$940.70
Both address intranasal lesions. Choose 30118 when the lesion is reached through an external approach; choose 30117 for an internal approach.
On this page
CMS RVU26D · Effective 2026-10-01
30118 Nasal lesion removal Medicare reimbursement rates in Delaware
Reports surgical removal or destruction of a lesion inside the nose when the surgeon reaches it through an external approach. Compare 30118 office and facility rates across CMS payment localities in Delaware.
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 30118 in Delaware?
Delaware 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
$629.64
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Otolaryngology surgery
About 30118: Intranasal lesion removal, external approach
Reports surgical removal or destruction of a lesion inside the nose when the surgeon reaches it through an external approach.
An otolaryngologist uses an external surgical approach to remove or destroy a lesion located within the nasal cavity. The approach distinguishes this service from treatment performed entirely through the nostril. It may be performed in an office procedure setting or a facility, depending on the lesion and operative plan. The operative report should identify the intranasal location, describe the approach and technique, and document the work performed.
Choose this code for an intranasal lesion treated through an external approach, not for a biopsy alone or routine nasal polyp removal. CMS assigns a 90-day global period: the related preoperative visit on the day before surgery and related postoperative care during the following 90 days are included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 30118
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.56 · 40%
- Practice expense (office) RVU10.38 · 54%
- Malpractice RVU1.11 · 6%
66
Medicare services in 2024 · #5180 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.
30118 compared with similar codes
Office rates for Delaware, from the same CMS release.
$244.12
30110 is for simple removal of nasal polyp(s). Use 30118 for an intranasal lesion treated through an external approach, not routine polypectomy.
No office rate
30115 describes extensive nasal polyp removal. 30118 concerns an intranasal lesion approached externally, rather than polyp-removal extent.
$139.73
30100 is for biopsy of an intranasal lesion. Use 30118 when the service removes or destroys the lesion rather than sampling it alone.
Compare 30118 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
Delaware →
Office / nonfacility
Unavailable
Facility
$629.64
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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 30118 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
3,398
- Code
- 30118
- Physician work
- 7.56
- Practice expense
- 10.38
- Malpractice
- 1.11
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.56 | × 1.005 | 7.5978 |
| Practice expense | 10.38 | × 0.988 | 10.2554 |
| Malpractice | 1.11 | × 0.899 | 0.9979 |
| Total RVUs | 18.8511 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$629.64
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.56 | 1.005 |
| Practice expense | 10.38 | 0.988 |
| Malpractice | 1.11 | 0.899 |
(7.56 × 1.005 + 10.38 × 0.988 + 1.11 × 0.899) × $33.4009 = $629.64
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.
30118 billing questions
How does 30118 differ from 30117?
Both concern an intranasal lesion, but 30118 is for an external approach; 30117 is for an internal approach through the nose.
Can 30118 be used for a nasal polyp?
Use the nasal polyp removal code that matches the documented service rather than 30118. Codes 30110 and 30115 distinguish polyp removal by extent.
Is a biopsy reported with 30118?
30118 represents removal or destruction, not sampling alone. For an intranasal biopsy without removal, consider 30100.
Does 30118 include postoperative visits?
Yes. Its 90-day global period includes the related preoperative visit on the day before surgery and related postoperative care during the 90 days after surgery.
Should modifier 50 be appended for both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, with the other procedures subject to the standard multiple procedure reduction. An assistant at surgery is not paid; co-surgeons require supporting documentation.
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.
3,39530110,,Removal of nose polyp(s),A,,1.64,5.52,,1.72,,0.23,7.39,3.59,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,39630115,,Removal of nose polyp(s),A,,4.33,8.03,NA,8.03,,0.62,12.98,12.98,0,090,0.10,0.76,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,39730117,,Removal of intranasal lesion,A,,3.81,24.13,,6.85,,0.55,28.49,11.21,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,39830118,,Removal of intranasal lesion,A,,7.56,10.38,NA,10.38,,1.11,19.05,19.05,0,090,0.10,0.76,0.14,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,3993011F,,Lipid panel doc rev,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
3,40030120,,Revision of nose,A,,5.26,9.52,,5.20,,0.75,15.53,11.21,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,40130124,,Removal of nose lesion,A,,3.12,4.80,NA,4.80,,0.45,8.37,8.37,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503