30160 describes removal of the entire nose. Use 30150 when the operative resection removes only a portion.
On this page
CMS RVU26D · Effective 2026-10-01
30150 Nose resection Medicare reimbursement rates in Hawaii
Reports surgery removing part of the external nose, typically when disease requires resection beyond a limited nasal lesion excision. Compare 30150 office and facility rates across CMS payment localities in Hawaii.
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 30150 in Hawaii?
Hawaii 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
$746.86
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 30150: Partial surgical removal of the nose
Reports surgery removing part of the external nose, typically when disease requires resection beyond a limited nasal lesion excision.
This operation removes a portion of the external nose, rather than only sampling or excising a focal lesion. Otolaryngologists and head and neck surgeons commonly perform it in a hospital operating room for conditions such as nasal skin cancer when the involved tissue requires wider removal. The operative report should identify the extent and structures removed; reconstruction may be part of the overall treatment plan.
Select this code for partial removal, not complete removal of the nose or a limited lesion excision. Documentation should describe the resection and its medical indication. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 30150
- 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 RVU9.31 · 43%
- Practice expense (office) RVU10.76 · 50%
- Malpractice RVU1.41 · 7%
333
Medicare services in 2024 · #3912 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.
30150 compared with similar codes
Office rates for Hawaii, from the same CMS release.
30124 is for excision of a limited external nasal lesion. 30150 represents a more extensive partial removal of the nose.
30125 describes nasal lesion excision, not partial removal of the nose. Base the choice on the documented extent of the operation.
Compare 30150 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$746.86
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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 30150 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
3,406
- Code
- 30150
- Physician work
- 9.31
- Practice expense
- 10.76
- Malpractice
- 1.41
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.31 | × 1.000 | 9.3100 |
| Practice expense | 10.76 | × 1.137 | 12.2341 |
| Malpractice | 1.41 | × 0.579 | 0.8164 |
| Total RVUs | 22.3605 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$746.86
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.31 | 1 |
| Practice expense | 10.76 | 1.137 |
| Malpractice | 1.41 | 0.579 |
(9.31 × 1 + 10.76 × 1.137 + 1.41 × 0.579) × $33.4009 = $746.86
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.
30150 billing questions
How does partial removal differ from total removal?
Use 30150 when only part of the external nose is removed. Code 30160 describes removal of the entire nose.
Is this appropriate for a small nasal lesion?
A limited lesion excision is distinct from partial nasal resection. Choose the code that reflects the actual extent of tissue removed, as documented in the operative report.
Does the 90-day global period include postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is statutorily restricted. Co-surgeons are paid only with supporting documentation; team surgery is 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.
