2 |
| PR | $263.69 | 1 |
| RI | $268.50 | 1 |
| SC | $244.79 | 1 |
| SD | $256.87 | 1 |
| TN | $239.50 | 1 |
| TX | $242.45–$272.80 | 8 |
| UT | $248.43 | 1 |
| VA | $255.96–$301.66 | 2 |
| VI | $263.69 | 1 |
| VT | $256.00 | 1 |
| WA | $271.42–$309.51 | 2 |
| WI | $248.01 | 1 |
| WV | $237.51 | 1 |
| WY | $259.71 | 1 |
How the 30000 rate is calculated
Each of 30000’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 · 30000
RVUs × geographic indexes × conversion factor
Work1.44
1.44 RVUs× 1.000 GPCI
Practice expense6.18
6.18 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
7.8300
Conversion factor
$33.4009
Medicare rate
$261.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 30000
30000 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 30000
Nasal drainage
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 30000
Nasal drainage
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
30000 without 51 · national office
$261.53
Nasal drainage
30000-51 · Second procedure: 50%
$130.77
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%).
30000 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 30020Nasal abscess drainage
- This code is for internal nasal drainage outside the septum; 30020 is selected when the documented collection involves the nasal septum.
- 30100Nasal biopsy
- 30100 is for intranasal biopsy when tissue is sampled for diagnosis; 30000 is for draining an abscess or hematoma.
- 30110Nasal polypectomy
- 30110 describes removal of a nasal polyp, not drainage of an intranasal abscess or hematoma.
30000 billing questions
How do I distinguish 30000 from 30020?
Use 30000 for internal drainage of a nasal abscess or hematoma when the documented site is not the nasal septum. Use 30020 for drainage involving the nasal septum.
Can a related postoperative visit be billed separately?
Related postoperative visits during the 10-day global period are included in the procedure.
Can modifier 50 be used for drainage on both sides?
No. CMS identifies modifier 50 as inappropriate for this code because of its descriptor or anatomy.
How does payment change when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
What documentation supports assistant-at-surgery payment?
Document the medical necessity of the assistant. CMS permits assistant-at-surgery payment only when that necessity is documented.
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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