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CMS RVU26D · Effective 2026-10-01

30560 in Austin

Office / nonfacility

$330.11

Base rate per service

Facility setting

$144.23

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Otolaryngology

About 30560: Intranasal adhesion lysis

Reports surgical release of scar bands inside the nose, such as adhesions between the septum and lateral nasal wall that obstruct airflow.

Intranasal synechiae are scar bands that join surfaces inside the nasal cavity, often after nasal surgery or trauma. An otolaryngologist releases the adhesion by cutting or separating the scar tissue to restore an open passage. The procedure may be performed in an office or operating room, depending on the extent of the adhesion and the treatment plan.

Report this service when the surgeon performs therapeutic lysis, not for inspection alone. The operative note should identify the adhesion’s location, the work performed, and the reason for treatment. This minor procedure has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

CMS billing rules for 30560

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.28 · 14%
  • Practice expense (office) RVU7.97 · 84%
  • Malpractice RVU0.19 · 2%

685

Medicare services in 2024 · #3286 by national volume

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.

30560 compared with similar codes

Office rates for Austin, from the same CMS release.

30520

Septoplasty

Septal deviation correction

No office rate

Use 30560 for releasing intranasal scar bands. Use 30520 when the surgeon repairs or reshapes the nasal septum.

30140

Turbinate reduction

Submucosal tissue reduction

$303.02

Use 30140 for submucous reduction of the inferior turbinate, not for releasing an adhesion between nasal surfaces.

31231

Nasal endoscopy

Diagnostic, without sinusoscopy

$201.69

31231 describes diagnostic nasal endoscopy. It does not represent surgical release of an intranasal adhesion.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 30560 is $290.90—$39.21 lower than the $330.11 rate in Austin. Both use the same code, release and participation basis.

30560 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $330.11

  2. Beaumont

    $290.90

    $39.21 lower than Austin

  3. Brazoria

    $311.85

    $18.26 lower than Austin

  4. Dallas

    $313.72

    $16.39 lower than Austin

  5. Fort Worth

    $311.14

    $18.97 lower than Austin

  6. Galveston

    $312.69

    $17.42 lower than Austin

  7. Houston

    $316.17

    $13.94 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 30560 ranges from $274.69 in Arkansas to $434.73 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 30560

    Office

    $301.11

    Facility

    $134.38

    $29.00 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 30560

    Office

    $363.64

    Facility

    $155.80

    $33.53 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 30560

    Office

    $365.71

    Facility

    $158.75

    $35.60 higher than Austin for the office setting.

  • Miami

    Florida · 30560

    Office

    $335.92

    Facility

    $153.03

    $5.81 higher than Austin for the office setting.

  • Chicago

    Illinois · 30560

    Office

    $325.15

    Facility

    $148.59

    $4.96 lower than Austin for the office setting.

  • Manhattan

    New York · 30560

    Office

    $364.88

    Facility

    $160.73

    $34.77 higher than Austin for the office setting.

  • Alaska*

    Alaska · 30560

    Office

    $351.13

    Facility

    $164.03

    $21.02 higher than Austin for the office setting.

  • Alabama

    Alabama · 30560

    Office

    $279.27

    Facility

    $125.55

    $50.84 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 30560

    Office

    $274.69

    Facility

    $123.78

    $55.42 lower than Austin for the office setting.

  • Arizona

    Arizona · 30560

    Office

    $306.14

    Facility

    $135.90

    $23.97 lower than Austin for the office setting.

  • Bakersfield

    California · 30560

    Office

    $339.19

    Facility

    $146.64

    $9.08 higher than Austin for the office setting.

  • Chico

    California · 30560

    Office

    $338.64

    Facility

    $146.09

    $8.53 higher than Austin for the office setting.

  • El Centro

    California · 30560

    Office

    $338.67

    Facility

    $146.12

    $8.56 higher than Austin for the office setting.

  • Fresno

    California · 30560

    Office

    $338.64

    Facility

    $146.09

    $8.53 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 30560

    Office

    $338.64

    Facility

    $146.09

    $8.53 higher than Austin for the office setting.

  • Madera

    California · 30560

    Office

    $338.64

    Facility

    $146.09

    $8.53 higher than Austin for the office setting.

  • Merced

    California · 30560

    Office

    $338.64

    Facility

    $146.09

    $8.53 higher than Austin for the office setting.

  • Modesto

    California · 30560

    Office

    $338.64

    Facility

    $146.09

    $8.53 higher than Austin for the office setting.

  • Napa

    California · 30560

    Office

    $399.53

    Facility

    $167.97

    $69.42 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 30560

    Office

    $362.56

    Facility

    $154.89

    $32.45 higher than Austin for the office setting.

  • Redding

    California · 30560

    Office

    $338.64

    Facility

    $146.09

    $8.53 higher than Austin for the office setting.

  • Rest Of California

    California · 30560

    Office

    $338.64

    Facility

    $146.09

    $8.53 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 30560

    Office

    $340.70

    Facility

    $148.14

    $10.59 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 30560

    Office

    $357.29

    Facility

    $152.96

    $27.18 higher than Austin for the office setting.

  • Salinas

    California · 30560

    Office

    $356.01

    Facility

    $152.39

    $25.90 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 30560

    Office

    $365.86

    Facility

    $155.73

    $35.75 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 30560

    Office

    $425.08

    Facility

    $177.36

    $94.97 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 30560

    Office

    $424.86

    Facility

    $177.14

    $94.75 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 30560

    Office

    $434.73

    Facility

    $181.38

    $104.62 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 30560

    Office

    $433.84

    Facility

    $180.50

    $103.73 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 30560

    Office

    $350.09

    Facility

    $149.98

    $19.98 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 30560

    Office

    $370.49

    Facility

    $157.03

    $40.38 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 30560

    Office

    $357.75

    Facility

    $152.89

    $27.64 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 30560

    Office

    $374.34

    Facility

    $158.59

    $44.23 higher than Austin for the office setting.

  • Stockton

    California · 30560

    Office

    $338.64

    Facility

    $146.09

    $8.53 higher than Austin for the office setting.

  • Vallejo

    California · 30560

    Office

    $399.22

    Facility

    $167.66

    $69.11 higher than Austin for the office setting.

  • Visalia

    California · 30560

    Office

    $338.64

    Facility

    $146.09

    $8.53 higher than Austin for the office setting.

  • Yuba City

    California · 30560

    Office

    $338.64

    Facility

    $146.09

    $8.53 higher than Austin for the office setting.

  • Colorado

    Colorado · 30560

    Office

    $331.46

    Facility

    $144.53

    $1.35 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 30560

    Office

    $337.99

    Facility

    $148.77

    $7.88 higher than Austin for the office setting.

  • Delaware

    Delaware · 30560

    Office

    $311.68

    Facility

    $138.10

    $18.43 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 30560

    Office

    $323.89

    Facility

    $145.92

    $6.22 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 30560

    Office

    $306.78

    Facility

    $138.83

    $23.33 lower than Austin for the office setting.

  • Atlanta

    Georgia · 30560

    Office

    $320.97

    Facility

    $142.47

    $9.14 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 30560

    Office

    $287.77

    Facility

    $131.06

    $42.34 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 30560

    Office

    $349.10

    Facility

    $149.34

    $18.99 higher than Austin for the office setting.

  • Iowa

    Iowa · 30560

    Office

    $288.85

    Facility

    $128.10

    $41.26 lower than Austin for the office setting.

  • Idaho

    Idaho · 30560

    Office

    $290.66

    Facility

    $129.03

    $39.45 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 30560

    Office

    $300.44

    Facility

    $138.81

    $29.67 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 30560

    Office

    $295.72

    Facility

    $135.31

    $34.39 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 30560

    Office

    $327.69

    Facility

    $147.26

    $2.42 lower than Austin for the office setting.

  • Indiana

    Indiana · 30560

    Office

    $292.61

    Facility

    $129.75

    $37.50 lower than Austin for the office setting.

  • Kansas

    Kansas · 30560

    Office

    $286.60

    Facility

    $127.78

    $43.51 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 30560

    Office

    $285.22

    Facility

    $129.03

    $44.89 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 30560

    Office

    $300.46

    Facility

    $135.14

    $29.65 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 30560

    Office

    $284.42

    Facility

    $128.94

    $45.69 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 30560

    Office

    $368.00

    Facility

    $158.23

    $37.89 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 30560

    Office

    $328.81

    Facility

    $143.81

    $1.30 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 30560

    Office

    $336.93

    Facility

    $148.41

    $6.82 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 30560

    Office

    $318.41

    Facility

    $140.61

    $11.70 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 30560

    Office

    $291.61

    Facility

    $129.98

    $38.50 lower than Austin for the office setting.

  • Southern Maine

    Maine · 30560

    Office

    $310.57

    Facility

    $136.46

    $19.54 lower than Austin for the office setting.

  • Detroit

    Michigan · 30560

    Office

    $310.34

    Facility

    $140.80

    $19.77 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 30560

    Office

    $292.96

    Facility

    $132.56

    $37.15 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 30560

    Office

    $318.56

    Facility

    $137.77

    $11.55 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 30560

    Office

    $298.92

    Facility

    $133.95

    $31.19 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 30560

    Office

    $302.54

    Facility

    $135.28

    $27.57 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 30560

    Office

    $278.40

    Facility

    $126.96

    $51.71 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 30560

    Office

    $276.65

    Facility

    $125.38

    $53.46 lower than Austin for the office setting.

  • Montana**

    Montana · 30560

    Office

    $315.29

    Facility

    $139.60

    $14.82 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 30560

    Office

    $295.18

    Facility

    $131.26

    $34.93 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 30560

    Office

    $311.53

    Facility

    $135.85

    $18.58 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 30560

    Office

    $290.86

    Facility

    $128.70

    $39.25 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 30560

    Office

    $325.43

    Facility

    $142.53

    $4.68 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 30560

    Office

    $361.02

    Facility

    $157.22

    $30.91 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 30560

    Office

    $342.12

    Facility

    $150.27

    $12.01 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 30560

    Office

    $294.49

    Facility

    $133.38

    $35.62 lower than Austin for the office setting.

  • Nevada**

    Nevada · 30560

    Office

    $314.51

    Facility

    $138.65

    $15.60 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 30560

    Office

    $373.79

    Facility

    $164.90

    $43.68 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 30560

    Office

    $343.85

    Facility

    $151.47

    $13.74 higher than Austin for the office setting.

  • Queens

    New York · 30560

    Office

    $369.30

    Facility

    $161.63

    $39.19 higher than Austin for the office setting.

  • Rest Of New York

    New York · 30560

    Office

    $300.11

    Facility

    $133.21

    $30.00 lower than Austin for the office setting.

  • Ohio

    Ohio · 30560

    Office

    $292.20

    Facility

    $131.79

    $37.91 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 30560

    Office

    $285.41

    Facility

    $128.52

    $44.70 lower than Austin for the office setting.

  • Portland

    Oregon · 30560

    Office

    $343.91

    Facility

    $148.72

    $13.80 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 30560

    Office

    $312.35

    Facility

    $137.37

    $17.76 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 30560

    Office

    $328.21

    Facility

    $145.32

    $1.90 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 30560

    Office

    $293.13

    Facility

    $131.84

    $36.98 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 30560

    Office

    $318.14

    Facility

    $140.52

    $11.97 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 30560

    Office

    $324.22

    Facility

    $142.73

    $5.89 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 30560

    Office

    $294.12

    Facility

    $131.78

    $35.99 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 30560

    Office

    $311.09

    Facility

    $135.40

    $19.02 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 30560

    Office

    $288.14

    Facility

    $128.44

    $41.97 lower than Austin for the office setting.

  • Utah

    Utah · 30560

    Office

    $298.68

    Facility

    $133.54

    $31.43 lower than Austin for the office setting.

  • Virginia

    Virginia · 30560

    Office

    $308.91

    Facility

    $136.21

    $21.20 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 30560

    Office

    $318.14

    Facility

    $140.52

    $11.97 lower than Austin for the office setting.

  • Vermont

    Vermont · 30560

    Office

    $309.51

    Facility

    $135.58

    $20.60 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 30560

    Office

    $328.45

    Facility

    $143.45

    $1.66 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 30560

    Office

    $376.71

    Facility

    $161.14

    $46.60 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 30560

    Office

    $299.73

    Facility

    $131.42

    $30.38 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 30560

    Office

    $283.17

    Facility

    $130.49

    $46.94 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 30560

    Office

    $313.65

    Facility

    $137.97

    $16.46 lower than Austin for the office setting.

See how rates vary across the country

30560 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$274.69

$386.69

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$351.131
AL$279.271
AR$274.691
AZ$306.141
CA$338.64–$434.7329
CO$331.461
CT$337.991
DC$365.711
DE$311.681
FL$306.78–$335.923
GA$287.77–$320.972
GU$349.101
HI$349.101
IA$288.851
ID$290.661
IL$295.72–$327.694
IN$292.611
KS$286.601
KY$285.221
LA$284.42–$300.462
MA$328.81–$368.002
MD$318.41–$365.713
ME$291.61–$310.572
MI$292.96–$310.342
MN$318.561
MO$278.40–$302.543
MS$276.651
MT$315.291
NC$295.181
ND$311.531
NE$290.861
NH$325.431
NJ$342.12–$361.022
NM$294.491
NV$314.511
NY$300.11–$373.795
OH$292.201
OK$285.411
OR$312.35–$343.912
PA$293.13–$328.212
PR$318.141
RI$324.221
SC$294.121
SD$311.091
TN$288.141
TX$290.90–$330.118
UT$298.681
VA$308.91–$365.712
VI$318.141
VT$309.511
WA$328.45–$376.712
WI$299.731
WV$283.171
WY$313.651

Explore 30560 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 30560 in Austin, the physician’s office rate is $330.11 and the facility-setting rate is $144.23: a difference of $185.88.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 30560 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$363.12

$330.11 × 110% = $363.12

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 30560 in Austin.

PPRRVU2026_Oct_nonQPP.csv

3,453

Code
30560
Physician work
1.28
Practice expense
7.97
Malpractice
0.19

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 30560 in Austin
ComponentRVULocality factorAdjusted
Physician work1.28× 1.0021.2826
Practice expense7.97× 1.0588.4323
Malpractice0.19× 0.8860.1683
Total RVUs9.8832
Conversion factor× 33.4009

Office / nonfacility rate, Austin$330.11

Open 30560 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.281.002
Practice expense7.971.058
Malpractice0.190.886

(1.28 × 1.002 + 7.97 × 1.058 + 0.19 × 0.886) × $33.4009 = $330.11

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.281.002
Practice expense2.711.058
Malpractice0.190.886

(1.28 × 1.002 + 2.71 × 1.058 + 0.19 × 0.886) × $33.4009 = $144.23

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

30560 · Office / nonfacility

$330.11

Effective 2026-10-01

The base rate is $14.87 higher than on 2025-10-01, moving from $315.24 to $330.11 (4.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $315.24changed to$330.11

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.31 changed to 1.28
    • Practice expense RVU 7.89 changed to 7.97
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $315.24

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$330.11$144.23RVU26D
2026-07-01$330.11$144.23RVU26C
2026-04-01$330.11$144.23RVU26B
2026-01-01$330.11$144.23RVU26A
2025-10-01$315.24$150.81RVU25D
2025-07-01$315.24$150.81RVU25C
2025-04-01$315.24$150.81RVU25B
2025-01-01$315.24$150.81RVU25A

30560 billing questions

How is adhesion lysis different from septoplasty?

Adhesion lysis releases scar tissue joining surfaces inside the nose. Septoplasty repairs or reshapes the nasal septum; report it when that separate work is performed.

Can modifier 50 be used for adhesions on both sides?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in the procedure.

What documentation supports reporting this service?

Document the intranasal scar band’s location, the symptoms or obstruction prompting treatment, and the lysis performed.

How is this code paid when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures at 50%.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service, and 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 30560PPRRVU2026_Oct_nonQPP.csv, line 3,453 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet