30420
No office rateReconstruction of nose
CPT 30420 includes major septal repair as part of primary rhinoplasty. Use 30520 for septal correction without that broader rhinoplasty service.
On this page
CMS RVU26D · Effective 2026-10-01
30520 Septoplasty Medicare reimbursement rates in Alabama
Septoplasty corrects a deviated nasal septum causing obstruction or other documented symptoms, without the broader nasal reshaping included in rhinoplasty. Compare 30520 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 30520 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$554.68
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
ENT surgery
About 30520: Septal repair for nasal obstruction
Septoplasty corrects a deviated nasal septum causing obstruction or other documented symptoms, without the broader nasal reshaping included in rhinoplasty.
CPT 30520 describes surgery to correct a deviated nasal septum, generally by reshaping, repositioning, or removing obstructing septal cartilage or bone. Otolaryngologists and facial plastic surgeons commonly perform it for symptomatic nasal obstruction related to septal deviation, including deviation after trauma. The operation may take place in a hospital or ambulatory surgery setting.
Report the service when the operative work addresses the septum itself; document the deviation, symptoms or functional problem, and corrective work performed. A separate inferior turbinate procedure, such as 30140, may be reported when independently performed and documented. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 30520
- 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
- 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 RVU6.83 · 37%
- Practice expense (office) RVU10.52 · 57%
- Malpractice RVU1.01 · 6%
27.6K
Medicare services in 2024 · #1002 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.
30520 compared with similar codes
Office rates for Alabama, from the same CMS release.
$264.98
CPT 30140 addresses the inferior turbinate, not the septum. It may be separately reported with 30520 when both procedures are performed and documented.
No office rate
CPT 30540 repairs choanal atresia, a congenital posterior nasal passage obstruction; 30520 corrects a deviated septum.
Compare 30520 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$554.68
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 30520 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
3,448
- Code
- 30520
- Physician work
- 6.83
- Practice expense
- 10.52
- Malpractice
- 1.01
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.83 | × 1.000 | 6.8300 |
| Practice expense | 10.52 | × 0.875 | 9.2050 |
| Malpractice | 1.01 | × 0.566 | 0.5717 |
| Total RVUs | 16.6067 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$554.68
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.83 | 1 |
| Practice expense | 10.52 | 0.875 |
| Malpractice | 1.01 | 0.566 |
(6.83 × 1 + 10.52 × 0.875 + 1.01 × 0.566) × $33.4009 = $554.68
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.
30520 billing questions
When is 30520 used instead of 30420?
Use 30520 for septal correction performed as the septal operation. CPT 30420 describes primary rhinoplasty that includes major septal repair; when that broader operation is performed, the septal work is included in that code.
Can 30520 be reported with inferior turbinate surgery?
It may be reported with 30140 when the surgeon performs a distinct submucous resection of the inferior turbinate in addition to septal correction. Document the separate work; same-session multiple-procedure payment reduction applies.
Should modifier 50 be appended for bilateral nasal obstruction?
No. CMS identifies bilateral adjustment as inappropriate for 30520. The septum is midline, so report the septal repair once rather than as a bilateral service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Related routine follow-up during that period is part of the surgical service.
What should the operative documentation establish?
Document the septal deviation and its clinical significance, along with the corrective septal work performed. If another nasal procedure is billed separately, the record should support that distinct procedure as well.
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.
3,4453049F,,Ldl-c 100-129 mg/dl,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4463050F,,Ldl-c >= 130 mg/dl,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4473051F,,Hg a1c>equal 7.0%<8.0%,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,44830520,,Repair of nasal septum,A,,6.83,10.52,NA,10.52,,1.01,18.36,18.36,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4493052F,,Hg a1c>equal 8.0%<equal 9.0%,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,45030540,,Rpr choanal atresia ntranasl,A,,7.72,11.29,NA,11.29,,1.13,20.14,20.14,0,090,0.10,0.76,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,45130545,,Rpr choanal atresia trsnpltn,A,,11.33,14.03,NA,14.03,,1.65,27.01,27.01,0,090,0.10,0.76,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515