CPT 30400
Global 090Reconstruction of nose
CPT 30400 Billing & Documentation Guide
CPT code 30400 (Reconstruction of nose) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 10.59, a non-facility practice expense RVU of 23.26, and a malpractice RVU of 1.96, a total non-facility RVU of 35.81 and facility RVU of 35.81. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1227.79, though rates vary from $1054.79 to $1548.01 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 30400, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 30400 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Restricted coverage (special situations)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 30400 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 30400
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 10.59 | 10.59 |
| Practice Expense RVU | 23.26 | 23.26 |
| Malpractice RVU | 1.96 | 1.96 |
| Total RVU | 35.81 | 35.81 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 30400
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $1321.19 | $1321.19 | $1246.31 - $1548.01 | 29 |
| Florida | $1260.65 | $1260.65 | $1194.83 - $1328.04 | 3 |
| Georgia | $1173.75 | $1173.75 | $1124.75 - $1222.74 | 2 |
| Illinois | $1230.74 | $1230.74 | $1165.35 - $1287.22 | 4 |
| Michigan | $1175.37 | $1175.37 | $1136.94 - $1213.8 | 2 |
| North Carolina | $1120.4 | $1120.4 | $1120.4 - $1120.4 | 1 |
| New York | $1326.21 | $1326.21 | $1137.8 - $1421.66 | 5 |
| Ohio | $1129.02 | $1129.02 | $1129.02 - $1129.02 | 1 |
| Pennsylvania | $1187.86 | $1187.86 | $1128.78 - $1246.94 | 2 |
| Texas | $1181.33 | $1181.33 | $1121.52 - $1234.39 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 30400
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 30400 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 30400
What does CPT code 30400 mean? +
CPT code 30400 represents: Reconstruction of nose. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 090.
What is the Medicare reimbursement for CPT 30400? +
The 2026 Medicare national average non-facility payment for CPT 30400 is $1227.79. Rates range from $1054.79 to $1548.01 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 30400? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 30400? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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