CPT 30545
Global 090 ActiveRpr choanal atresia trsnpltn
CPT 30545 Billing & Documentation Guide
CPT code 30545 (Rpr choanal atresia trsnpltn) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 11.33, a non-facility practice expense RVU of 14.03, and a malpractice RVU of 1.65, a total non-facility RVU of 27.01 and facility RVU of 27.01. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $922.4, though rates vary from $809.35 to $1125.34 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 30545, 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 30545 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
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 30545 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 30545
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 11.33 | 11.33 |
| Practice Expense RVU | 14.03 | 14.03 |
| Malpractice RVU | 1.65 | 1.65 |
| Total RVU | 27.01 | 27.01 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 30545
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 | $976.38 | $976.38 | $928.01 - $1125.34 | 29 |
| Florida | $955.89 | $955.89 | $909.26 - $1005.64 | 3 |
| Georgia | $892 | $892 | $862.13 - $921.87 | 2 |
| Illinois | $937.87 | $937.87 | $892.42 - $978.52 | 4 |
| Michigan | $896.03 | $896.03 | $868.5 - $923.56 | 2 |
| North Carolina | $850.87 | $850.87 | $850.87 - $850.87 | 1 |
| New York | $994.09 | $994.09 | $862.36 - $1062.18 | 5 |
| Ohio | $861.83 | $861.83 | $861.83 - $861.83 | 1 |
| Pennsylvania | $899.76 | $899.76 | $860.7 - $938.82 | 2 |
| Texas | $893.06 | $893.06 | $856.07 - $923.81 | 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 30545
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 30545 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 30545
What does CPT code 30545 mean? +
CPT code 30545 represents: Rpr choanal atresia trsnpltn. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 090.
What is the Medicare reimbursement for CPT 30545? +
The 2026 Medicare national average non-facility payment for CPT 30545 is $922.4. Rates range from $809.35 to $1125.34 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 30545? +
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 30545? +
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 June 1, 2026.
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