$205.47
This code is for lavage by cannulation of the maxillary sinus; 30210 describes nasal or sinus irrigation or lavage more generally.
On this page
CMS RVU26D · Effective 2026-10-01
30210 Sinus therapy Medicare reimbursement rates in Hawaii
Reports nasal or sinus irrigation or lavage to clear secretions and material from the passages during treatment of a sinus condition. Compare 30210 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 30210 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
$169.14
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$101.92
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
About 30210: Nasal sinus irrigation or lavage
Reports nasal or sinus irrigation or lavage to clear secretions and material from the passages during treatment of a sinus condition.
This service covers therapeutic irrigation or lavage of the nasal or sinus passages, commonly to clear retained secretions or other material during treatment of sinus symptoms. Otolaryngologists and other clinicians who manage nasal and sinus conditions may perform it in an office or facility. The method matters: direct lavage through cannulation of a named sinus is described by separate site-specific codes rather than this general therapy code.
Report 30210 for the irrigation or lavage actually performed, with documentation identifying the treated area, technique, and clinical purpose. The service has a 10-day global period, so related postoperative visits during that 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. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted for this service.
CMS billing rules for 30210
- 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 RVU1.10 · 24%
- Practice expense (office) RVU3.41 · 73%
- Malpractice RVU0.15 · 3%
216
Medicare services in 2024 · #4259 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.
30210 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
This code is for lavage by cannulation of the frontal sinus; 30210 describes nasal or sinus irrigation or lavage more generally.
$121.31
30200 describes injection treatment of the nose. Choose 30210 when the service is irrigation or lavage rather than an injection.
$212.01
31231 is diagnostic nasal endoscopy, an examination rather than therapeutic irrigation or lavage.
Compare 30210 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
$169.14
Facility
$101.92
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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 30210 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
3,415
- Code
- 30210
- Physician work
- 1.10
- Practice expense
- 3.41
- Malpractice
- 0.15
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.10 | × 1.000 | 1.1000 |
| Practice expense | 3.41 | × 1.137 | 3.8772 |
| Malpractice | 0.15 | × 0.579 | 0.0868 |
| Total RVUs | 5.0640 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$169.14
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.1 | 1 |
| Practice expense | 3.41 | 1.137 |
| Malpractice | 0.15 | 0.579 |
(1.1 × 1 + 3.41 × 1.137 + 0.15 × 0.579) × $33.4009 = $169.14
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.1 | 1 |
| Practice expense | 1.64 | 1.137 |
| Malpractice | 0.15 | 0.579 |
(1.1 × 1 + 1.64 × 1.137 + 0.15 × 0.579) × $33.4009 = $101.92
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.
30210 billing questions
When should 30210 be used instead of 31000 or 31002?
Use 30210 for nasal or sinus irrigation or lavage. Use 31000 for lavage by cannulation of the maxillary sinus and 31002 for lavage by cannulation of the frontal sinus.
Can modifier 50 be reported for treatment of both sides?
No. Modifier 50 is inappropriate for 30210; the CMS bilateral adjustment does not apply to this service.
Are related postoperative visits separately reportable?
Related postoperative visits during the 10-day global period are included in the procedure.
How does the multiple-procedure rule affect 30210?
When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
What documentation supports reporting 30210?
Document the clinical reason for treatment, the nasal or sinus area treated, and the irrigation or lavage performed. If lavage was performed by cannulation of a named sinus, consider the corresponding site-specific code instead.
Can an assistant 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.
3,4123019F,,Lvef assess planpost dschrge,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
3,41330200,,Injection treatment of nose,A,,0.76,2.47,,0.75,,0.11,3.34,1.62,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014