localis
Sign up

Describe a service in plain words, or type a CPT/HCPCS code.

Medicare expected-payment calculator

Enter a code, ZIP and date of service to get the allowed amount, what Medicare pays, and the CMS file and row behind each figure.

Claim details

CPT / HCPCS code
Service location
ZIP
Locality

Leave blank for the national baseline.

Date of service
Date of service
CMS release

CMS release: 2026 D

Place of service
Modifiers: None
Supplied modifier

Select a supplied modifier. Click it again to remove it.

Professional/technical component concept concept does not apply to this code.
Professional/technical component concept concept does not apply to this code.
Bilateral adjustment concept does not apply to this code.
Assistant-at-surgery concept does not apply to this code.
Assistant-at-surgery concept does not apply to this code.
Assistant-at-surgery concept does not apply to this code.
Assistant-at-surgery concept does not apply to this code.
Co-surgeon concept does not apply to this code.
Team surgery concept does not apply to this code.

Single-line modifiers only. Pricing -51? Use the MPPR calculator.

Payment answer

No separate PFS payment for 83030

CMS marks this service status X (Statutory exclusion). The statutory definition of physician services does not include this item.

The available evidence does not establish a $0 allowance. Release 2026 D · status X (Statutory exclusion)

The statutory definition of physician services does not include this item.

View the CMS evidence
Code
83030
DOS
Not supplied
Locality
National (GPCI 1.000)
Service ZIP
Not supplied
Setting
Office (non-facility)
Participation
Participating provider
Modifiers
None
Units
1
Release
Q4 2026, revision 2
Sequestration
Shown separately from the allowed amount

Status X is not separately payable under the PFS.

Citations

  • Establishes the PFS status of the base code.

    Physician relative value file (PPRRVU)CMS RVU26DOctober 1 – December 31, 2026revision 2

    This status record alone does not establish an allowed amount or a coverage determination.

    PPRRVU2026_Oct_nonQPP.csv row 10,250 in rvu26d-updated-08-26-2026.zip

    In the CMS file

    Loading rows 10,248–10,252 of PPRRVU2026_Oct_nonQPP.csv…

    Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint 4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626

More payment tools

Did this answer your question about this calculator?

We're building this out in the open. Tell us what you were actually trying to work out and we'll either answer you directly or build the page that does.

Did this page answer your question?