Billing code 30200: Nasal injectionMedicare rate & RVUs
An otolaryngologist injects medication into nasal tissue, commonly a turbinate, to treat a documented nasal condition when injection rather than excision is performed.
Medicare pays $111.56 for 30200 nationally in the office and $54.11 in a hospital or facility. Local office rates run $98.14–$149.11.
Medicare rate · 30200
Nasal injection
Swap in your local Medicare rate.
- Work RVUs
- 0.76
- Total RVUs
- 3.34
- Global days
- 000
National rate · 2026
$111.56
Office setting, before claim adjustments.
See every locality for 30200 → · 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 30200 covers
This service covers medication injected into nasal tissue to treat a nasal condition. Otolaryngologists commonly perform it in an office or facility, including when treating turbinate swelling with an injection rather than removing or surgically reducing the tissue. The record should identify the treated nasal site, the clinical indication, the injected medication, and the procedure performed.
Report the code for the injection service, not for a nasal treatment delivered by another route or for turbinate tissue removed surgically. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is 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 service. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing 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 30200 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
$98.14 to $149.11
109 of 109 payment localities
30200 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.
$98.14
$133.66
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 | $127.96 | 1 |
| AL | $99.65 | 1 |
| AR | $98.14 | 1 |
| AZ | $108.47 | 1 |
| CA | $118.21–$149.11 | 29 |
| CO | $116.34 | 1 |
| CT | $119.19 | 1 |
| DC | $128.03 | 1 |
| DE | $110.32 | 1 |
| FL | $109.78–$120.56 | 3 |
| GA | $103.35–$113.69 | 2 |
| GU | $121.31 | 1 |
| HI | $121.31 | 1 |
| IA | $102.33 | 1 |
| ID | $103.02 | 1 |
| IL | $106.45–$116.91 | 4 |
| IN | $103.65 | 1 |
| KS | $101.82 | 1 |
| KY | $102.09 | 1 |
| LA | $101.92–$107.19 | 2 |
| MA | $115.59–$128.20 | 2 |
| MD | $112.50–$128.03 | 3 |
| ME | $103.57–$109.46 | 2 |
| MI | $104.86–$111.19 | 2 |
| MN | $111.36 | 1 |
| MO | $100.08–$107.61 | 3 |
| MS | $99.13 | 1 |
| MT | $111.55 | 1 |
| NC | $104.71 | 1 |
| ND | $109.38 | 1 |
| NE | $102.92 | 1 |
| NH | $114.48 | 1 |
| NJ | $120.52–$126.61 | 2 |
| NM | $105.45 | 1 |
| NV | $111.03 | 1 |
| NY | $106.34–$131.92 | 5 |
| OH | $104.41 | 1 |
| OK | $101.91 | 1 |
| OR | $110.14–$120.18 | 2 |
| PA | $104.59–$116.11 | 2 |
| PR | $112.41 | 1 |
| RI | $114.37 | 1 |
| SC | $104.74 | 1 |
| SD | $109.12 | 1 |
| TN | $102.35 | 1 |
| TX | $103.87–$115.98 | 8 |
| UT | $106.23 | 1 |
| VA | $109.08–$128.03 | 2 |
| VI | $112.41 | 1 |
| VT | $108.92 | 1 |
| WA | $115.38–$130.88 | 2 |
| WI | $105.55 | 1 |
| WV | $102.34 | 1 |
| WY | $110.60 | 1 |
How the 30200 rate is calculated
Each of 30200’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 · 30200
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.76Practice expense 2.47Malpractice 0.11
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 30200
The CMS indicators that decide how 30200 is paid alongside other services.
CMS payment indicators · 30200
Nasal injection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
30200 without 51 · national office
$111.56
Nasal injection
30200-51 · Second procedure: 50%
$55.78
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%).
30200 compared with similar codes
Compare codes
30200 vs 30130 vs 30140 vs 30210: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 30130Turbinate excision
- This code describes removal of inferior turbinate tissue. Choose 30200 when the performed treatment is an injection rather than tissue excision.
- 30140Turbinate reduction
- This code describes submucous resection of the inferior turbinate. It is not the choice for an injection-only treatment.
- 30210Sinus therapy
- 30210 represents nasal or sinus therapy; 30200 is for medication injected into nasal tissue. Select based on the procedure actually performed.
30200 billing questions
When should this code be chosen instead of turbinate surgery?
Use it when the documented treatment is an injection into nasal tissue. Partial or complete turbinate removal and submucous turbinate resection are different procedures.
Should modifier 50 be used for injections on both sides?
No. Modifier 50 is inappropriate for this service based on its descriptor and anatomy.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
How is this code affected when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and the other procedures are subject to the standard 50% multiple-procedure reduction.
What documentation supports reporting the injection?
Document the nasal site, the condition being treated, the medication injected, and the procedure performed. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing 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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