| 2026 Blom-Singer® Nasal Septal Perforation Prosthesis |
Ambulatory Surgery Center |
Outpatient Surgery at Hospital |
Physician Fee Schedule |
|
|---|---|---|---|---|
| CPT Code |
Procedure Description |
Facility Payment (National Medicare Average) | APC (Ambulatory Payment Classifications) | Payment (National Medicare Average) |
| 30220 |
Insertion Nasal Septal Prosthesis |
$659.17 | $686.92 | $261.85 - $407.40 |
| 31231 |
Nasal Endoscopy, Diagnostic, Unilateral or Bilateral |
$104.73 | $139.29 | $207.40–$300.00 |
| HCPC Code | HCPCS Short Description | Description | Fee Schedule (National Medicare Average) | |
| L8699 | Nasal Septal Prosthesis |
A removable superficial prosthesis which occludes a hole in the nasal septum but which does not include superficial nasal tissue. |
80% of product retail price | |
| HCPC Code | HCPCS Short Description | Description |
Fee Schedule (National Medicare Average) |
|
|
L8699 |
Prosthetic Implant NOS | Prosthesis implant, not otherwise specified |
80% of product retail price |
|
Blom-Singer® Nasal Septal Perforation Prosthesis
According to PDAC and CMS, HCPCS L8047 is allowed once every five years.
If the physician changes the device sooner, they are able to submit the claim, along with a Medical Necessity explanation.
The physician is able to submit a claim for their service, using CPT 30220, as needed (no limitation).
Reimbursement information is applicable solely to the U.S. market and is subject to change.