Billing code 30930: Turbinate procedureMedicare rate & RVUs in Guam

Report therapeutic inferior turbinate outfracture when an otolaryngologist repositions enlarged turbinates to improve nasal airflow.

CMS RVU26DEffective Oct 1, 20261 payment locality4.3K Medicare services in 2024

CMS doesn’t publish an office rate for 30930 in Guam.

—Office (non-facility)
$114.59Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 30930 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Guam
  2. What 30930 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 30930 covers

An inferior turbinate outfracture repositions the turbinate laterally to enlarge the nasal airway while leaving the turbinate in place. Otolaryngologists typically perform it for nasal obstruction associated with enlarged inferior turbinates, in an office procedure setting or an operating room. It is a structural airway procedure, not treatment for an active nosebleed.

Document the obstruction, the inferior turbinate treated, the therapeutic intent, and the procedure performed. The code is priced as bilateral, so modifier 50 does not increase payment. Medicare assigns a 10-day global period, including related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

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.

30930 in Hawaii, Guam

30930 office and facility rates by payment locality
Payment localityOfficeFacility
Hawaii, GuamUnavailable$114.59

How the 30930 rate is calculated

Each of 30930’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 30930

RVUs × geographic indexes × conversion factor

Work1.28

1.28 RVUs× 1.000 GPCI

Practice expense1.80

1.80 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

3.2600

Conversion factor

$33.4009

Medicare rate

$108.89

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 30930

30930 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 30930

Turbinate procedure

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 30930

Turbinate procedure

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

30930 without 51 · national facility

$108.89

Turbinate procedure

30930-51 · Second procedure: 50%

$54.45

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

30930 compared with similar codes

Compare codes · National

4 codes, side by side

  • 30930

    Turbinate procedure1.28 wRVU

    Not priced

  • 30140

    Turbinate reduction2.93 wRVU

    $293.93

  • 30801

    Turbinate ablation1.11 wRVU

    $218.78

  • 30901

    Nosebleed control1.07 wRVU

    $165.67

How to choose

30140Turbinate reduction
Choose 30930 when the inferior turbinate is repositioned to improve airflow. Choose 30140 when turbinate tissue is resected.
30801Turbinate ablation
30930 repositions the turbinate; 30801 describes superficial ablation of turbinate tissue.
30901Nosebleed control
30930 treats nasal obstruction by repositioning an inferior turbinate. 30901 is for controlling nasal bleeding.

30930 billing questions

How is outfracture different from turbinate reduction?

Outfracture repositions the inferior turbinate to open the airway. Codes for resection or ablation describe tissue removal or destruction instead.

Should modifier 50 be added when both sides are treated?

No. The code is already priced as bilateral, and modifier 50 does not increase payment.

Are postoperative visits separately reported during the global period?

Related postoperative visits for 10 days are included in the code's minor-procedure global period.

Can this be reported with septoplasty?

It may be reported with septoplasty when both the turbinate obstruction and septal deviation are treated. If performed in the same session, the multiple-procedure payment reduction applies.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code. 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 30930PPRRVU2026_Oct_nonQPP.csv, line 3,488 (RVU26D)
Geographic factors for Hawaii, GuamGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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