$227.86
Use 30110 for simple nasal polyp removal. Use 30115 when the operative documentation supports extensive removal.
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CMS RVU26D · Effective 2026-10-01
30115 Nasal polypectomy Medicare reimbursement rates in Nebraska
Reports extensive surgical removal of nasal polyps, such as broadly distributed polyposis causing nasal obstruction, when the work exceeds a simple polypectomy. Compare 30115 office and facility rates across CMS payment localities in Nebraska.
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 30115 in Nebraska?
Nebraska 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
$400.01
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 30115: Extensive nasal polyp removal
Reports extensive surgical removal of nasal polyps, such as broadly distributed polyposis causing nasal obstruction, when the work exceeds a simple polypectomy.
An otolaryngologist removes an extensive burden of nasal polyps from the nasal cavity using intranasal instruments, often with endoscopic visualization. The service may be performed for clinically significant polyposis, such as multiple or broadly distributed polyps contributing to nasal obstruction. This code addresses nasal polyps, not an unrelated intranasal mass or turbinate tissue.
Select 30115 when the operative note supports extensive rather than simple polyp removal; document the involved nasal areas, extent of disease, approach, and tissue removed. This major surgery has a 90-day global period, including 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 at 50%. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 30115
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU4.33 · 33%
- Practice expense (office) RVU8.03 · 62%
- Malpractice RVU0.62 · 5%
568
Medicare services in 2024 · #3446 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.
30115 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$130.41
30100 reports an intranasal biopsy. It is not the therapeutic removal of an extensive burden of nasal polyps.
$878.11
30117 addresses excision or destruction of an intranasal lesion; 30115 is specific to extensive nasal polyp removal.
$245.81
31237 describes a surgical nasal or sinus endoscopy service involving biopsy, polypectomy, or debridement. Distinguish it from the extensive nasal polyp excision reported with 30115 based on the documented procedure.
Compare 30115 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$400.01
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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 30115 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,396
- Code
- 30115
- Physician work
- 4.33
- Practice expense
- 8.03
- Malpractice
- 0.62
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.33 | × 1.000 | 4.3300 |
| Practice expense | 8.03 | × 0.923 | 7.4117 |
| Malpractice | 0.62 | × 0.378 | 0.2344 |
| Total RVUs | 11.9761 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$400.01
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.33 | 1 |
| Practice expense | 8.03 | 0.923 |
| Malpractice | 0.62 | 0.378 |
(4.33 × 1 + 8.03 × 0.923 + 0.62 × 0.378) × $33.4009 = $400.01
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.
30115 billing questions
How does 30115 differ from 30110?
30115 is for extensive nasal polyp removal; 30110 is the simple polypectomy code. Document the extent and work performed rather than relying on polyp count alone.
When is modifier 50 appropriate?
Use modifier 50 for bilateral polyp removal when the service is performed on both sides. CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What should the operative note support?
Document that the tissue removed was nasal polyps, the involved areas, the extent of the polyposis, and the work and approach used to remove it.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 30115. 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.
3,3933008F,,Body mass index docd,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
3,39430100,,Intranasal biopsy,A,,0.92,3.18,,0.78,,0.13,4.23,1.83,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,39530110,,Removal of nose polyp(s),A,,1.64,5.52,,1.72,,0.23,7.39,3.59,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,39630115,,Removal of nose polyp(s),A,,4.33,8.03,NA,8.03,,0.62,12.98,12.98,0,090,0.10,0.76,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,39730117,,Removal of intranasal lesion,A,,3.81,24.13,,6.85,,0.55,28.49,11.21,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,39830118,,Removal of intranasal lesion,A,,7.56,10.38,NA,10.38,,1.11,19.05,19.05,0,090,0.10,0.76,0.14,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,3993011F,,Lipid panel doc 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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068