CPT 30430
Global 090Revision of nose
CPT 30430 Billing & Documentation Guide
CPT code 30430 (Revision 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 8.03, a non-facility practice expense RVU of 22.32, and a malpractice RVU of 1.48, a total non-facility RVU of 31.83 and facility RVU of 31.83. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1094.04, though rates vary from $934.06 to $1399.23 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 30430, 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 30430 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 30430 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 30430
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 8.03 | 8.03 |
| Practice Expense RVU | 22.32 | 22.32 |
| Malpractice RVU | 1.48 | 1.48 |
| Total RVU | 31.83 | 31.83 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 30430
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 | $1186.77 | $1186.77 | $1116.34 - $1399.23 | 29 |
| Florida | $1112.43 | $1112.43 | $1055.21 - $1169.3 | 3 |
| Georgia | $1038.98 | $1038.98 | $992.13 - $1085.82 | 2 |
| Illinois | $1083.96 | $1083.96 | $1026.12 - $1132.77 | 4 |
| Michigan | $1037.82 | $1037.82 | $1004.67 - $1070.97 | 2 |
| North Carolina | $995.36 | $995.36 | $995.36 - $995.36 | 1 |
| New York | $1179.82 | $1179.82 | $1011.19 - $1263.58 | 5 |
| Ohio | $998.69 | $998.69 | $998.69 - $998.69 | 1 |
| Pennsylvania | $1053.69 | $1053.69 | $999.3 - $1108.08 | 2 |
| Texas | $1049.55 | $1049.55 | $992.55 - $1101.29 | 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 30430
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 30430 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 30430
What does CPT code 30430 mean? +
CPT code 30430 represents: Revision of nose. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 090.
What is the Medicare reimbursement for CPT 30430? +
The 2026 Medicare national average non-facility payment for CPT 30430 is $1094.04. Rates range from $934.06 to $1399.23 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 30430? +
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 30430? +
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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