CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 30220 RVU and Medicare Payment (2026)
Insert nasal septal button — 1.55 work RVU, about $299.27 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.55
- PE RVU (non-facility)
- 7.19
- PE RVU (facility)
- 1.7
- MP RVU
- 0.22
- Office payment
- $299.27
- Facility payment
- $115.9
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 30220 in a non-facility setting with national GPCI: (1.55 + 7.19 + 0.22) × $33.4009 ≈ $299.27. The same code in a facility setting pays about $115.9 because facility PE RVU (1.7) replaces office PE RVU.
What changes by locality
GPCI moves 30220 non-facility payment from $261.85 to $407.7 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 30220?
1.55. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 30220 in 2026?
About $299.27 non-facility ($115.9 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (1.55) and malpractice RVU stay fixed; only practice expense changes (7.19 office vs 1.7 facility). That is the entire office-vs-facility payment gap.