No office rate
Choose 30220 for placement of a prosthetic button; 30630 describes surgical repair of a septal perforation.
On this page
CMS RVU26D · Effective 2026-10-01
30220 Septal button Medicare reimbursement rates in Delaware
Report nasal septal button placement when an otolaryngologist inserts a prosthetic obturator to manage a symptomatic septal perforation. Compare 30220 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 30220 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
$295.91
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$114.74
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
About 30220: Nasal septal button placement
Report nasal septal button placement when an otolaryngologist inserts a prosthetic obturator to manage a symptomatic septal perforation.
An otolaryngologist places a removable prosthetic obturator across a nasal septal perforation. The button can help reduce airflow through the opening and related symptoms such as whistling, dryness, crusting, or bleeding. Placement may be performed in an office or a facility after the clinician assesses the perforation and selects a suitable button. This service is prosthetic management of the opening, rather than surgical repair of the septum.
Report the insertion when the record supports a septal perforation and documents placement of the button. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same 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 code. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 30220
- 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 RVU1.55 · 17%
- Practice expense (office) RVU7.19 · 80%
- Malpractice RVU0.22 · 2%
526
Medicare services in 2024 · #3512 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.
30220 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
This code describes intranasal dermatoplasty, a surgical approach, whereas 30220 is for inserting a prosthetic obturator.
No office rate
30520 addresses septal deviation through septoplasty or submucous resection; it does not describe placement of a perforation button.
Compare 30220 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
$295.91
Facility
$114.74
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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 30220 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
3,417
- Code
- 30220
- Physician work
- 1.55
- Practice expense
- 7.19
- Malpractice
- 0.22
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.55 | × 1.005 | 1.5577 |
| Practice expense | 7.19 | × 0.988 | 7.1037 |
| Malpractice | 0.22 | × 0.899 | 0.1978 |
| Total RVUs | 8.8592 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$295.91
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.55 | 1.005 |
| Practice expense | 7.19 | 0.988 |
| Malpractice | 0.22 | 0.899 |
(1.55 × 1.005 + 7.19 × 0.988 + 0.22 × 0.899) × $33.4009 = $295.91
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.55 | 1.005 |
| Practice expense | 1.7 | 0.988 |
| Malpractice | 0.22 | 0.899 |
(1.55 × 1.005 + 1.7 × 0.988 + 0.22 × 0.899) × $33.4009 = $114.74
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.
30220 billing questions
When should this code be chosen instead of a septal perforation repair code?
Use this code for placement of a prosthetic button. A surgical procedure that closes or reconstructs the perforation is reported with the code that describes that repair.
Are visits during the 10-day global period separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
Should modifier 50 be appended for a perforation involving both sides of the septum?
No. Modifier 50 is inappropriate for this code based on its descriptor and anatomy.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard 50% multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. 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.
3,4143020F,,Lvf assess,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
3,41530210,,Nasal sinus therapy,A,,1.10,3.41,,1.64,,0.15,4.66,2.89,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4163021F,,Lvef mod/sever deprs syst,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
3,41730220,,Insert nasal septal button,A,,1.55,7.19,,1.70,,0.22,8.96,3.47,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4183022F,,Lvef >=40% systolic,M,,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
3,4193023F,,Spirom 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
3,4203025F,,Spirom fev/fvc <70% w/copd,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
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