CPT code 30400: Nasal reconstruction, lateral or alar cartilage, or tip2026 Medicare rate & RVUs in New Mexico
Reports primary rhinoplasty addressing lateral or alar cartilage, nasal-tip elevation, or both when the documented indication meets Medicare’s restricted coverage circumstances.
In New Mexico, Medicare pays $1,144.76 for 30400 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 30400 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 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.
How New Mexico compares for 30400
Across 109 of 109 payment localities, the facility rate for 30400 runs from $1,054.79 in Arkansas to $1,548.01 in San Benito County, CA. New Mexico pays $1,144.76. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$1,144.76
- Los Angeles, CA · California$1,330.77+$186.01
- Washington, DC area · District of Columbia$1,360.87+$216.11
- Miami, FL · Florida$1,328.04+$183.28
- Chicago, IL · Illinois$1,287.22+$142.46
- Manhattan, NY · New York$1,382.95+$238.19
- Alaska · Alaska$1,394.05+$249.29
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,070.56 |
| ArkansasArkansas | — | $1,054.79 |
| ArizonaArizona | — | $1,162.58 |
| Bakersfield, CACalifornia | — | $1,251.79 |
| Chico, CACalifornia | — | $1,246.31 |
| El Centro, CACalifornia | — | $1,246.63 |
| Fresno, CACalifornia | — | $1,246.31 |
| Hanford, CACalifornia | — | $1,246.31 |
| Madera, CACalifornia | — | $1,246.31 |
| Merced, CACalifornia | — | $1,246.31 |
| Modesto, CACalifornia | — | $1,246.31 |
| Napa, CACalifornia | — | $1,433.22 |
| Oxnard, CACalifornia | — | $1,322.71 |
| Redding, CACalifornia | — | $1,246.31 |
| Rest of CaliforniaCalifornia | — | $1,246.31 |
| Riverside, CACalifornia | — | $1,267.41 |
| Sacramento, CACalifornia | — | $1,305.08 |
| Salinas, CACalifornia | — | $1,300.20 |
| San Diego, CACalifornia | — | $1,328.99 |
| Marin County, CACalifornia | — | $1,512.80 |
| San Francisco, CACalifornia | — | $1,510.58 |
| San Benito County, CACalifornia | — | $1,548.01 |
| Santa Clara County, CACalifornia | — | $1,538.91 |
| San Luis Obispo, CACalifornia | — | $1,279.71 |
| Santa Cruz, CACalifornia | — | $1,340.17 |
| Santa Maria, CACalifornia | — | $1,304.58 |
| Santa Rosa, CACalifornia | — | $1,353.46 |
| Stockton, CACalifornia | — | $1,246.31 |
| Vallejo, CACalifornia | — | $1,430.01 |
| Visalia, CACalifornia | — | $1,246.31 |
| Yuba City, CACalifornia | — | $1,246.31 |
| ColoradoColorado | — | $1,235.72 |
| ConnecticutConnecticut | — | $1,276.73 |
| DelawareDelaware | — | $1,181.92 |
| Fort Lauderdale, FLFlorida | — | $1,259.08 |
| Rest of FloridaFlorida | — | $1,194.83 |
| Atlanta, GAGeorgia | — | $1,222.74 |
| Rest of GeorgiaGeorgia | — | $1,124.75 |
| Hawaii, Guam, HIHawaii | — | $1,274.96 |
| IowaIowa | — | $1,090.57 |
| IdahoIdaho | — | $1,099.43 |
| East St. Louis, ILIllinois | — | $1,200.32 |
| Rest of IllinoisIllinois | — | $1,165.35 |
| Suburban Chicago, ILIllinois | — | $1,270.08 |
| IndianaIndiana | — | $1,105.72 |
| KansasKansas | — | $1,089.03 |
| KentuckyKentucky | — | $1,104.29 |
| New Orleans, LALouisiana | — | $1,159.15 |
| Rest of LouisianaLouisiana | — | $1,103.99 |
| Metropolitan Boston, MAMassachusetts | — | $1,354.11 |
| Rest of MassachusettsMassachusetts | — | $1,229.63 |
| Baltimore area, MDMaryland | — | $1,273.98 |
| Rest of MarylandMaryland | — | $1,203.58 |
| Rest of MaineMaine | — | $1,109.19 |
| Southern Maine, MEMaine | — | $1,164.94 |
| Detroit, MIMichigan | — | $1,213.80 |
| Rest of MichiganMichigan | — | $1,136.94 |
| MinnesotaMinnesota | — | $1,172.53 |
| Metropolitan Kansas City, MOMissouri | — | $1,147.19 |
| Metropolitan St. Louis, MOMissouri | — | $1,158.93 |
| Rest of MissouriMissouri | — | $1,087.17 |
| MississippiMississippi | — | $1,071.01 |
| MontanaMontana | — | $1,195.96 |
| North CarolinaNorth Carolina | — | $1,120.40 |
| North DakotaNorth Dakota | — | $1,157.20 |
| NebraskaNebraska | — | $1,095.54 |
| New HampshireNew Hampshire | — | $1,219.76 |
| Northern New JerseyNew Jersey | — | $1,347.13 |
| Rest of New JerseyNew Jersey | — | $1,288.06 |
| NevadaNevada | — | $1,185.93 |
| NYC suburbs and Long Island, NYNew York | — | $1,421.66 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,299.56 |
| Queens, NYNew York | — | $1,389.06 |
| Rest of New YorkNew York | — | $1,137.80 |
| OhioOhio | — | $1,129.02 |
| OklahomaOklahoma | — | $1,098.36 |
| Portland, OROregon | — | $1,271.22 |
| Rest of OregonOregon | — | $1,173.54 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,246.94 |
| Rest of PennsylvaniaPennsylvania | — | $1,128.78 |
| Puerto RicoPuerto Rico | — | $1,203.65 |
| Rhode IslandRhode Island | — | $1,221.37 |
| South CarolinaSouth Carolina | — | $1,127.22 |
| South DakotaSouth Dakota | — | $1,152.62 |
| TennesseeTennessee | — | $1,095.08 |
| Austin, TXTexas | — | $1,234.39 |
| Beaumont, TXTexas | — | $1,121.52 |
| Brazoria, TXTexas | — | $1,177.52 |
| Dallas, TXTexas | — | $1,186.87 |
| Fort Worth, TXTexas | — | $1,179.95 |
| Galveston, TXTexas | — | $1,182.22 |
| Houston, TXTexas | — | $1,218.09 |
| Rest of TexasTexas | — | $1,150.11 |
| UtahUtah | — | $1,142.79 |
| VirginiaVirginia | — | $1,163.63 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,203.65 |
| VermontVermont | — | $1,155.98 |
| Rest of WashingtonWashington | — | $1,226.21 |
| King County, WAWashington | — | $1,378.15 |
| WisconsinWisconsin | — | $1,118.15 |
| West VirginiaWest Virginia | — | $1,122.53 |
| WyomingWyoming | — | $1,179.07 |
30400 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,429
- Code
- 30400
- Physician work
- 10.59
- Practice expense
- 23.26
- Malpractice
- 1.96
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.59 | × 1.000 | 10.5900 |
| Practice expense | 23.26 | × 0.917 | 21.3294 |
| Malpractice | 1.96 | × 1.201 | 2.3540 |
| Total RVUs | 34.2734 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$1144.76
Facility: (10.59 × 1 + 23.26 × 0.917 + 1.96 × 1.201) × $33.4009 = $1144.76
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%).
How 30400 has changed in New Mexico
30400 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,144.76 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,144.76 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,144.76 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,144.76 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,130.65 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,130.65 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,130.65 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,130.65 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,170.46 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,170.46 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,170.46 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,170.46 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,151.35 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,193.31 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,193.31 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,193.31 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,193.31 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,211.77 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,211.77 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,211.77 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,211.77 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,209.58 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,209.58 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,209.58 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,209.58 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,181.97 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,181.97 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,181.97 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,181.97 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,079.30 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,079.30 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,079.30 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,079.30 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,040.84 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,040.84 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,040.84 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,040.84 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $992.37 | RVU17D |
| 2017-07-01 | Not available in this setting | $992.37 | RVU17C |
| 2017-04-01 | Not available in this setting | $992.37 | RVU17B |
| 2017-01-01 | Not available in this setting | $992.37 | RVU17A |
| 2016-10-01 | Not available in this setting | $997.52 | RVU16D |
| 2016-07-01 | Not available in this setting | $997.52 | RVU16C |
| 2016-04-01 | Not available in this setting | $997.52 | RVU16B |
| 2016-01-01 | Not available in this setting | $997.52 | RVU16A |
| 2015-10-01 | Not available in this setting | $992.62 | RVU15D |
| 2015-07-01 | Not available in this setting | $992.62 | RVU15C |
| 2015-04-01 | Not available in this setting | $987.68 | RVU15B |
| 2015-01-01 | Not available in this setting | $987.68 | RVU15A |
| 2014-10-01 | Not available in this setting | $985.02 | RVU14D |
| 2014-07-01 | Not available in this setting | $985.02 | RVU14C |
| 2014-04-01 | Not available in this setting | $985.02 | RVU14B |
| 2014-01-01 | Not available in this setting | $985.02 | RVU14A |
| 2013-10-01 | Not available in this setting | $987.90 | RVU13D |
| 2013-07-01 | Not available in this setting | $987.90 | RVU13C |
| 2013-04-01 | Not available in this setting | $987.90 | RVU13B |
| 2013-01-01 | Not available in this setting | $987.90 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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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