CPT code 30400: Nasal reconstruction, lateral or alar cartilage, or tip2026 Medicare rate & RVUs in Florida
Reports primary rhinoplasty addressing lateral or alar cartilage, nasal-tip elevation, or both when the documented indication meets Medicare’s restricted coverage circumstances.
CMS doesn’t publish an office rate for 30400 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 30400 covers
This code describes a first-time rhinoplasty involving the lateral or alar cartilages, elevation of the nasal tip, or both. An otolaryngologist or plastic surgeon may perform it in a hospital or ambulatory surgical setting to address a documented nasal deformity. It represents a more limited primary operation than codes that include broader external nasal reconstruction or major septal repair.
Select the code from the operative report’s documented work, not simply the diagnosis or the fact that the patient has never had rhinoplasty. The record should identify the treated anatomy, surgical steps, and indication supporting payment in the specific circumstances CMS recognizes; cosmetic intent alone does not establish coverage. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant is paid only when medical necessity is documented; co-surgeon and team-surgery billing are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 30400 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $1,259.08 |
| Miami, FL | Unavailable | $1,328.04 |
| Rest of Florida | Unavailable | $1,194.83 |
How the 30400 rate is calculated
Each of 30400’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 30400
RVUs × geographic indexes × conversion factor
Work10.59
10.59 RVUs× 1.000 GPCI
Practice expense23.26
23.26 RVUs× 1.000 GPCI
Malpractice1.96
1.96 RVUs× 1.000 GPCI
Adjusted RVUs
35.8100
Conversion factor
$33.4009
Medicare rate
$1,196.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 30400
30400 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 30400
Nasal reconstruction, lateral or alar cartilage, or tip
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 30400
Nasal reconstruction, lateral or alar cartilage, or tip
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
30400 without 51 · national facility
$1,196.09
Nasal reconstruction, lateral or alar cartilage, or tip
30400-51 · Second procedure: 50%
$598.05
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
30400 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 30410RhinoplastyPrimary, complete external reconstruction
- Both describe primary rhinoplasty, but 30410 represents broader external nasal reconstruction. Base selection on the operative scope, not the general label of rhinoplasty.
- 30420RhinoplastyWith major septal repair
- Choose 30420 when major septal repair is part of the primary rhinoplasty; 30400 describes the more limited cartilage or tip work.
- 30430Nose revisionMinor secondary revision
- 30430 is for minor secondary rhinoplasty after prior nasal surgery. 30400 describes a primary operation, not revision work.
30400 billing questions
How does 30400 differ from 30410?
30400 is for primary rhinoplasty focused on lateral or alar cartilage work or tip elevation. Use 30410 when the documented primary operation includes the broader external nasal reconstruction represented by that code.
When is 30420 a better choice?
30420 is the primary rhinoplasty choice when the operation also includes major septal repair. The operative report should support that added septal work.
Can 30400 be reported for cosmetic-only rhinoplasty?
CMS payment is restricted to specific circumstances. The record must support a qualifying indication; cosmetic intent alone does not establish coverage.
Should modifier 50 be appended for work on both sides of the nose?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
When can an assistant-at-surgery claim be paid?
Only when documentation supports the medical necessity of the assistant. Co-surgeon and team-surgery billing are not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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