This code is for internal nasal drainage outside the septum; 30020 is selected when the documented collection involves the nasal septum.
On this page
CMS RVU26D · Effective 2026-10-01
30000 Nasal drainage Medicare reimbursement rates in Maine
Reports internal drainage of an intranasal abscess or hematoma, with the nasal septum distinction guiding selection of the related drainage code. Compare 30000 office and facility rates across CMS payment localities in Maine.
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 30000 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$242.36–$257.08
2 of 2 localities have a supported rate.
Facility setting
$103.47–$107.47
2 of 2 localities have a supported rate.
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 procedure
About 30000: Intranasal abscess or hematoma drainage
Reports internal drainage of an intranasal abscess or hematoma, with the nasal septum distinction guiding selection of the related drainage code.
CPT 30000 describes drainage of an abscess or hematoma inside the nose through an internal approach. Otolaryngologists commonly perform it when a nasal collection requires evacuation; the operative record should identify the site and the drainage performed. The nasal septum has a separate drainage code, so confirm the documented location before selecting this code.
Report the service for drainage, not for diagnostic sampling or removal of a different nasal lesion. Document the collection, its location, the approach, and the procedure performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one 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. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 30000
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.44 · 18%
- Practice expense (office) RVU6.18 · 79%
- Malpractice RVU0.21 · 3%
208
Medicare services in 2024 · #4289 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.
30000 compared with similar codes
Office rates for Maine, from the same CMS release.
30100 is for intranasal biopsy when tissue is sampled for diagnosis; 30000 is for draining an abscess or hematoma.
30110 describes removal of a nasal polyp, not drainage of an intranasal abscess or hematoma.
Compare 30000 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$242.36
Facility
$103.47
Southern Maine →
Office / nonfacility
$257.08
Facility
$107.47
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30000 billing questions
How do I distinguish 30000 from 30020?
Use 30000 for internal drainage of a nasal abscess or hematoma when the documented site is not the nasal septum. Use 30020 for drainage involving the nasal septum.
Can a related postoperative visit be billed separately?
Related postoperative visits during the 10-day global period are included in the procedure.
Can modifier 50 be used for drainage on both sides?
No. CMS identifies modifier 50 as inappropriate for this code because of its descriptor or anatomy.
How does payment change when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
What documentation supports assistant-at-surgery payment?
Document the medical necessity of the assistant. CMS permits assistant-at-surgery payment only when that necessity is documented.
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.
