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CMS RVU26D · Effective 2026-10-01

30600 in Beaumont

Office / nonfacility

$570.28

Base rate per service

Facility setting

$369.37

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 surgery

About 30600: Oronasal fistula closure

Repair an abnormal opening between the mouth and nasal cavity, commonly after cleft palate surgery, trauma, or tissue removal.

This operation closes an abnormal passage connecting the oral and nasal cavities. It may be needed for a persistent opening after cleft palate repair or after trauma or removal of tissue. The surgeon identifies the communication and closes it, often using adjacent tissue. Otolaryngologists, plastic surgeons, and oral and maxillofacial surgeons may perform the repair in a hospital or surgical facility, or in an appropriately equipped office setting.

Report 30600 when the documented defect is an oronasal fistula and the service closes that communication. The operative note should identify the oral and nasal sides of the opening and describe the repair. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 30600

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU6.01 · 33%
  • Practice expense (office) RVU11.28 · 62%
  • Malpractice RVU0.86 · 5%

119

Medicare services in 2024 · #4745 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.

30600 compared with similar codes

Office rates for Beaumont, from the same CMS release.

30580

Fistula repair

Upper jaw to sinus

$590.01

30600 closes a communication between the oral and nasal cavities; 30580 is for a nasolabial fistula.

30630

Septal repair

Complicated defect

No office rate

30630 addresses a nasal septal defect. Choose 30600 when the defect is an oronasal fistula.

30620

Intranasal reconstruction

Dermatoplasty with graft

No office rate

30620 describes intranasal reconstruction; 30600 specifically closes a passage between the mouth and nasal cavity.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 30600 is $625.21—$54.93 higher than the $570.28 rate in Beaumont. Both use the same code, release and participation basis.

30600 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $570.28

  2. Austin

    $625.21

    $54.93 higher than Beaumont

  3. Brazoria

    $598.12

    $27.84 higher than Beaumont

  4. Dallas

    $602.45

    $32.17 higher than Beaumont

  5. Fort Worth

    $599.05

    $28.77 higher than Beaumont

  6. Galveston

    $600.25

    $29.97 higher than Beaumont

  7. Houston

    $616.00

    $45.72 higher than Beaumont

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, 30600 ranges from $539.17 in Arkansas to $781.51 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 · 30600

    Office

    $584.23

    Facility

    $374.70

    $13.95 higher than Beaumont for the office setting.

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

    California · 30600

    Office

    $673.75

    Facility

    $412.57

    $103.47 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 30600

    Office

    $687.38

    Facility

    $427.30

    $117.10 higher than Beaumont for the office setting.

  • Miami

    Florida · 30600

    Office

    $665.59

    Facility

    $435.76

    $95.31 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 30600

    Office

    $646.71

    Facility

    $424.83

    $76.43 higher than Beaumont for the office setting.

  • Manhattan

    New York · 30600

    Office

    $696.94

    Facility

    $440.40

    $126.66 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 30600

    Office

    $718.19

    Facility

    $483.06

    $147.91 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 30600

    Office

    $546.66

    Facility

    $353.48

    $23.62 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 30600

    Office

    $539.17

    Facility

    $349.52

    $31.11 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 30600

    Office

    $590.41

    Facility

    $376.47

    $20.13 higher than Beaumont for the office setting.

  • Bakersfield

    California · 30600

    Office

    $634.98

    Facility

    $393.00

    $64.70 higher than Beaumont for the office setting.

  • Chico

    California · 30600

    Office

    $632.48

    Facility

    $390.50

    $62.20 higher than Beaumont for the office setting.

  • El Centro

    California · 30600

    Office

    $632.62

    Facility

    $390.65

    $62.34 higher than Beaumont for the office setting.

  • Fresno

    California · 30600

    Office

    $632.48

    Facility

    $390.50

    $62.20 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 30600

    Office

    $632.48

    Facility

    $390.50

    $62.20 higher than Beaumont for the office setting.

  • Madera

    California · 30600

    Office

    $632.48

    Facility

    $390.50

    $62.20 higher than Beaumont for the office setting.

  • Merced

    California · 30600

    Office

    $632.48

    Facility

    $390.50

    $62.20 higher than Beaumont for the office setting.

  • Modesto

    California · 30600

    Office

    $632.48

    Facility

    $390.50

    $62.20 higher than Beaumont for the office setting.

  • Napa

    California · 30600

    Office

    $724.55

    Facility

    $433.56

    $154.27 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 30600

    Office

    $669.59

    Facility

    $408.63

    $99.31 higher than Beaumont for the office setting.

  • Redding

    California · 30600

    Office

    $632.48

    Facility

    $390.50

    $62.20 higher than Beaumont for the office setting.

  • Rest Of California

    California · 30600

    Office

    $632.48

    Facility

    $390.50

    $62.20 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 30600

    Office

    $641.79

    Facility

    $399.81

    $71.51 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 30600

    Office

    $661.54

    Facility

    $404.77

    $91.26 higher than Beaumont for the office setting.

  • Salinas

    California · 30600

    Office

    $659.03

    Facility

    $403.14

    $88.75 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 30600

    Office

    $672.94

    Facility

    $408.89

    $102.66 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 30600

    Office

    $764.23

    Facility

    $452.93

    $193.95 higher than Beaumont for the office setting.

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

    California · 30600

    Office

    $763.25

    Facility

    $451.95

    $192.97 higher than Beaumont for the office setting.

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

    California · 30600

    Office

    $781.51

    Facility

    $463.14

    $211.23 higher than Beaumont for the office setting.

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

    California · 30600

    Office

    $777.52

    Facility

    $459.15

    $207.24 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 30600

    Office

    $648.68

    Facility

    $397.21

    $78.40 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 30600

    Office

    $678.12

    Facility

    $409.87

    $107.84 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 30600

    Office

    $661.06

    Facility

    $403.63

    $90.78 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 30600

    Office

    $684.82

    Facility

    $413.70

    $114.54 higher than Beaumont for the office setting.

  • Stockton

    California · 30600

    Office

    $632.48

    Facility

    $390.50

    $62.20 higher than Beaumont for the office setting.

  • Vallejo

    California · 30600

    Office

    $723.14

    Facility

    $432.16

    $152.86 higher than Beaumont for the office setting.

  • Visalia

    California · 30600

    Office

    $632.48

    Facility

    $390.50

    $62.20 higher than Beaumont for the office setting.

  • Yuba City

    California · 30600

    Office

    $632.48

    Facility

    $390.50

    $62.20 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 30600

    Office

    $626.46

    Facility

    $391.55

    $56.18 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 30600

    Office

    $645.28

    Facility

    $407.50

    $75.00 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 30600

    Office

    $599.81

    Facility

    $381.68

    $29.53 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 30600

    Office

    $634.33

    Facility

    $410.68

    $64.05 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 30600

    Office

    $604.10

    Facility

    $393.03

    $33.82 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 30600

    Office

    $618.63

    Facility

    $394.32

    $48.35 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 30600

    Office

    $571.05

    Facility

    $374.12

    $0.77 higher than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 30600

    Office

    $645.75

    Facility

    $394.72

    $75.47 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 30600

    Office

    $556.88

    Facility

    $354.87

    $13.40 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 30600

    Office

    $560.95

    Facility

    $357.83

    $9.33 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 30600

    Office

    $605.21

    Facility

    $402.09

    $34.93 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 30600

    Office

    $589.62

    Facility

    $388.05

    $19.34 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 30600

    Office

    $639.98

    Facility

    $413.24

    $69.70 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 30600

    Office

    $563.96

    Facility

    $359.30

    $6.32 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 30600

    Office

    $555.81

    Facility

    $356.22

    $14.47 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 30600

    Office

    $561.96

    Facility

    $365.69

    $8.32 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 30600

    Office

    $587.90

    Facility

    $380.15

    $17.62 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 30600

    Office

    $561.69

    Facility

    $366.30

    $8.59 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 30600

    Office

    $684.39

    Facility

    $420.78

    $114.11 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 30600

    Office

    $623.58

    Facility

    $391.09

    $53.30 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 30600

    Office

    $643.75

    Facility

    $406.85

    $73.47 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 30600

    Office

    $610.40

    Facility

    $386.97

    $40.12 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 30600

    Office

    $565.23

    Facility

    $362.11

    $5.05 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 30600

    Office

    $592.24

    Facility

    $373.44

    $21.96 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 30600

    Office

    $612.74

    Facility

    $399.69

    $42.46 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 30600

    Office

    $577.15

    Facility

    $375.58

    $6.87 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 30600

    Office

    $596.93

    Facility

    $369.75

    $26.65 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 30600

    Office

    $582.58

    Facility

    $375.27

    $12.30 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 30600

    Office

    $588.20

    Facility

    $378.02

    $17.92 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 30600

    Office

    $553.49

    Facility

    $363.17

    $16.79 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 30600

    Office

    $546.36

    Facility

    $356.27

    $23.92 lower than Beaumont for the office setting.

  • Montana**

    Montana · 30600

    Office

    $606.17

    Facility

    $385.39

    $35.89 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 30600

    Office

    $570.61

    Facility

    $364.63

    $0.33 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 30600

    Office

    $589.16

    Facility

    $368.38

    $18.88 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 30600

    Office

    $559.35

    Facility

    $355.57

    $10.93 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 30600

    Office

    $618.08

    Facility

    $388.25

    $47.80 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 30600

    Office

    $681.11

    Facility

    $425.00

    $110.83 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 30600

    Office

    $651.70

    Facility

    $410.61

    $81.42 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 30600

    Office

    $580.73

    Facility

    $378.27

    $10.45 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 30600

    Office

    $601.81

    Facility

    $380.81

    $31.53 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 30600

    Office

    $714.90

    Facility

    $452.39

    $144.62 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 30600

    Office

    $657.08

    Facility

    $415.33

    $86.80 higher than Beaumont for the office setting.

  • Queens

    New York · 30600

    Office

    $700.34

    Facility

    $439.38

    $130.06 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 30600

    Office

    $578.86

    Facility

    $369.12

    $8.58 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 30600

    Office

    $573.68

    Facility

    $372.11

    $3.40 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 30600

    Office

    $559.51

    Facility

    $362.35

    $10.77 lower than Beaumont for the office setting.

  • Portland

    Oregon · 30600

    Office

    $643.91

    Facility

    $398.62

    $73.63 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 30600

    Office

    $596.19

    Facility

    $376.29

    $25.91 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 30600

    Office

    $630.83

    Facility

    $401.00

    $60.55 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 30600

    Office

    $573.75

    Facility

    $371.08

    $3.47 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 30600

    Office

    $609.94

    Facility

    $386.73

    $39.66 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 30600

    Office

    $619.37

    Facility

    $391.31

    $49.09 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 30600

    Office

    $573.28

    Facility

    $369.28

    $3.00 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 30600

    Office

    $587.15

    Facility

    $366.37

    $16.87 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 30600

    Office

    $558.64

    Facility

    $357.95

    $11.64 lower than Beaumont for the office setting.

  • Utah

    Utah · 30600

    Office

    $580.69

    Facility

    $373.16

    $10.41 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 30600

    Office

    $591.38

    Facility

    $374.35

    $21.10 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 30600

    Office

    $609.94

    Facility

    $386.73

    $39.66 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 30600

    Office

    $588.27

    Facility

    $369.70

    $17.99 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 30600

    Office

    $621.94

    Facility

    $389.46

    $51.66 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 30600

    Office

    $696.53

    Facility

    $425.63

    $126.25 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 30600

    Office

    $570.52

    Facility

    $359.02

    $0.24 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 30600

    Office

    $569.25

    Facility

    $377.39

    $1.03 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 30600

    Office

    $598.76

    Facility

    $377.98

    $28.48 higher than Beaumont for the office setting.

See how rates vary across the country

30600 · 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.

$539.17

$718.19

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$718.191
AL$546.661
AR$539.171
AZ$590.411
CA$632.48–$781.5129
CO$626.461
CT$645.281
DC$687.381
DE$599.811
FL$604.10–$665.593
GA$571.05–$618.632
GU$645.751
HI$645.751
IA$556.881
ID$560.951
IL$589.62–$646.714
IN$563.961
KS$555.811
KY$561.961
LA$561.69–$587.902
MA$623.58–$684.392
MD$610.40–$687.383
ME$565.23–$592.242
MI$577.15–$612.742
MN$596.931
MO$553.49–$588.203
MS$546.361
MT$606.171
NC$570.611
ND$589.161
NE$559.351
NH$618.081
NJ$651.70–$681.112
NM$580.731
NV$601.811
NY$578.86–$714.905
OH$573.681
OK$559.511
OR$596.19–$643.912
PA$573.75–$630.832
PR$609.941
RI$619.371
SC$573.281
SD$587.151
TN$558.641
TX$570.28–$625.218
UT$580.691
VA$591.38–$687.382
VI$609.941
VT$588.271
WA$621.94–$696.532
WI$570.521
WV$569.251
WY$598.761

Explore 30600 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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 30600 in Beaumont, the physician’s office rate is $570.28 and the facility-setting rate is $369.37: a difference of $200.91.

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 30600 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$627.31

$570.28 × 110% = $627.31

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 30600 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

3,456

Code
30600
Physician work
6.01
Practice expense
11.28
Malpractice
0.86

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 30600 in Beaumont
ComponentRVULocality factorAdjusted
Physician work6.01× 1.0006.0100
Practice expense11.28× 0.91010.2648
Malpractice0.86× 0.9290.7989
Total RVUs17.0737
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$570.28

Open 30600 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.011
Practice expense11.280.91
Malpractice0.860.929

(6.01 × 1 + 11.28 × 0.91 + 0.86 × 0.929) × $33.4009 = $570.28

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.011
Practice expense4.670.91
Malpractice0.860.929

(6.01 × 1 + 4.67 × 0.91 + 0.86 × 0.929) × $33.4009 = $369.37

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

30600 · Office / nonfacility

$570.28

Effective 2026-10-01

The base rate is $89.18 higher than on 2025-10-01, moving from $481.10 to $570.28 (18.5%).

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

    $481.10changed to$570.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.16 changed to 6.01
    • Practice expense RVU 9.02 changed to 11.28
    • Malpractice RVU 0.60 changed to 0.86
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $481.10

    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$570.28$369.37RVU26D
2026-07-01$570.28$369.37RVU26C
2026-04-01$570.28$369.37RVU26B
2026-01-01$570.28$369.37RVU26A
2025-10-01$481.10$365.72RVU25D
2025-07-01$481.10$365.72RVU25C
2025-04-01$481.10$365.72RVU25B
2025-01-01$481.10$365.72RVU25A

30600 billing questions

How is an oronasal fistula different from a nasolabial fistula?

30600 is for a communication between the mouth and nasal cavity. Use 30580 when the documented defect is a nasolabial fistula.

What documentation supports reporting 30600?

Document the opening's location and its communication between the oral and nasal cavities, along with the closure performed.

Can modifier 50 be used for fistulas on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does the global period affect postoperative visits?

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

What if another procedure is performed during the same session?

CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full, and other procedures are reduced. Assistant-at-surgery payment requires documentation of medical necessity; 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 30600PPRRVU2026_Oct_nonQPP.csv, line 3,456 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet