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CPT code 30410: Rhinoplasty, primary, complete external reconstruction2026 Medicare rate & RVUs

Reports primary reconstruction of the external nose, including major septal repair, when the documented procedure and qualifying medical circumstances support this service.

CMS RVU26DEffective Oct 1, 2026109 payment localities46 Medicare services in 2024

Medicare pays $1,354.41 for 30410 nationally in a facility.

Medicare rate · 30410

Rhinoplasty, primary, complete external reconstruction

Office or facility?

Work RVUs
13.65
Total RVUs
40.55
Global days
090

National rate · 2026

$1,354.41

Facility setting, before claim adjustments.

See every locality for 30410 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 30410 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 30410 covers

This code represents primary reconstruction involving the external parts of the nose, with major septal repair included in the service. The surgeon may reshape nasal bones and cartilage to address a structural deformity. The procedure is typically performed in a hospital operating room or ambulatory surgery center by a plastic surgeon or an otolaryngologist with facial plastic surgery expertise. A post-traumatic or congenital nasal deformity may prompt evaluation, but Medicare coverage is restricted to specific circumstances; an appearance-related goal alone does not establish coverage.

Choose 30410 when the documented work matches complete primary external reconstruction, rather than a limited tip procedure or revision of prior rhinoplasty. The record should establish the medical indication and describe the structural work, including any major septal repair. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons and team surgery 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 30410 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

30410 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,215.98
AlaskaUnavailable$1,597.33
ArizonaUnavailable$1,317.00
ArkansasUnavailable$1,198.65
Atlanta, GAUnavailable$1,385.78
Austin, TXUnavailable$1,392.90
Bakersfield, CAUnavailable$1,408.17
Baltimore area, MDUnavailable$1,441.15
Beaumont, TXUnavailable$1,275.15
Brazoria, TXUnavailable$1,332.14

30410 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
30410 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 30410 rate is calculated

Each of 30410’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 · 30410

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.65

13.65 RVUs× 1.000 GPCI

Practice expense24.37

24.37 RVUs× 1.000 GPCI

Malpractice2.53

2.53 RVUs× 1.000 GPCI

Adjusted RVUs

40.5500

Conversion factor

$33.4009

Medicare rate

$1,354.41

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 30410

30410 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 30410

Rhinoplasty, primary, complete external reconstruction

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.76/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 30410

Rhinoplasty, primary, complete external reconstruction

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

30410 without 51 · national facility

$1,354.41

Rhinoplasty, primary, complete external reconstruction

30410-51 · Second procedure: 50%

$677.21

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%).

When to use modifier 51

30410 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 30410

    Rhinoplasty, primary, complete external reconstruction13.65 wRVU

    Not priced

  • 30400

    Nasal reconstruction, lateral or alar cartilage, or tip10.59 wRVU

    Not priced

  • 30420

    Rhinoplasty, with major septal repair16.48 wRVU

    Not priced

  • 30430

    Nose revision, minor secondary revision8.03 wRVU

    Not priced

How to choose

30400Nasal reconstructionLateral or alar cartilage, or tip
Use 30400 for the more limited primary work involving lateral or alar cartilages and/or nasal-tip elevation. 30410 represents complete primary reconstruction of the external nose, including major septal repair.
30420RhinoplastyWith major septal repair
Both are primary rhinoplasty codes that include major septal repair. Distinguish them using the documented operative scope and the applicable CPT descriptor; 30420 should not automatically be treated as complete external reconstruction.
30430Nose revisionMinor secondary revision
30430 is for minor secondary rhinoplasty revision work after a prior procedure; 30410 is for primary complete external reconstruction.

Codes related to 30410

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 30410
CodeHow it relatesNational office range
Same family
30400Nasal reconstruction, lateral or alar cartilage, or tipPrimary rhinoplasty for more limited lateral or alar cartilage work and/or nasal-tip elevation.No office rate
30420Rhinoplasty, with major septal repairAnother primary rhinoplasty code that includes major septal repair; distinguish by the documented operative scope.No office rate
Used instead
30430Nose revision, minor secondary revisionSecondary rhinoplasty for minor revision work rather than primary reconstruction.No office rate
30435Revision rhinoplasty, intermediate, osteotomiesSecondary rhinoplasty for intermediate revision work rather than primary reconstruction.No office rate

30410 billing questions

How does 30410 differ from 30400?

30400 describes more limited primary work involving the lateral or alar cartilages and/or elevation of the nasal tip. 30410 is for complete primary reconstruction of the external nose, including major septal repair.

When should 30420 be considered instead?

30420 is another primary rhinoplasty code that includes major septal repair. Choose between 30410 and 30420 according to the documented operative scope and the applicable CPT descriptor, not simply the surgeon's label for the case.

Can major septal repair be billed separately with 30410?

Major septal repair is included in the service represented by 30410. Do not separately report the same repair as though it were outside the rhinoplasty.

Can modifier 50 be used for work on both sides of the nose?

No. CMS identifies bilateral adjustment as inappropriate for this code; the nasal anatomy and descriptor do not support modifier 50.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Unrelated services are not included merely because they occur during the global period.

What documentation supports Medicare coverage?

Document the qualifying medical indication, the nasal structural problem, and the planned and completed reconstruction, including the extent of septal repair. Medicare payment is restricted to specific circumstances.

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
RVUs for 30410PPRRVU2026_Oct_nonQPP.csv, line 3,431 (RVU26D)

Open CMS sourceHow we calculate rates

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