No office rate
This code describes removal of inferior turbinate tissue. Choose 30200 when the performed treatment is an injection rather than tissue excision.
On this page
CMS RVU26D · Effective 2026-10-01
30200 Nasal injection Medicare reimbursement rates in Rhode Island
An otolaryngologist injects medication into nasal tissue, commonly a turbinate, to treat a documented nasal condition when injection rather than excision is performed. Compare 30200 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 30200 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
$114.37
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$55.02
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.
Otolaryngology
About 30200: Injection treatment of nasal tissue
An otolaryngologist injects medication into nasal tissue, commonly a turbinate, to treat a documented nasal condition when injection rather than excision is performed.
This service covers medication injected into nasal tissue to treat a nasal condition. Otolaryngologists commonly perform it in an office or facility, including when treating turbinate swelling with an injection rather than removing or surgically reducing the tissue. The record should identify the treated nasal site, the clinical indication, the injected medication, and the procedure performed.
Report the code for the injection service, not for a nasal treatment delivered by another route or for turbinate tissue removed surgically. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one 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 service. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 30200
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU0.76 · 23%
- Practice expense (office) RVU2.47 · 74%
- Malpractice RVU0.11 · 3%
2.9K
Medicare services in 2024 · #2209 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.
30200 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$300.23
This code describes submucous resection of the inferior turbinate. It is not the choice for an injection-only treatment.
$159.56
30210 represents nasal or sinus therapy; 30200 is for medication injected into nasal tissue. Select based on the procedure actually performed.
Compare 30200 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
$114.37
Facility
$55.02
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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 30200 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
3,413
- Code
- 30200
- Physician work
- 0.76
- Practice expense
- 2.47
- Malpractice
- 0.11
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.76 | × 1.019 | 0.7744 |
| Practice expense | 2.47 | × 1.033 | 2.5515 |
| Malpractice | 0.11 | × 0.892 | 0.0981 |
| Total RVUs | 3.4241 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$114.37
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.76 | 1.019 |
| Practice expense | 2.47 | 1.033 |
| Malpractice | 0.11 | 0.892 |
(0.76 × 1.019 + 2.47 × 1.033 + 0.11 × 0.892) × $33.4009 = $114.37
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.76 | 1.019 |
| Practice expense | 0.75 | 1.033 |
| Malpractice | 0.11 | 0.892 |
(0.76 × 1.019 + 0.75 × 1.033 + 0.11 × 0.892) × $33.4009 = $55.02
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.
30200 billing questions
When should this code be chosen instead of turbinate surgery?
Use it when the documented treatment is an injection into nasal tissue. Partial or complete turbinate removal and submucous turbinate resection are different procedures.
Should modifier 50 be used for injections on both sides?
No. Modifier 50 is inappropriate for this service based on its descriptor and anatomy.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
How is this code affected when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and the other procedures are subject to the standard 50% multiple-procedure reduction.
What documentation supports reporting the injection?
Document the nasal site, the condition being treated, the medication injected, and the procedure performed. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing 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.
3,4103017F,,Colorectal ca screen doc rev,M,,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
3,4113018F,,Pre-prxd rsk et al docd,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
3,4123019F,,Lvef assess planpost dschrge,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
3,41330200,,Injection treatment of nose,A,,0.76,2.47,,0.75,,0.11,3.34,1.62,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4143020F,,Lvf assess,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
3,41530210,,Nasal sinus therapy,A,,1.10,3.41,,1.64,,0.15,4.66,2.89,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4163021F,,Lvef mod/sever deprs syst,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
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