Billing code 30320: Nasal foreign body removalMedicare rate & RVUs in Missouri
Reports operative removal of a nasal foreign body when the extraction is complicated, rather than a straightforward office removal or removal requiring general anesthesia.
CMS doesn’t publish an office rate for 30320 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 30320 covers
This service covers removal of a foreign object from the nose when the extraction is complicated, such as when an object is impacted or requires more involved operative manipulation than a straightforward intranasal extraction. Objects may include beads, food, or other material lodged in a nasal passage. An otolaryngologist or other qualified surgeon typically performs the procedure in an operating room or another setting equipped for surgical removal.
Select this code based on the complexity of the removal, not simply the object’s presence or the time spent. The operative note should identify the site and object and describe the difficulty and techniques that made the extraction complicated. A 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Do not report modifier 50 for this nasal procedure. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment 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.
Where 30320 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City | Unavailable | $435.64 |
| Metropolitan St. Louis | Unavailable | $439.83 |
| Rest Of Missouri | Unavailable | $413.97 |
How the 30320 rate is calculated
Each of 30320’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 · 30320
RVUs × geographic indexes × conversion factor
Work4.52
4.52 RVUs× 1.000 GPCI
Practice expense8.40
8.40 RVUs× 1.000 GPCI
Malpractice0.65
0.65 RVUs× 1.000 GPCI
Adjusted RVUs
13.5700
Conversion factor
$33.4009
Medicare rate
$453.25
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 30320
30320 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 30320
Nasal foreign body removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 30320
Nasal foreign body removal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
30320 without 51 · national facility
$453.25
Nasal foreign body removal
30320-51 · Second procedure: 50%
$226.63
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%).
30320 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 30300Nasal foreign-body removal
- Use 30300 for office-type intranasal removal. Use 30320 when the extraction itself is complicated and requires more involved operative manipulation.
- 30310Nasal foreign body removal
- 30310 is for intranasal removal requiring general anesthesia. 30320 identifies a complicated removal; the operative circumstances determine which code describes the service.
- 31231Nasal endoscopy
- 31231 reports diagnostic nasal endoscopy, not foreign-body extraction. Endoscopic visualization alone does not make a removal a diagnostic endoscopy service.
30320 billing questions
How is 30320 different from 30300?
30320 is for a complicated extraction. 30300 is the office-type removal for a less involved intranasal foreign body.
When should 30310 be considered instead?
30310 describes intranasal foreign-body removal requiring general anesthesia. Choose between these codes based on the applicable service and circumstances, not simply on whether the patient is a child.
What should the operative note document?
Document the foreign body's location, the nature of the extraction difficulty, and the operative manipulation or techniques used to remove it.
Can modifier 50 be reported?
No. Do not report modifier 50 for this nasal foreign-body removal.
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?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery payment are not permitted for this service.
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
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