No office rate
30124 describes a more limited nasal dermoid cyst excision. Choose 30125 when the operative extent supports extensive removal involving deeper structures such as cartilage or bone.
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CMS RVU26D · Effective 2026-10-01
30125 Nasal lesion excision Medicare reimbursement rates in Pennsylvania
Reports extensive excision of a nasal dermoid cyst when removal involves deeper nasal tissues, including cartilage or bone, rather than a limited lesion procedure. Compare 30125 office and facility rates across CMS payment localities in Pennsylvania.
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 30125 in Pennsylvania?
Pennsylvania 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
$562.86–$614.95
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 30125: Extensive nasal dermoid cyst excision
Reports extensive excision of a nasal dermoid cyst when removal involves deeper nasal tissues, including cartilage or bone, rather than a limited lesion procedure.
This code describes extensive removal of a dermoid cyst of the nose involving deeper structures such as cartilage or bone. It is generally performed by an otolaryngologist or facial plastic surgeon in an operating-room setting. The operative report should identify the nasal lesion, describe the extent of dissection and tissues removed, and support why the excision was extensive rather than a limited removal. It is distinct from procedures directed at intranasal polyps or lesions.
Report the code for the extensive excision, not a biopsy or a more limited nasal cyst excision. The day-before preoperative visit and 90 days of related postoperative care are included in its 90-day global period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 30125
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.12 · 40%
- Practice expense (office) RVU9.52 · 54%
- Malpractice RVU1.05 · 6%
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.
30125 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$884.49–$990.47
30117 addresses removal of an intranasal lesion. 30125 is for extensive excision of a nasal dermoid cyst, not a lesion approached within the nasal cavity.
No office rate
30118 is the extensive intranasal-lesion procedure. Use 30125 for an extensive nasal dermoid cyst excision involving deeper nasal structures.
$132.34–$147.03
30100 reports an intranasal biopsy for tissue sampling. 30125 reports extensive excision of a nasal dermoid cyst rather than diagnostic sampling.
Compare 30125 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$614.95
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$562.86
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30125 billing questions
How does this differ from 30124?
30125 is for an extensive nasal dermoid cyst excision involving deeper structures such as cartilage or bone. Use 30124 for the more limited excision described by that code.
Is this the code for removing an intranasal lesion?
No. This code describes extensive excision of a nasal dermoid cyst; codes such as 30117 and 30118 address intranasal lesions.
What operative documentation supports 30125?
Document the lesion and the extent of excision, including the dissection and involvement or removal of cartilage or bone that supports an extensive procedure.
Does the code have a 90-day global period?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included.
Can modifier 50 be used for bilateral work?
No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid, but 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.
3,3993011F,,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
3,40130124,,Removal of nose lesion,A,,3.12,4.80,NA,4.80,,0.45,8.37,8.37,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,40230125,,Removal of nose lesion,A,,7.12,9.52,NA,9.52,,1.05,17.69,17.69,0,090,0.10,0.76,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,40330130,,Excise inferior turbinate,A,,3.38,7.91,NA,7.91,,0.48,11.77,11.77,0,090,0.10,0.76,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,40430140,,Resect inferior turbinate,A,,2.93,5.44,,1.23,,0.43,8.80,4.59,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4053014F,,Screen mammo 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