FeeBase
Log inGet started
Menu

Billing code 30620: Intranasal reconstructionMedicare rate & RVUs

Reconstructs a defect in the nasal lining with dermatoplasty and graft tissue, including graft procurement, when intranasal lining repair is performed.

CMS RVU26DEffective Oct 1, 2026109 payment localities42 Medicare services in 2024

Medicare pays $617.58 for 30620 nationally in a facility.

Medicare rate · 30620

Intranasal reconstruction

Work RVUs
6.01
Total RVUs
18.49
Global days
090

National rate · 2026

$617.58

Facility setting, before claim adjustments.

See every locality for 30620 →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 30620 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 30620 covers

This operation rebuilds the lining of the nasal septum or another intranasal surface with dermatoplasty and graft tissue. The surgeon prepares the recipient area, obtains the graft as part of the operation, and places it to cover the defect. Otolaryngologists and other surgeons with appropriate nasal reconstructive expertise typically perform it in an operating room for a septal or other intranasal lining defect. The operative report should identify the reconstructed site and describe the graft and repair performed.

Report 30620 for the intranasal dermatoplasty service, rather than for a septal correction or a different nasal repair alone. Document the defect, recipient site, graft use, and operative work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery; 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 30620 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

30620 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$556.39
Alaska*Unavailable$729.94
ArizonaUnavailable$601.34
ArkansasUnavailable$548.70
AtlantaUnavailable$630.29
AustinUnavailable$637.11
BakersfieldUnavailable$647.10
Baltimore/Surr. CntysUnavailable$656.04
BeaumontUnavailable$580.63
BrazoriaUnavailable$609.24

30620 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

View every state and territory as a table
30620 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 30620 rate is calculated

Each of 30620’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 · 30620

RVUs × geographic indexes × conversion factor

Work6.01

6.01 RVUs× 1.000 GPCI

Practice expense11.60

11.60 RVUs× 1.000 GPCI

Malpractice0.88

0.88 RVUs× 1.000 GPCI

Adjusted RVUs

18.4900

Conversion factor

$33.4009

Medicare rate

$617.58

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 30620

30620 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 30620

Intranasal reconstruction

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 · 30620

Intranasal reconstruction

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned 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

30620 without 51 · national facility

$617.58

Intranasal reconstruction

30620-51 · Second procedure: 50%

$308.79

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

30620 compared with similar codes

Compare codes · National

4 codes, side by side

  • 30620

    Intranasal reconstruction6.01 wRVU

    Not priced

  • 30630

    Septal repair7.11 wRVU

    Not priced

  • 30520

    Septoplasty6.83 wRVU

    Not priced

  • 30465

    Nasal stenosis repair12.05 wRVU

    Not priced

How to choose

30630Septal repair
30630 identifies repair of a nasal septal perforation. Use 30620 when the documented service is intranasal dermatoplasty with graft tissue.
30520Septoplasty
30520 is septoplasty. It does not describe graft-based reconstruction of the intranasal lining; report both only when each distinct service is performed.
30465Nasal stenosis repair
30465 addresses repair of nasal vestibular stenosis. Choose 30620 for intranasal lining reconstruction with dermatoplasty and graft tissue.

Codes related to 30620

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

Codes related to 30620
CodeHow it relatesNational office range
Used instead
30630Septal repairUsed for repair of a nasal septal perforation; distinguish it from intranasal dermatoplasty with graft.No office rate
Often billed with
30520SeptoplastyMay accompany a separately performed septoplasty when the operative work supports both services.No office rate
30465Nasal stenosis repairMay accompany a distinct repair of nasal vestibular stenosis performed during the same session.No office rate

30620 billing questions

How does 30620 differ from 30630?

30620 describes intranasal dermatoplasty using graft tissue. For a septal perforation repair, select the code that matches the repair actually performed and documented; 30630 identifies nasal septal perforation repair.

Is graft procurement separately reported?

Graft procurement is included in 30620. The operative note should support the graft and intranasal reconstruction performed.

Should modifier 50 be used for both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code, so do not append modifier 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 paid?

CMS lists a statutory restriction on assistant-at-surgery payment for this code. 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
RVUs for 30620PPRRVU2026_Oct_nonQPP.csv, line 3,459 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 30620 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 30620 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →