CPT 30906
Global 000 ActiveRepeat control of nosebleed
CPT 30906 Billing & Documentation Guide
CPT code 30906 (Repeat control of nosebleed) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.39, a non-facility practice expense RVU of 9.37, and a malpractice RVU of 0.43, a total non-facility RVU of 12.19 and facility RVU of 3.57. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $420.38, though rates vary from $356.06 to $547.61 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 30906, 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 30906 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 30906 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 30906
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.39 | 2.39 |
| Practice Expense RVU | 9.37 | 0.75 |
| Malpractice RVU | 0.43 | 0.43 |
| Total RVU | 12.19 | 3.57 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 30906
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 | $460.8 | $120.12 | $431.89 - $547.61 | 29 |
| Florida | $421.8 | $132.92 | $400.61 - $441.95 | 3 |
| Georgia | $395.7 | $121.03 | $376.11 - $415.29 | 2 |
| Illinois | $409.96 | $131.76 | $388.01 - $427.88 | 4 |
| Michigan | $393.92 | $123.57 | $381.78 - $406.06 | 2 |
| North Carolina | $381 | $112.38 | $381 - $381 | 1 |
| New York | $452.28 | $131.08 | $387.24 - $483.73 | 5 |
| Ohio | $380.04 | $117.18 | $380.04 - $380.04 | 1 |
| Pennsylvania | $402.45 | $120.44 | $380.7 - $424.2 | 2 |
| Texas | $401.72 | $118.27 | $377.97 - $423.83 | 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 30906
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 30906 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 30906
What does CPT code 30906 mean? +
CPT code 30906 represents: Repeat control of nosebleed. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 30906? +
The 2026 Medicare national average non-facility payment for CPT 30906 is $420.38. Rates range from $356.06 to $547.61 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 30906? +
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 30906? +
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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