No office rate
30120 treats rhinophyma by removing or planing thickened nasal skin. Choose 30124 for excision of a discrete lesion on the nose.
On this page
CMS RVU26D · Effective 2026-10-01
30120 Rhinophyma surgery Medicare reimbursement rates in Rhode Island
Reports surgical removal or planing of thickened nasal skin to reshape the nose affected by rhinophyma, rather than removal of a discrete nasal lesion. Compare 30120 office and facility rates across CMS payment localities in Rhode Island.
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 30120 in Rhode Island?
Rhode Island 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
$529.84
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$380.79
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Nasal surgery
About 30120: Rhinophyma skin excision or planing
Reports surgical removal or planing of thickened nasal skin to reshape the nose affected by rhinophyma, rather than removal of a discrete nasal lesion.
This procedure removes or surgically planes thickened, irregular skin of the nose affected by rhinophyma, reshaping the involved nasal surface. It is typically performed by an otolaryngologist, facial plastic surgeon, plastic surgeon, or dermatologist with surgical expertise. The operative setting depends on the extent of tissue treatment and the surgeon’s approach; the defining feature is treatment of rhinophyma, not an intranasal growth or an isolated skin lesion.
Report 30120 when the documented service is excision or planing of rhinophyma-related nasal skin. The operative note should identify the rhinophyma and describe the treated area and the tissue work performed. CMS classifies this as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. 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% multiple-procedure reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 30120
- 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 RVU5.26 · 34%
- Practice expense (office) RVU9.52 · 61%
- Malpractice RVU0.75 · 5%
296
Medicare services in 2024 · #3998 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.
30120 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
30125 describes complicated excision of a nasal lesion. It is not the rhinophyma skin-removal or planing service represented by 30120.
No office rate
30118 concerns a lesion inside the nose. Code 30120 concerns rhinophyma-related skin on the nose's external surface.
Compare 30120 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
Rhode Island →
Office / nonfacility
$529.84
Facility
$380.79
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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 30120 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
3,400
- Code
- 30120
- Physician work
- 5.26
- Practice expense
- 9.52
- Malpractice
- 0.75
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.26 | × 1.019 | 5.3599 |
| Practice expense | 9.52 | × 1.033 | 9.8342 |
| Malpractice | 0.75 | × 0.892 | 0.6690 |
| Total RVUs | 15.8631 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$529.84
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.26 | 1.019 |
| Practice expense | 9.52 | 1.033 |
| Malpractice | 0.75 | 0.892 |
(5.26 × 1.019 + 9.52 × 1.033 + 0.75 × 0.892) × $33.4009 = $529.84
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.26 | 1.019 |
| Practice expense | 5.2 | 1.033 |
| Malpractice | 0.75 | 0.892 |
(5.26 × 1.019 + 5.2 × 1.033 + 0.75 × 0.892) × $33.4009 = $380.79
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.
30120 billing questions
When should 30120 be chosen instead of a nasal lesion excision code?
Use 30120 for surgical treatment of thickened nasal skin caused by rhinophyma. A discrete lesion excised from the nose is a different service.
Can a separate office visit be reported for the preoperative visit?
The day-before preoperative visit is included in the 90-day global period for this major surgery.
Does modifier 50 apply when both sides of the nose are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be billed?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What documentation supports reporting 30120?
Document rhinophyma and the nasal skin area treated, along with whether the surgeon excised or planed the affected tissue.
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.
3,39730117,,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
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537