No office rate
30630 identifies repair of a nasal septal perforation. Use 30620 when the documented service is intranasal dermatoplasty with graft tissue.
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CMS RVU26D · Effective 2026-10-01
30620 Intranasal reconstruction Medicare reimbursement rates in Michigan
Reconstructs a defect in the nasal lining with dermatoplasty and graft tissue, including graft procurement, when intranasal lining repair is performed. Compare 30620 office and facility rates across CMS payment localities in Michigan.
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 30620 in Michigan?
Michigan 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
No supported rate
Facility setting
$587.67–$624.19
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 surgery
About 30620: Intranasal lining reconstruction with graft
Reconstructs a defect in the nasal lining with dermatoplasty and graft tissue, including graft procurement, when intranasal lining repair is performed.
This operation rebuilds the lining of the nasal septum or another intranasal surface with dermatoplasty and graft tissue. The surgeon prepares the recipient area, obtains the graft as part of the operation, and places it to cover the defect. Otolaryngologists and other surgeons with appropriate nasal reconstructive expertise typically perform it in an operating room for a septal or other intranasal lining defect. The operative report should identify the reconstructed site and describe the graft and repair performed.
Report 30620 for the intranasal dermatoplasty service, rather than for a septal correction or a different nasal repair alone. Document the defect, recipient site, graft use, and operative work. 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 are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 30620
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.01 · 33%
- Practice expense (office) RVU11.60 · 63%
- Malpractice RVU0.88 · 5%
42
Medicare services in 2024 · #5463 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.
30620 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
30520 is septoplasty. It does not describe graft-based reconstruction of the intranasal lining; report both only when each distinct service is performed.
No office rate
30465 addresses repair of nasal vestibular stenosis. Choose 30620 for intranasal lining reconstruction with dermatoplasty and graft tissue.
Compare 30620 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
Detroit →
Office / nonfacility
Unavailable
Facility
$624.19
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$587.67
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30620 billing questions
How does 30620 differ from 30630?
30620 describes intranasal dermatoplasty using graft tissue. For a septal perforation repair, select the code that matches the repair actually performed and documented; 30630 identifies nasal septal perforation repair.
Is graft procurement separately reported?
Graft procurement is included in 30620. The operative note should support the graft and intranasal reconstruction performed.
Should modifier 50 be used for both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so do not append modifier 50.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be paid?
CMS lists a statutory restriction on assistant-at-surgery payment 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 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.
3,45630600,,Repair mouth/nose fistula,A,,6.01,11.28,,4.67,,0.86,18.15,11.54,0,090,0.10,0.76,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4573060F,,Pos microalbuminuria 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
3,4583061F,,Neg microalbuminuria 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
3,45930620,,Intranasal reconstruction,A,,6.01,11.60,NA,11.60,,0.88,18.49,18.49,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4603062F,,Pos macroalbuminuria 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
3,46130630,,Repair nasal septum defect,A,,7.11,10.02,NA,10.02,,1.07,18.20,18.20,0,090,0.10,0.76,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4623066F,,Nephropathy doc tx,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