CPT code 30410: Rhinoplasty, primary, complete external reconstruction2026 Medicare rate & RVUs in Missouri
Reports primary reconstruction of the external nose, including major septal repair, when the documented procedure and qualifying medical circumstances support this service.
CMS doesn’t publish an office rate for 30410 in Missouri.
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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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $1,302.81 |
| Metropolitan St. Louis, MO | Unavailable | $1,315.50 |
| Rest of Missouri | Unavailable | $1,239.88 |
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
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
| 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) | 2 | Paid. |
| 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 · 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.
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%).
30410 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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