Billing code 30300: Nasal foreign-body removalMedicare rate & RVUs
Report this service for straightforward removal of an object from the nasal passage by direct, office-type extraction rather than an operative approach.
Medicare pays $212.76 for 30300 nationally in the office and $115.57 in a hospital or facility. Local office rates run $185.92–$290.21.
Medicare rate · 30300
Nasal foreign-body removal
Swap in your local Medicare rate.
- Work RVUs
- 1.06
- Total RVUs
- 6.37
- Global days
- 010
National rate · 2026
$212.76
Office setting, before claim adjustments.
See every locality for 30300 → · 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 30300 covers
This code fits removal of an accessible object from a nostril by direct office-type extraction, such as a bead or small item lodged in a child’s nasal passage. The clinician may use an instrument or suction to retrieve it through the nostril. It is commonly performed by an otolaryngologist, emergency physician, or other treating clinician in an office or emergency setting when the removal does not require the more extensive approach represented by a sibling code.
Document the object’s location, the removal performed, and the circumstances supporting an office-type extraction. Use a different nasal foreign-body code when removal requires general anesthesia or a lateral rhinotomy approach. Medicare assigns this service a 10-day global period, so related postoperative visits during that period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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 30300 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
$185.92 to $290.21
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $188.94 | $103.90 |
| Alaska* | $239.25 | $135.73 |
| Arizona | $206.66 | $112.48 |
| Arkansas | $185.92 | $102.43 |
| Atlanta | $216.70 | $117.94 |
| Austin | $222.20 | $119.37 |
| Bakersfield | $227.86 | $121.33 |
| Baltimore/Surr. Cntys | $227.15 | $122.86 |
| Beaumont | $196.90 | $108.45 |
| Brazoria | $210.32 | $114.00 |
| Chicago | $220.79 | $123.11 |
| Chico | $227.40 | $120.87 |
| Colorado | $223.03 | $119.61 |
| Connecticut | $227.84 | $123.16 |
| Dallas | $211.64 | $114.83 |
| Dc + Md/Va Suburbs | $245.90 | $131.40 |
| Delaware | $210.34 | $114.31 |
| Detroit | $210.41 | $116.61 |
| East St. Louis | $204.42 | $115.00 |
| El Centro | $227.43 | $120.90 |
| Fort Lauderdale | $219.32 | $120.86 |
| Fort Worth | $209.98 | $114.15 |
| Fresno | $227.40 | $120.87 |
| Galveston | $210.92 | $114.41 |
| Hanford-Corcoran | $227.40 | $120.87 |
| Hawaii, Guam | $234.08 | $123.57 |
| Houston | $213.85 | $117.34 |
| Idaho | $196.19 | $106.77 |
| Indiana | $197.46 | $107.36 |
| Iowa | $194.92 | $105.99 |
| Kansas | $193.60 | $105.73 |
| Kentucky | $193.22 | $106.81 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $243.90 | $128.91 |
| Madera | $227.40 | $120.87 |
| Manhattan | $246.03 | $133.09 |
| Merced | $227.40 | $120.87 |
| Metropolitan Boston | $247.00 | $130.95 |
| Metropolitan Kansas City | $202.15 | $110.88 |
| Metropolitan Philadelphia | $221.49 | $120.30 |
| Metropolitan St. Louis | $204.52 | $111.99 |
| Miami | $227.99 | $126.81 |
| Minnesota | $213.99 | $113.97 |
| Mississippi | $187.46 | $103.77 |
| Modesto | $227.40 | $120.87 |
| Montana** | $212.75 | $115.56 |
| Napa | $267.07 | $138.96 |
| Nebraska | $196.19 | $106.48 |
| Nevada** | $212.04 | $114.75 |
| New Hampshire | $219.15 | $117.97 |
| New Mexico | $199.56 | $110.43 |
| New Orleans | $203.34 | $111.88 |
| North Carolina | $199.31 | $108.63 |
| North Dakota** | $209.59 | $112.39 |
| Northern Nj | $242.88 | $130.13 |
| Nyc Suburbs/Long Island | $252.12 | $136.55 |
| Ohio | $197.84 | $109.10 |
| Oklahoma | $193.17 | $106.37 |
| Oxnard-Thousand Oaks-Ventura | $243.05 | $128.16 |
| Portland | $231.06 | $123.07 |
| Poughkpsie/N Nyc Suburbs | $231.82 | $125.39 |
| Puerto Rico | $214.58 | $116.31 |
| Queens | $248.70 | $133.81 |
| Redding | $227.40 | $120.87 |
| Rest Of California | $227.40 | $120.87 |
| Rest Of Florida | $207.88 | $114.96 |
| Rest Of Georgia | $195.21 | $108.51 |
| Rest Of Illinois | $200.81 | $112.07 |
| Rest Of Louisiana | $192.76 | $106.74 |
| Rest Of Maine | $196.98 | $107.56 |
| Rest Of Maryland | $214.74 | $116.38 |
| Rest Of Massachusetts | $221.36 | $119.01 |
| Rest Of Michigan | $198.49 | $109.75 |
| Rest Of Missouri | $188.89 | $105.10 |
| Rest Of New Jersey | $230.52 | $124.38 |
| Rest Of New York | $202.58 | $110.24 |
| Rest Of Oregon | $210.49 | $113.68 |
| Rest Of Pennsylvania | $198.36 | $109.14 |
| Rest Of Texas | $203.47 | $111.23 |
| Rest Of Washington | $221.06 | $118.72 |
| Rhode Island | $218.54 | $118.13 |
| Riverside-San Bernardino-Ontario | $229.13 | $122.60 |
| Sacramento-Roseville-Folsom | $239.60 | $126.56 |
| Salinas | $238.73 | $126.08 |
| San Diego-Chula Vista-Carlsbad | $245.09 | $128.85 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $283.76 | $146.71 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $283.58 | $146.53 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $290.21 | $150.05 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $289.47 | $149.31 |
| San Luis Obispo-Paso Robles | $234.80 | $124.09 |
| Santa Cruz-Watsonville | $248.01 | $129.92 |
| Santa Maria-Santa Barbara | $239.83 | $126.50 |
| Santa Rosa-Petaluma | $250.57 | $131.21 |
| Seattle (King Cnty) | $252.60 | $133.34 |
| South Carolina | $198.89 | $109.08 |
| South Dakota** | $209.22 | $112.02 |
| Southern Maine | $209.24 | $112.92 |
| Stockton | $227.40 | $120.87 |
| Suburban Chicago | $221.78 | $121.96 |
| Tennessee | $194.64 | $106.28 |
| Utah | $201.90 | $110.53 |
| Vallejo | $266.80 | $138.70 |
| Vermont | $208.40 | $112.18 |
| Virgin Islands | $214.58 | $116.31 |
| Virginia | $208.27 | $112.72 |
| Visalia | $227.40 | $120.87 |
| West Virginia | $192.53 | $108.07 |
| Wisconsin | $201.84 | $108.73 |
| Wyoming** | $211.37 | $114.18 |
| Yuba City | $227.40 | $120.87 |
30300 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.
$185.92
$258.81
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 | $239.25 | 1 |
| AL | $188.94 | 1 |
| AR | $185.92 | 1 |
| AZ | $206.66 | 1 |
| CA | $227.40–$290.21 | 29 |
| CO | $223.03 | 1 |
| CT | $227.84 | 1 |
| DC | $245.90 | 1 |
| DE | $210.34 | 1 |
| FL | $207.88–$227.99 | 3 |
| GA | $195.21–$216.70 | 2 |
| GU | $234.08 | 1 |
| HI | $234.08 | 1 |
| IA | $194.92 | 1 |
| ID | $196.19 | 1 |
| IL | $200.81–$221.78 | 4 |
| IN | $197.46 | 1 |
| KS | $193.60 | 1 |
| KY | $193.22 | 1 |
| LA | $192.76–$203.34 | 2 |
| MA | $221.36–$247.00 | 2 |
| MD | $214.74–$245.90 | 3 |
| ME | $196.98–$209.24 | 2 |
| MI | $198.49–$210.41 | 2 |
| MN | $213.99 | 1 |
| MO | $188.89–$204.52 | 3 |
| MS | $187.46 | 1 |
| MT | $212.75 | 1 |
| NC | $199.31 | 1 |
| ND | $209.59 | 1 |
| NE | $196.19 | 1 |
| NH | $219.15 | 1 |
| NJ | $230.52–$242.88 | 2 |
| NM | $199.56 | 1 |
| NV | $212.04 | 1 |
| NY | $202.58–$252.12 | 5 |
| OH | $197.84 | 1 |
| OK | $193.17 | 1 |
| OR | $210.49–$231.06 | 2 |
| PA | $198.36–$221.49 | 2 |
| PR | $214.58 | 1 |
| RI | $218.54 | 1 |
| SC | $198.89 | 1 |
| SD | $209.22 | 1 |
| TN | $194.64 | 1 |
| TX | $196.90–$222.20 | 8 |
| UT | $201.90 | 1 |
| VA | $208.27–$245.90 | 2 |
| VI | $214.58 | 1 |
| VT | $208.40 | 1 |
| WA | $221.06–$252.60 | 2 |
| WI | $201.84 | 1 |
| WV | $192.53 | 1 |
| WY | $211.37 | 1 |
How the 30300 rate is calculated
Each of 30300’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 · 30300
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.06Practice expense 5.15Malpractice 0.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 30300
30300 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 30300
Nasal foreign-body removal
| 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) | 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 · 30300
Nasal foreign-body removal
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
30300 without 51 · national office
$212.76
Nasal foreign-body removal
30300-51 · Second procedure: 50%
$106.38
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%).
30300 compared with similar codes
Compare codes
30300 vs 30310 vs 30320 vs 69200: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 30310Nasal foreign body removal
- Use 30300 for office-type nasal extraction; 30310 is for removal requiring general anesthesia.
- 30320Nasal foreign body removal
- 30320 involves a lateral rhinotomy approach. A direct extraction through the nostril is the distinction for 30300.
- 69200Ear canal removal
- 69200 concerns foreign-body removal from the external auditory canal. Use 30300 for an object in the nasal passage.
30300 billing questions
When should 30310 be used instead?
30310 is the related nasal foreign-body code for removal requiring general anesthesia. Use 30300 for office-type extraction rather than selecting by the object alone.
How does 30320 differ?
30320 describes removal using a lateral rhinotomy approach. It is not the code for a straightforward extraction through the nostril.
Can modifier 50 be appended when both nostrils are treated?
No. CMS identifies bilateral adjustment as inappropriate for 30300; document the treated nostril or nostrils without modifier 50.
Are related postoperative visits separately payable?
Related postoperative visits during the 10-day global period are included in the procedure. The global period applies to care related to the removal.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction. An assistant at surgery is not paid; 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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