No office rate
Use 30560 for releasing intranasal scar bands. Use 30520 when the surgeon repairs or reshapes the nasal septum.
On this page
CMS RVU26D · Effective 2026-10-01
30560 Nasal adhesion lysis Medicare reimbursement rates in Pennsylvania
Reports surgical release of scar bands inside the nose, such as adhesions between the septum and lateral nasal wall that obstruct airflow. Compare 30560 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 30560 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
$293.13–$328.21
2 of 2 localities have a supported rate.
Facility setting
$131.84–$145.32
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
About 30560: Intranasal adhesion lysis
Reports surgical release of scar bands inside the nose, such as adhesions between the septum and lateral nasal wall that obstruct airflow.
Intranasal synechiae are scar bands that join surfaces inside the nasal cavity, often after nasal surgery or trauma. An otolaryngologist releases the adhesion by cutting or separating the scar tissue to restore an open passage. The procedure may be performed in an office or operating room, depending on the extent of the adhesion and the treatment plan.
Report this service when the surgeon performs therapeutic lysis, not for inspection alone. The operative note should identify the adhesion’s location, the work performed, and the reason for treatment. This minor procedure has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 30560
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU1.28 · 14%
- Practice expense (office) RVU7.97 · 84%
- Malpractice RVU0.19 · 2%
685
Medicare services in 2024 · #3286 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.
30560 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$278.24–$305.91
Use 30140 for submucous reduction of the inferior turbinate, not for releasing an adhesion between nasal surfaces.
$180.61–$201.31
31231 describes diagnostic nasal endoscopy. It does not represent surgical release of an intranasal adhesion.
Compare 30560 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
$328.21
Facility
$145.32
Rest Of Pennsylvania →
Office / nonfacility
$293.13
Facility
$131.84
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30560 billing questions
How is adhesion lysis different from septoplasty?
Adhesion lysis releases scar tissue joining surfaces inside the nose. Septoplasty repairs or reshapes the nasal septum; report it when that separate work is performed.
Can modifier 50 be used for adhesions on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
What documentation supports reporting this service?
Document the intranasal scar band’s location, the symptoms or obstruction prompting treatment, and the lysis performed.
How is this code paid when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures at 50%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service, and 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.
3,45030540,,Rpr choanal atresia ntranasl,A,,7.72,11.29,NA,11.29,,1.13,20.14,20.14,0,090,0.10,0.76,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,45130545,,Rpr choanal atresia trsnpltn,A,,11.33,14.03,NA,14.03,,1.65,27.01,27.01,0,090,0.10,0.76,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4523055F,,Lvef less than/equal to 35%,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
3,45330560,,Lysis intranasal synechia,A,,1.28,7.97,,2.71,,0.19,9.44,4.18,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4543056F,,Lvef greater than 35%,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
3,45530580,,Repair upper jaw fistula,A,,6.71,11.16,,5.00,,0.86,18.73,12.57,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,45630600,,Repair mouth/nose fistula,A,,6.01,11.28,,4.67,,0.86,18.15,11.54,0,090,0.10,0.76,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00