HCPCS Level IIcptActive
30580
Repair upper jaw fistula
Medicare Fee Schedule
2026 Medicare Physician Fee Schedule national payment rates
$625.60
Non-Facility Price
$419.85
Facility Price
6.71
Work RVU
18.73
Total RVU (Non-Fac)
090
Global Days
Active
Status
Coverage Policies
No coverage policies currently reference this code