No office rate
Both address external nasal lesions. Choose 30125 when the documented procedure meets its criteria for a more complicated excision; use 30124 for the less complicated service.
On this page
CMS RVU26D · Effective 2026-10-01
30124 Nasal lesion removal Medicare reimbursement rates in Texas
Removal of a lesion on the external nose through an operative approach, reported for excision rather than intranasal treatment or biopsy alone. Compare 30124 office and facility rates across CMS payment localities in Texas.
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 30124 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 30124 pays more and less in Texas
Nasal surgery
About 30124: External nasal lesion excision
Removal of a lesion on the external nose through an operative approach, reported for excision rather than intranasal treatment or biopsy alone.
This service removes a lesion arising on the external nose, such as one on the nasal dorsum or ala. Otolaryngologists and facial plastic surgeons commonly perform it in an office procedure room or operating room, depending on the lesion and planned anesthesia. It is distinct from treatment directed into the nasal cavity, including removal of intranasal lesions or nasal polyps.
Select this code when the operative record supports excision of an external nasal lesion rather than biopsy alone or intranasal treatment. Document the lesion’s location, the approach, and the work performed to distinguish it from a more involved external-lesion procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is barred by statutory restriction; co-surgeons and team surgery are not permitted.
CMS billing rules for 30124
- 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 RVU3.12 · 37%
- Practice expense (office) RVU4.80 · 57%
- Malpractice RVU0.45 · 5%
12
Medicare services in 2024 · #6144 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.
30124 compared with similar codes
Office rates for Texas, from the same CMS release.
$877.75–$996.50
30117 addresses an intranasal lesion approached internally. Use 30124 for a lesion on the external nose.
No office rate
30118 treats a lesion located within the nasal cavity through an external approach. In 30124, the lesion itself is external.
$131.42–$147.01
30100 is for biopsy of an intranasal lesion. Use 30124 when an external nasal lesion is excised rather than sampled for diagnosis.
Compare 30124 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $287.36 |
| Beaumont | Office Unavailable | Facility $264.07 |
| Brazoria | Office Unavailable | Facility $275.65 |
| Dallas | Office Unavailable | Facility $277.73 |
| Fort Worth | Office Unavailable | Facility $276.32 |
| Galveston | Office Unavailable | Facility $276.69 |
| Houston | Office Unavailable | Facility $284.93 |
| Rest Of Texas | Office Unavailable | Facility $269.93 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
30124 billing questions
How does this differ from 30125?
Both concern external nasal lesion removal. Use 30125 when the documented procedure meets that code’s criteria for a more complicated excision.
Can this code report removal of a lesion inside the nasal cavity?
No. It describes an external nasal lesion; codes such as 30117 or 30118 address intranasal lesions, with the approach helping distinguish those services.
Should modifier 50 be added when lesions are removed from both sides of the nose?
No. CMS identifies modifier 50 as inappropriate for this code.
How does the multiple-procedure reduction affect payment?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the remaining procedures are paid at 50%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is barred by statutory restriction. Co-surgeons and team surgery are not permitted for this code.
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.
3,39830118,,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
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