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CMS RVU26D · Effective 2026-10-01

30160 Rhinectomy Medicare reimbursement rates in Ohio

Reports complete surgical removal of the external nose, generally for extensive disease when excision is more extensive than a partial rhinectomy. Compare 30160 office and facility rates across CMS payment localities in Ohio.

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 30160 in Ohio?

Ohio 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

$697.60

1 of 1 localities have a supported rate.

Payment area: Ohio

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.

Find 30160 in your payment locality →

Otolaryngology surgery

About 30160: Total surgical removal of the nose

Reports complete surgical removal of the external nose, generally for extensive disease when excision is more extensive than a partial rhinectomy.

A total rhinectomy removes the external nose in its entirety. Otolaryngologists and head and neck surgeons typically perform it in a hospital operating room, often to treat extensive nasal malignancy. The operative report should establish that the resection removed the whole external nose rather than a localized nasal lesion or only part of the nose.

Select this code based on the documented extent of resection, not simply the diagnosis or the size of a lesion. The procedure has 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 30160

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
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU9.74 · 45%
  • Practice expense (office) RVU10.64 · 49%
  • Malpractice RVU1.42 · 7%

43

Medicare services in 2024 · #5448 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.

30160 compared with similar codes

Office rates for Ohio, from the same CMS release.

30150

Nose resection

Partial resection

No office rate

30150 describes partial nose removal. Choose 30160 only when the operative report supports removal of the entire external nose.

30124

Nasal lesion removal

External approach

No office rate

30124 is for a localized nasal lesion excision; it does not represent total removal of the external nose.

30117

Intranasal lesion removal

Internal approach

$881.62

30117 addresses removal of an intranasal lesion. 30160 is for complete removal of the external nose.

Compare 30160 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

Office and facility base rates · shared scale starting at $0
  • Ohio →

    Office / nonfacility

    Unavailable

    Facility

    $697.60

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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 30160 in Ohio.

PPRRVU2026_Oct_nonQPP.csv

3,408

Code
30160
Physician work
9.74
Practice expense
10.64
Malpractice
1.42

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Facility calculation for 30160 in Ohio
ComponentRVULocality factorAdjusted
Physician work9.74× 1.0009.7400
Practice expense10.64× 0.9139.7143
Malpractice1.42× 1.0081.4314
Total RVUs20.8857
Conversion factor× 33.4009

Facility rate, Ohio$697.60

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work9.741
Practice expense10.640.913
Malpractice1.421.008

(9.74 × 1 + 10.64 × 0.913 + 1.42 × 1.008) × $33.4009 = $697.60

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.

30160 billing questions

How does total rhinectomy differ from partial rhinectomy?

Use 30160 when the operative documentation supports removal of the entire external nose. Use 30150 when only part of the nose is removed.

Can a localized nasal lesion excision be reported as 30160?

No. A limited external nasal lesion excision is different from removal of the entire nose; select the code that reflects the documented extent of surgery.

Should modifier 50 be appended for bilateral work?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What global period applies?

The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.

How are assistant and co-surgeon services handled?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How does the multiple-procedure reduction affect another same-session service?

The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard 50% reduction.

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.

RVUs for 30160PPRRVU2026_Oct_nonQPP.csv, line 3,408 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)