No office rate
Both treat intranasal lesions by an internal approach. Choose 30118 when the documented work is extensive; 30117 describes the less extensive service.
On this page
CMS RVU26D · Effective 2026-10-01
30117 Intranasal lesion removal Medicare reimbursement rates in New Jersey
Report this service when a clinician removes or destroys a nonpolyp lesion inside the nasal passage through an internal approach. Compare 30117 office and facility rates across CMS payment localities in New Jersey.
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 30117 in New Jersey?
New Jersey 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
$1032.61–$1089.81
2 of 2 localities have a supported rate.
Facility setting
$402.35–$420.30
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.
Nasal surgery
About 30117: Intranasal lesion excision or destruction
Report this service when a clinician removes or destroys a nonpolyp lesion inside the nasal passage through an internal approach.
An otolaryngologist or other qualified surgeon uses an internal nasal approach to excise or destroy a lesion within the nasal passage. The service may be performed in an office procedure room or a facility operating room, depending on the lesion and the planned technique. This code is for a lesion treated through the nasal passage, not a lesion on the external nose or a nasal polyp handled under the polyp-removal codes.
Select the code based on the lesion and the work documented, including its intranasal location, the removal or destruction method, and the extent of treatment. The record should identify the target lesion and describe the service performed. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 30117
- 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 RVU3.81 · 13%
- Practice expense (office) RVU24.13 · 85%
- Malpractice RVU0.55 · 2%
17.5K
Medicare services in 2024 · #1197 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.
30117 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$152.71–$160.51
30100 is for diagnostic biopsy or sampling. Choose 30117 when the service removes or destroys the lesion.
$266.73–$280.31
30110 is for removal of nasal polyp or polyps. Use 30117 for a nonpolyp intranasal lesion.
No office rate
30124 is for a lesion on the external nose. 30117 is for a lesion inside the nasal passage treated through an internal approach.
Compare 30117 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
Northern Nj →
Office / nonfacility
$1089.81
Facility
$420.30
Rest Of New Jersey →
Office / nonfacility
$1032.61
Facility
$402.35
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
30117 billing questions
How does this differ from 30118?
Both address an intranasal lesion treated internally. Use 30118 when the documented removal or destruction is extensive; use 30117 for the less extensive service.
Can I report 30117 for a nasal polyp?
Use the nasal polyp removal codes when the treated target is a polyp. Codes 30110 and 30115 distinguish polyp removal by extent.
When is 30100 more appropriate?
30100 describes intranasal biopsy for diagnostic sampling. 30117 is for treatment by removing or destroying the lesion, rather than sampling it alone.
Should modifier 50 be appended for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so do not use 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 or co-surgeon be billed?
Assistant-at-surgery payment is restricted 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.
3,39430100,,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
3,40030120,,Revision of nose,A,,5.26,9.52,,5.20,,0.75,15.53,11.21,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00