CPT code 30410: Rhinoplasty, primary, complete external reconstruction2026 Medicare rate & RVUs in Washington, DC area

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, 2026One payment locality46 Medicare services in 2024

In Washington, DC area, Medicare pays $1,533.46 for 30410 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,533.46Hospital or facility

Check a contract rate as a % of Medicare · 30410 nationwide

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

We’ll open 30410 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 30410 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Washington, DC area compares for 30410

Across 109 of 109 payment localities, the facility rate for 30410 runs from $1,198.65 in Arkansas to $1,725.13 in San Benito County, CA. Washington, DC area pays $1,533.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

30410 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,533.46
  2. Los Angeles, CA · California$1,493.66−$39.80
  3. Miami, FL · Florida$1,516.99−$16.47
  4. Chicago, IL · Illinois$1,471.10−$62.36
  5. Manhattan, NY · New York$1,564.97+$31.51
  6. Alaska · Alaska$1,597.33+$63.87
  7. Alabama · Alabama$1,215.98−$317.48

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

30410 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$1,198.65
ArizonaArizona—$1,317.00
Bakersfield, CACalifornia—$1,408.17
Chico, CACalifornia—$1,401.09
El Centro, CACalifornia—$1,401.51
Fresno, CACalifornia—$1,401.09
Hanford, CACalifornia—$1,401.09
Madera, CACalifornia—$1,401.09

30410 rates by state

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

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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

See 30410 in every payment locality

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,431

Code
30410
Physician work
13.65
Practice expense
24.37
Malpractice
2.53

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 30410 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work13.65× 1.05414.3871
Practice expense24.37× 1.17828.7079
Malpractice2.53× 1.1132.8159
Total RVUs45.9108
Conversion factor× 33.4009

Facility rate, Washington, DC area$1533.46

Facility: (13.65 × 1.054 + 24.37 × 1.178 + 2.53 × 1.113) × $33.4009 = $1533.46

Open 30410 in the RVU calculator

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

How 30410 has changed in Washington, DC area

30410 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,533.46RVU26D
2026-07-01Not available in this setting$1,533.46RVU26C
2026-04-01Not available in this setting$1,533.46RVU26B
2026-01-01Not available in this setting$1,533.46RVU26A
2025-10-01Not available in this setting$1,572.85RVU25D
2025-07-01Not available in this setting$1,572.85RVU25C
2025-04-01Not available in this setting$1,572.85RVU25B
2025-01-01Not available in this setting$1,572.85RVU25A
2024-10-01Not available in this setting$1,625.33RVU24D
2024-07-01Not available in this setting$1,625.33RVU24C
2024-04-01Not available in this setting$1,625.33RVU24B
2024-03-09Not available in this setting$1,625.33RVU24AR
2024-01-01Not available in this setting$1,598.80RVU24A
2023-10-01Not available in this setting$1,688.47RVU23D
2023-07-01Not available in this setting$1,688.47RVU23C
2023-04-01Not available in this setting$1,688.47RVU23B
2023-01-01Not available in this setting$1,688.47RVU23A
2022-10-01Not available in this setting$1,745.09RVU22D
2022-07-01Not available in this setting$1,745.09RVU22C
2022-04-01Not available in this setting$1,745.09RVU22B
2022-01-01Not available in this setting$1,745.09RVU22A
2021-10-01Not available in this setting$1,743.42RVU21D
2021-07-01Not available in this setting$1,743.42RVU21C
2021-04-01Not available in this setting$1,743.42RVU21B
2021-01-01Not available in this setting$1,743.42RVU21A
2020-10-01Not available in this setting$1,674.51RVU20D
2020-07-01Not available in this setting$1,674.51RVU20C
2020-04-01Not available in this setting$1,674.51RVU20B
2020-01-01Not available in this setting$1,674.51RVU20A
2019-10-01Not available in this setting$1,478.78RVU19D
2019-07-01Not available in this setting$1,478.78RVU19C
2019-04-01Not available in this setting$1,477.41RVU19B
2019-01-01Not available in this setting$1,477.41RVU19A
2018-10-01Not available in this setting$1,450.61RVU18D
2018-07-01Not available in this setting$1,450.61RVU18C
2018-04-01Not available in this setting$1,450.61RVU18B
2018-01-01Not available in this setting$1,450.61RVU18AR1
2017-10-01Not available in this setting$1,368.08RVU17D
2017-07-01Not available in this setting$1,368.08RVU17C
2017-04-01Not available in this setting$1,368.08RVU17B
2017-01-01Not available in this setting$1,368.08RVU17A
2016-10-01Not available in this setting$1,389.09RVU16D
2016-07-01Not available in this setting$1,389.09RVU16C
2016-04-01Not available in this setting$1,389.09RVU16B
2016-01-01Not available in this setting$1,389.09RVU16A
2015-10-01Not available in this setting$1,385.96RVU15D
2015-07-01Not available in this setting$1,385.96RVU15C
2015-04-01Not available in this setting$1,379.06RVU15B
2015-01-01Not available in this setting$1,379.06RVU15A
2014-10-01Not available in this setting$1,377.20RVU14D
2014-07-01Not available in this setting$1,377.20RVU14C
2014-04-01Not available in this setting$1,377.20RVU14B
2014-01-01Not available in this setting$1,377.20RVU14A
2013-10-01Not available in this setting$1,379.98RVU13D
2013-07-01Not available in this setting$1,379.98RVU13C
2013-04-01Not available in this setting$1,379.98RVU13B
2013-01-01Not available in this setting$1,379.98RVU13AR

Price 30410 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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