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CMS RVU26D · Effective 2026-10-01

30200 in El Centro

Office / nonfacility

$118.22

Base rate per service

Facility setting

$55.26

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 30200: Injection treatment of nasal tissue

An otolaryngologist injects medication into nasal tissue, commonly a turbinate, to treat a documented nasal condition when injection rather than excision is performed.

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.

CMS billing rules for 30200

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU0.76 · 23%
  • Practice expense (office) RVU2.47 · 74%
  • Malpractice RVU0.11 · 3%

2.9K

Medicare services in 2024 · #2209 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.

30200 compared with similar codes

Office rates for El Centro, from the same CMS release.

30130

Turbinate excision

Inferior turbinate

No office rate

This code describes removal of inferior turbinate tissue. Choose 30200 when the performed treatment is an injection rather than tissue excision.

30140

Turbinate reduction

Submucosal tissue reduction

$306.44

This code describes submucous resection of the inferior turbinate. It is not the choice for an injection-only treatment.

30210

Sinus therapy

Irrigation or lavage

$164.91

30210 represents nasal or sinus therapy; 30200 is for medication injected into nasal tissue. Select based on the procedure actually performed.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 30200 is $118.52—$0.30 higher than the $118.22 rate in El Centro. Both use the same code, release and participation basis.

30200 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $118.22

  2. $0.30 higher than El Centro

  3. Chico

    $118.21

    $0.01 lower than El Centro

  4. Fresno

    $118.21

    $0.01 lower than El Centro

  5. $0.01 lower than El Centro

  6. $8.24 higher than El Centro

  7. Madera

    $118.21

    $0.01 lower than El Centro

Other payment areas listed in California 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, 30200 ranges from $98.14 in Arkansas to $149.11 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
  • Merced

    California · 30200

    Office

    $118.21

    Facility

    $55.24

    $0.01 lower than El Centro for the office setting.

  • Modesto

    California · 30200

    Office

    $118.21

    Facility

    $55.24

    $0.01 lower than El Centro for the office setting.

  • Napa

    California · 30200

    Office

    $137.59

    Facility

    $61.87

    $19.37 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 30200

    Office

    $125.90

    Facility

    $57.99

    $7.68 higher than El Centro for the office setting.

  • Redding

    California · 30200

    Office

    $118.21

    Facility

    $55.24

    $0.01 lower than El Centro for the office setting.

  • Rest Of California

    California · 30200

    Office

    $118.21

    Facility

    $55.24

    $0.01 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 30200

    Office

    $119.40

    Facility

    $56.43

    $1.18 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 30200

    Office

    $124.22

    Facility

    $57.40

    $6.00 higher than El Centro for the office setting.

  • Salinas

    California · 30200

    Office

    $123.76

    Facility

    $57.17

    $5.54 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 30200

    Office

    $126.81

    Facility

    $58.10

    $8.59 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 30200

    Office

    $145.81

    Facility

    $64.80

    $27.59 higher than El Centro for the office setting.

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

    California · 30200

    Office

    $145.68

    Facility

    $64.68

    $27.46 higher than El Centro for the office setting.

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

    California · 30200

    Office

    $149.11

    Facility

    $66.27

    $30.89 higher than El Centro for the office setting.

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

    California · 30200

    Office

    $148.60

    Facility

    $65.76

    $30.38 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 30200

    Office

    $121.75

    Facility

    $56.32

    $3.53 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 30200

    Office

    $128.12

    Facility

    $58.32

    $9.90 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 30200

    Office

    $124.26

    Facility

    $57.27

    $6.04 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 30200

    Office

    $129.43

    Facility

    $58.88

    $11.21 higher than El Centro for the office setting.

  • Stockton

    California · 30200

    Office

    $118.21

    Facility

    $55.24

    $0.01 lower than El Centro for the office setting.

  • Vallejo

    California · 30200

    Office

    $137.41

    Facility

    $61.69

    $19.19 higher than El Centro for the office setting.

  • Visalia

    California · 30200

    Office

    $118.21

    Facility

    $55.24

    $0.01 lower than El Centro for the office setting.

  • Yuba City

    California · 30200

    Office

    $118.21

    Facility

    $55.24

    $0.01 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 30200

    Office

    $128.03

    Facility

    $60.35

    $9.81 higher than El Centro for the office setting.

  • Miami

    Florida · 30200

    Office

    $120.56

    Facility

    $60.75

    $2.34 higher than El Centro for the office setting.

  • Chicago

    Illinois · 30200

    Office

    $116.91

    Facility

    $59.17

    $1.31 lower than El Centro for the office setting.

  • Manhattan

    New York · 30200

    Office

    $128.70

    Facility

    $61.95

    $10.48 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 30200

    Office

    $127.96

    Facility

    $66.78

    $9.74 higher than El Centro for the office setting.

  • Alabama

    Alabama · 30200

    Office

    $99.65

    Facility

    $49.38

    $18.57 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 30200

    Office

    $98.14

    Facility

    $48.80

    $20.08 lower than El Centro for the office setting.

  • Arizona

    Arizona · 30200

    Office

    $108.47

    Facility

    $52.80

    $9.75 lower than El Centro for the office setting.

  • Colorado

    Colorado · 30200

    Office

    $116.34

    Facility

    $55.21

    $1.88 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 30200

    Office

    $119.19

    Facility

    $57.32

    $0.97 higher than El Centro for the office setting.

  • Delaware

    Delaware · 30200

    Office

    $110.32

    Facility

    $53.56

    $7.90 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 30200

    Office

    $115.60

    Facility

    $57.40

    $2.62 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 30200

    Office

    $109.78

    Facility

    $54.86

    $8.44 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 30200

    Office

    $113.69

    Facility

    $55.32

    $4.53 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 30200

    Office

    $103.35

    Facility

    $52.11

    $14.87 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 30200

    Office

    $121.31

    Facility

    $55.99

    $3.09 higher than El Centro for the office setting.

  • Iowa

    Iowa · 30200

    Office

    $102.33

    Facility

    $49.76

    $15.89 lower than El Centro for the office setting.

  • Idaho

    Idaho · 30200

    Office

    $103.02

    Facility

    $50.17

    $15.20 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 30200

    Office

    $108.68

    Facility

    $55.83

    $9.54 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 30200

    Office

    $106.45

    Facility

    $54.00

    $11.77 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 30200

    Office

    $116.80

    Facility

    $57.80

    $1.42 lower than El Centro for the office setting.

  • Indiana

    Indiana · 30200

    Office

    $103.65

    Facility

    $50.39

    $14.57 lower than El Centro for the office setting.

  • Kansas

    Kansas · 30200

    Office

    $101.82

    Facility

    $49.88

    $16.40 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 30200

    Office

    $102.09

    Facility

    $51.02

    $16.13 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 30200

    Office

    $107.19

    Facility

    $53.13

    $11.03 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 30200

    Office

    $101.92

    Facility

    $51.07

    $16.30 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 30200

    Office

    $128.20

    Facility

    $59.61

    $9.98 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 30200

    Office

    $115.59

    Facility

    $55.10

    $2.63 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 30200

    Office

    $118.86

    Facility

    $57.22

    $0.64 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 30200

    Office

    $112.50

    Facility

    $54.36

    $5.72 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 30200

    Office

    $103.57

    Facility

    $50.72

    $14.65 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 30200

    Office

    $109.46

    Facility

    $52.53

    $8.76 lower than El Centro for the office setting.

  • Detroit

    Michigan · 30200

    Office

    $111.19

    Facility

    $55.75

    $7.03 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 30200

    Office

    $104.86

    Facility

    $52.40

    $13.36 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 30200

    Office

    $111.36

    Facility

    $52.25

    $6.86 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 30200

    Office

    $106.44

    Facility

    $52.50

    $11.78 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 30200

    Office

    $107.61

    Facility

    $52.91

    $10.61 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 30200

    Office

    $100.08

    Facility

    $50.56

    $18.14 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 30200

    Office

    $99.13

    Facility

    $49.67

    $19.09 lower than El Centro for the office setting.

  • Montana**

    Montana · 30200

    Office

    $111.55

    Facility

    $54.10

    $6.67 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 30200

    Office

    $104.71

    Facility

    $51.10

    $13.51 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 30200

    Office

    $109.38

    Facility

    $51.93

    $8.84 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 30200

    Office

    $102.92

    Facility

    $49.90

    $15.30 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 30200

    Office

    $114.48

    Facility

    $54.68

    $3.74 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 30200

    Office

    $126.61

    Facility

    $59.97

    $8.39 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 30200

    Office

    $120.52

    Facility

    $57.79

    $2.30 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 30200

    Office

    $105.45

    Facility

    $52.77

    $12.77 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 30200

    Office

    $111.03

    Facility

    $53.52

    $7.19 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 30200

    Office

    $131.92

    Facility

    $63.62

    $13.70 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 30200

    Office

    $121.31

    Facility

    $58.40

    $3.09 higher than El Centro for the office setting.

  • Queens

    New York · 30200

    Office

    $129.82

    Facility

    $61.92

    $11.60 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 30200

    Office

    $106.34

    Facility

    $51.77

    $11.88 lower than El Centro for the office setting.

  • Ohio

    Ohio · 30200

    Office

    $104.41

    Facility

    $51.96

    $13.81 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 30200

    Office

    $101.91

    Facility

    $50.61

    $16.31 lower than El Centro for the office setting.

  • Portland

    Oregon · 30200

    Office

    $120.18

    Facility

    $56.36

    $1.96 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 30200

    Office

    $110.14

    Facility

    $52.92

    $8.08 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 30200

    Office

    $116.11

    Facility

    $56.30

    $2.11 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 30200

    Office

    $104.59

    Facility

    $51.85

    $13.63 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 30200

    Office

    $112.41

    Facility

    $54.33

    $5.81 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 30200

    Office

    $114.37

    Facility

    $55.02

    $3.85 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 30200

    Office

    $104.74

    Facility

    $51.65

    $13.48 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 30200

    Office

    $109.12

    Facility

    $51.67

    $9.10 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 30200

    Office

    $102.35

    Facility

    $50.13

    $15.87 lower than El Centro for the office setting.

  • Austin

    Texas · 30200

    Office

    $115.98

    Facility

    $55.19

    $2.24 lower than El Centro for the office setting.

  • Beaumont

    Texas · 30200

    Office

    $103.87

    Facility

    $51.59

    $14.35 lower than El Centro for the office setting.

  • Brazoria

    Texas · 30200

    Office

    $110.21

    Facility

    $53.28

    $8.01 lower than El Centro for the office setting.

  • Dallas

    Texas · 30200

    Office

    $110.94

    Facility

    $53.72

    $7.28 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 30200

    Office

    $110.16

    Facility

    $53.51

    $8.06 lower than El Centro for the office setting.

  • Galveston

    Texas · 30200

    Office

    $110.55

    Facility

    $53.51

    $7.67 lower than El Centro for the office setting.

  • Houston

    Texas · 30200

    Office

    $112.57

    Facility

    $55.52

    $5.65 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 30200

    Office

    $107.00

    Facility

    $52.48

    $11.22 lower than El Centro for the office setting.

  • Utah

    Utah · 30200

    Office

    $106.23

    Facility

    $52.23

    $11.99 lower than El Centro for the office setting.

  • Virginia

    Virginia · 30200

    Office

    $109.08

    Facility

    $52.60

    $9.14 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 30200

    Office

    $112.41

    Facility

    $54.33

    $5.81 lower than El Centro for the office setting.

  • Vermont

    Vermont · 30200

    Office

    $108.92

    Facility

    $52.04

    $9.30 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 30200

    Office

    $115.38

    Facility

    $54.89

    $2.84 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 30200

    Office

    $130.88

    Facility

    $60.39

    $12.66 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 30200

    Office

    $105.55

    Facility

    $50.51

    $12.67 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 30200

    Office

    $102.34

    Facility

    $52.41

    $15.88 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 30200

    Office

    $110.60

    Facility

    $53.15

    $7.62 lower than El Centro for the office setting.

See how rates vary across the country

30200 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$98.14

$133.66

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$127.961
AL$99.651
AR$98.141
AZ$108.471
CA$118.21–$149.1129
CO$116.341
CT$119.191
DC$128.031
DE$110.321
FL$109.78–$120.563
GA$103.35–$113.692
GU$121.311
HI$121.311
IA$102.331
ID$103.021
IL$106.45–$116.914
IN$103.651
KS$101.821
KY$102.091
LA$101.92–$107.192
MA$115.59–$128.202
MD$112.50–$128.033
ME$103.57–$109.462
MI$104.86–$111.192
MN$111.361
MO$100.08–$107.613
MS$99.131
MT$111.551
NC$104.711
ND$109.381
NE$102.921
NH$114.481
NJ$120.52–$126.612
NM$105.451
NV$111.031
NY$106.34–$131.925
OH$104.411
OK$101.911
OR$110.14–$120.182
PA$104.59–$116.112
PR$112.411
RI$114.371
SC$104.741
SD$109.121
TN$102.351
TX$103.87–$115.988
UT$106.231
VA$109.08–$128.032
VI$112.411
VT$108.921
WA$115.38–$130.882
WI$105.551
WV$102.341
WY$110.601

Explore 30200 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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.

Why are the office and facility amounts different?

For 30200 in El Centro, the physician’s office rate is $118.22 and the facility-setting rate is $55.26: a difference of $62.96.

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 30200 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$130.04

$118.22 × 110% = $130.04

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 30200 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

3,413

Code
30200
Physician work
0.76
Practice expense
2.47
Malpractice
0.11

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 30200 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.76× 1.0170.7729
Practice expense2.47× 1.0962.7071
Malpractice0.11× 0.5410.0595
Total RVUs3.5396
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$118.22

Open 30200 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.761.017
Practice expense2.471.096
Malpractice0.110.541

(0.76 × 1.017 + 2.47 × 1.096 + 0.11 × 0.541) × $33.4009 = $118.22

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.761.017
Practice expense0.751.096
Malpractice0.110.541

(0.76 × 1.017 + 0.75 × 1.096 + 0.11 × 0.541) × $33.4009 = $55.26

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

30200 · Office / nonfacility

$118.22

Effective 2026-10-01

The base rate is $6.28 higher than on 2025-10-01, moving from $111.94 to $118.22 (5.6%).

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

    $111.94changed to$118.22

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.78 changed to 0.76
    • Practice expense RVU 2.38 changed to 2.47
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $111.94

    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$118.22$55.26RVU26D
2026-07-01$118.22$55.26RVU26C
2026-04-01$118.22$55.26RVU26B
2026-01-01$118.22$55.26RVU26A
2025-10-01$111.94$60.68RVU25D
2025-07-01$111.94$60.68RVU25C
2025-04-01$111.94$60.68RVU25B
2025-01-01$111.94$60.68RVU25A

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 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 30200PPRRVU2026_Oct_nonQPP.csv, line 3,413 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)