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Billing code 30124: Nasal lesion removalMedicare rate & RVUs

Removal of a lesion on the external nose through an operative approach, reported for excision rather than intranasal treatment or biopsy alone.

CMS RVU26DEffective Oct 1, 2026109 payment localities12 Medicare services in 2024

Medicare pays $279.57 for 30124 nationally in a facility.

Medicare rate · 30124

Nasal lesion removal

Swap in your local Medicare rate.

Work RVUs
3.12
Total RVUs
8.37
Global days
090

National rate · 2026

$279.57

Facility setting, before claim adjustments.

See every locality for 30124 → · 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
  1. Medicare rate
  2. What 30124 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 30124 covers

This service removes a lesion arising on the external nose, such as one on the nasal dorsum or ala. Otolaryngologists and facial plastic surgeons commonly perform it in an office procedure room or operating room, depending on the lesion and planned anesthesia. It is distinct from treatment directed into the nasal cavity, including removal of intranasal lesions or nasal polyps.

Select this code when the operative record supports excision of an external nasal lesion rather than biopsy alone or intranasal treatment. Document the lesion’s location, the approach, and the work performed to distinguish it from a more involved external-lesion procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is barred by statutory restriction; 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 30124 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

30124 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$253.00
Alaska*Unavailable$335.34
ArizonaUnavailable$272.43
ArkansasUnavailable$249.67
AtlantaUnavailable$285.46
AustinUnavailable$287.36
BakersfieldUnavailable$291.06
Baltimore/Surr. CntysUnavailable$296.50
BeaumontUnavailable$264.07
BrazoriaUnavailable$275.65

30124 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
30124 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 30124 rate is calculated

Each of 30124’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 · 30124

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 3.12Practice expense 4.80Malpractice 0.45

8.3700 adjusted RVUs×$33.4009 conversion factor=$279.57

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 30124

30124 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 30124

Nasal lesion removal

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)0.10/0.76/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 30124

Nasal lesion removal

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

30124 without 51 · national facility

$279.57

Nasal lesion removal

30124-51 · Second procedure: 50%

$139.79

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

30124 compared with similar codes

Compare codes

30124 vs 30125 vs 30117 vs 30118 vs 30100: national Medicare rates

Swap in your local Medicare rate.

  • 30124
    Nasal lesion removal · 3.12 wRVU
    —
  • 30125
    Nasal lesion excision · 7.12 wRVU
    —
  • 30117
    Intranasal lesion removal · 3.81 wRVU
    $951.59
  • 30118
    Nasal lesion removal · 7.56 wRVU
    —
  • 30100
    Nasal biopsy · 0.92 wRVU
    $141.29

How to choose

30125Nasal lesion excision
Both address external nasal lesions. Choose 30125 when the documented procedure meets its criteria for a more complicated excision; use 30124 for the less complicated service.
30117Intranasal lesion removal
30117 addresses an intranasal lesion approached internally. Use 30124 for a lesion on the external nose.
30118Nasal lesion removal
30118 treats a lesion located within the nasal cavity through an external approach. In 30124, the lesion itself is external.
30100Nasal biopsy
30100 is for biopsy of an intranasal lesion. Use 30124 when an external nasal lesion is excised rather than sampled for diagnosis.

Codes related to 30124

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

Codes related to 30124
CodeHow it relatesNational office range
Same family
30125Nasal lesion excisionSibling code for a more complicated external nasal lesion excision.No office rate
Used instead
30117Intranasal lesion removalFor an intranasal lesion treated through an internal approach, rather than an external nasal lesion.$829.04–$1,313.30
30118Nasal lesion removalFor an intranasal lesion treated through an external approach.No office rate
30100Nasal biopsyFor biopsy of an intranasal lesion when sampling, rather than excision of an external lesion, is performed.$124.20–$189.60

30124 billing questions

How does this differ from 30125?

Both concern external nasal lesion removal. Use 30125 when the documented procedure meets that code’s criteria for a more complicated excision.

Can this code report removal of a lesion inside the nasal cavity?

No. It describes an external nasal lesion; codes such as 30117 or 30118 address intranasal lesions, with the approach helping distinguish those services.

Should modifier 50 be added when lesions are removed from both sides of the nose?

No. CMS identifies modifier 50 as inappropriate for this code.

How does the multiple-procedure reduction affect payment?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the remaining procedures are paid at 50%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is barred by statutory restriction. Co-surgeons and team surgery are not permitted for this code.

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 30124PPRRVU2026_Oct_nonQPP.csv, line 3,401 (RVU26D)

Open CMS sourceHow we calculate rates

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