Billing code 30120: Rhinophyma surgeryMedicare rate & RVUs
Reports surgical removal or planing of thickened nasal skin to reshape the nose affected by rhinophyma, rather than removal of a discrete nasal lesion.
Medicare pays $518.72 for 30120 nationally in the office and $374.42 in a hospital or facility. Local office rates run $461.73–$666.96.
Medicare rate · 30120
Rhinophyma surgery
Swap in your local Medicare rate.
- Work RVUs
- 5.26
- Total RVUs
- 15.53
- Global days
- 090
National rate · 2026
$518.72
Office setting, before claim adjustments.
See every locality for 30120 → · 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 30120 covers
This procedure removes or surgically planes thickened, irregular skin of the nose affected by rhinophyma, reshaping the involved nasal surface. It is typically performed by an otolaryngologist, facial plastic surgeon, plastic surgeon, or dermatologist with surgical expertise. The operative setting depends on the extent of tissue treatment and the surgeon’s approach; the defining feature is treatment of rhinophyma, not an intranasal growth or an isolated skin lesion.
Report 30120 when the documented service is excision or planing of rhinophyma-related nasal skin. The operative note should identify the rhinophyma and describe the treated area and the tissue work performed. CMS classifies this as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same 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. CMS does not pay an assistant at surgery, and 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 30120 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
$461.73 to $666.96
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $468.10 | $341.84 |
| Alaska* | $615.98 | $462.31 |
| Arizona | $505.25 | $365.43 |
| Arkansas | $461.73 | $337.78 |
| Atlanta | $529.37 | $382.77 |
| Austin | $534.65 | $381.99 |
| Bakersfield | $542.78 | $384.64 |
| Baltimore/Surr. Cntys | $550.68 | $395.85 |
| Beaumont | $488.32 | $357.01 |
| Brazoria | $511.75 | $368.76 |
| Chicago | $553.98 | $408.96 |
| Chico | $540.60 | $382.46 |
| Colorado | $535.69 | $382.16 |
| Connecticut | $551.97 | $396.57 |
| Dallas | $515.47 | $371.75 |
| Dc + Md/Va Suburbs | $587.63 | $417.66 |
| Delaware | $513.25 | $370.69 |
| Detroit | $524.77 | $385.53 |
| East St. Louis | $518.68 | $385.93 |
| El Centro | $540.73 | $382.59 |
| Fort Lauderdale | $543.09 | $396.92 |
| Fort Worth | $512.61 | $370.34 |
| Fresno | $540.60 | $382.46 |
| Galveston | $513.59 | $370.31 |
| Hanford-Corcoran | $540.60 | $382.46 |
| Hawaii, Guam | $551.73 | $387.67 |
| Houston | $527.31 | $384.03 |
| Idaho | $480.08 | $347.33 |
| Indiana | $482.63 | $348.87 |
| Iowa | $476.58 | $344.56 |
| Kansas | $475.77 | $345.33 |
| Kentucky | $481.29 | $353.02 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $575.69 | $404.99 |
| Madera | $540.60 | $382.46 |
| Manhattan | $596.15 | $428.48 |
| Merced | $540.60 | $382.46 |
| Metropolitan Boston | $584.85 | $412.57 |
| Metropolitan Kansas City | $498.74 | $363.25 |
| Metropolitan Philadelphia | $539.75 | $389.54 |
| Metropolitan St. Louis | $503.50 | $366.14 |
| Miami | $570.06 | $419.85 |
| Minnesota | $510.30 | $361.83 |
| Mississippi | $467.98 | $343.74 |
| Modesto | $540.60 | $382.46 |
| Montana** | $518.67 | $374.37 |
| Napa | $618.58 | $428.40 |
| Nebraska | $478.65 | $345.47 |
| Nevada** | $514.85 | $370.41 |
| New Hampshire | $528.62 | $378.41 |
| New Mexico | $497.36 | $365.04 |
| New Orleans | $503.36 | $367.58 |
| North Carolina | $488.37 | $353.74 |
| North Dakota** | $503.84 | $359.54 |
| Northern Nj | $582.36 | $414.99 |
| Nyc Suburbs/Long Island | $611.53 | $439.96 |
| Ohio | $491.25 | $359.51 |
| Oklahoma | $479.11 | $350.25 |
| Oxnard-Thousand Oaks-Ventura | $572.06 | $401.51 |
| Portland | $550.41 | $390.10 |
| Poughkpsie/N Nyc Suburbs | $562.09 | $404.09 |
| Puerto Rico | $521.84 | $375.96 |
| Queens | $598.90 | $428.35 |
| Redding | $540.60 | $382.46 |
| Rest Of California | $540.60 | $382.46 |
| Rest Of Florida | $517.33 | $379.38 |
| Rest Of Georgia | $489.18 | $360.48 |
| Rest Of Illinois | $505.16 | $373.42 |
| Rest Of Louisiana | $481.10 | $353.40 |
| Rest Of Maine | $483.81 | $351.06 |
| Rest Of Maryland | $522.23 | $376.21 |
| Rest Of Massachusetts | $533.29 | $381.36 |
| Rest Of Michigan | $494.28 | $362.55 |
| Rest Of Missouri | $474.18 | $349.80 |
| Rest Of New Jersey | $557.43 | $399.86 |
| Rest Of New York | $495.38 | $358.30 |
| Rest Of Oregon | $510.00 | $366.29 |
| Rest Of Pennsylvania | $491.26 | $358.80 |
| Rest Of Texas | $500.07 | $363.14 |
| Rest Of Washington | $531.87 | $379.93 |
| Rhode Island | $529.84 | $380.79 |
| Riverside-San Bernardino-Ontario | $548.72 | $390.58 |
| Sacramento-Roseville-Folsom | $565.25 | $397.44 |
| Salinas | $563.10 | $395.86 |
| San Diego-Chula Vista-Carlsbad | $574.84 | $402.26 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $652.22 | $448.77 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $651.37 | $447.92 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $666.96 | $458.89 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $663.48 | $455.41 |
| San Luis Obispo-Paso Robles | $554.28 | $389.93 |
| Santa Cruz-Watsonville | $579.15 | $403.83 |
| Santa Maria-Santa Barbara | $564.80 | $396.55 |
| Santa Rosa-Petaluma | $584.86 | $407.67 |
| Seattle (King Cnty) | $595.10 | $418.05 |
| South Carolina | $490.79 | $357.47 |
| South Dakota** | $502.08 | $357.79 |
| Southern Maine | $506.61 | $363.62 |
| Stockton | $540.60 | $382.46 |
| Suburban Chicago | $547.87 | $399.68 |
| Tennessee | $478.18 | $347.02 |
| Utah | $497.08 | $361.45 |
| Vallejo | $617.35 | $427.17 |
| Vermont | $503.16 | $360.31 |
| Virgin Islands | $521.84 | $375.96 |
| Virginia | $505.95 | $364.11 |
| Visalia | $540.60 | $382.46 |
| West Virginia | $487.86 | $362.47 |
| Wisconsin | $488.03 | $349.79 |
| Wyoming** | $512.20 | $367.91 |
| Yuba City | $540.60 | $382.46 |
30120 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.
$461.73
$615.98
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 | $615.98 | 1 |
| AL | $468.10 | 1 |
| AR | $461.73 | 1 |
| AZ | $505.25 | 1 |
| CA | $540.60–$666.96 | 29 |
| CO | $535.69 | 1 |
| CT | $551.97 | 1 |
| DC | $587.63 | 1 |
| DE | $513.25 | 1 |
| FL | $517.33–$570.06 | 3 |
| GA | $489.18–$529.37 | 2 |
| GU | $551.73 | 1 |
| HI | $551.73 | 1 |
| IA | $476.58 | 1 |
| ID | $480.08 | 1 |
| IL | $505.16–$553.98 | 4 |
| IN | $482.63 | 1 |
| KS | $475.77 | 1 |
| KY | $481.29 | 1 |
| LA | $481.10–$503.36 | 2 |
| MA | $533.29–$584.85 | 2 |
| MD | $522.23–$587.63 | 3 |
| ME | $483.81–$506.61 | 2 |
| MI | $494.28–$524.77 | 2 |
| MN | $510.30 | 1 |
| MO | $474.18–$503.50 | 3 |
| MS | $467.98 | 1 |
| MT | $518.67 | 1 |
| NC | $488.37 | 1 |
| ND | $503.84 | 1 |
| NE | $478.65 | 1 |
| NH | $528.62 | 1 |
| NJ | $557.43–$582.36 | 2 |
| NM | $497.36 | 1 |
| NV | $514.85 | 1 |
| NY | $495.38–$611.53 | 5 |
| OH | $491.25 | 1 |
| OK | $479.11 | 1 |
| OR | $510.00–$550.41 | 2 |
| PA | $491.26–$539.75 | 2 |
| PR | $521.84 | 1 |
| RI | $529.84 | 1 |
| SC | $490.79 | 1 |
| SD | $502.08 | 1 |
| TN | $478.18 | 1 |
| TX | $488.32–$534.65 | 8 |
| UT | $497.08 | 1 |
| VA | $505.95–$587.63 | 2 |
| VI | $521.84 | 1 |
| VT | $503.16 | 1 |
| WA | $531.87–$595.10 | 2 |
| WI | $488.03 | 1 |
| WV | $487.86 | 1 |
| WY | $512.20 | 1 |
How the 30120 rate is calculated
Each of 30120’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 · 30120
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.26Practice expense 9.52Malpractice 0.75
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 30120
30120 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 30120
Rhinophyma surgery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 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) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 30120
Rhinophyma surgery
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
30120 without 51 · national office
$518.72
Rhinophyma surgery
30120-51 · Second procedure: 50%
$259.36
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%).
30120 compared with similar codes
Compare codes
30120 vs 30124 vs 30125 vs 30118: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 30124Nasal lesion removal
- 30120 treats rhinophyma by removing or planing thickened nasal skin. Choose 30124 for excision of a discrete lesion on the nose.
- 30125Nasal lesion excision
- 30125 describes complicated excision of a nasal lesion. It is not the rhinophyma skin-removal or planing service represented by 30120.
- 30118Nasal lesion removal
- 30118 concerns a lesion inside the nose. Code 30120 concerns rhinophyma-related skin on the nose's external surface.
30120 billing questions
When should 30120 be chosen instead of a nasal lesion excision code?
Use 30120 for surgical treatment of thickened nasal skin caused by rhinophyma. A discrete lesion excised from the nose is a different service.
Can a separate office visit be reported for the preoperative visit?
The day-before preoperative visit is included in the 90-day global period for this major surgery.
Does modifier 50 apply when both sides of the nose are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be billed?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What documentation supports reporting 30120?
Document rhinophyma and the nasal skin area treated, along with whether the surgeon excised or planed the affected tissue.
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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