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CPT code 30420: Rhinoplasty, with major septal repair2026 Medicare rate & RVUs

Reports primary nasal reconstruction that includes substantial septal repair, typically when correcting a structural deformity requires work on both the external nose and septum.

CMS RVU26DEffective Oct 1, 2026109 payment localities412 Medicare services in 2024

Medicare pays $1,312.32 for 30420 nationally in a facility.

Medicare rate · 30420

Rhinoplasty, with major septal repair

Office or facility?

Work RVUs
16.48
Total RVUs
39.29
Global days
090

National rate · 2026

$1,312.32

Facility setting, before claim adjustments.

See every locality for 30420 →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 30420 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 30420 covers

This service addresses a primary nasal deformity through reconstruction of the nasal framework together with substantial repair of the septum. Plastic surgeons and otolaryngologists commonly perform it in an operating room for patients whose nasal structure requires more than a limited tip or external reshaping. The operative report should identify the deformity, the structures reconstructed, and the major septal work performed; a revision after prior rhinoplasty is classified separately.

Medicare coverage is restricted to specific circumstances, so documentation should support the clinical indication and the reconstructive work. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not append modifier 50. Medicare does not pay an assistant at surgery for this service, and 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 30420 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

30420 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,191.28
AlaskaUnavailable$1,594.15
ArizonaUnavailable$1,279.27
ArkansasUnavailable$1,176.17
Atlanta, GAUnavailable$1,341.61
Austin, TXUnavailable$1,343.25
Bakersfield, CAUnavailable$1,355.25
Baltimore area, MDUnavailable$1,390.44
Beaumont, TXUnavailable$1,245.34
Brazoria, TXUnavailable$1,292.25

30420 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
30420 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 30420 rate is calculated

Each of 30420’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 · 30420

RVUs × geographic indexes × conversion factor

Office or facility?

Work16.48

16.48 RVUs× 1.000 GPCI

Practice expense20.31

20.31 RVUs× 1.000 GPCI

Malpractice2.50

2.50 RVUs× 1.000 GPCI

Adjusted RVUs

39.2900

Conversion factor

$33.4009

Medicare rate

$1,312.32

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

Payment rules and modifiers for 30420

30420 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 30420

Rhinoplasty, with major septal repair

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)1Not paid (statutory restriction).
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 · 30420

Rhinoplasty, with major septal repair

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

30420 without 51 · national facility

$1,312.32

Rhinoplasty, with major septal repair

30420-51 · Second procedure: 50%

$656.16

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

30420 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 30420

    Rhinoplasty, with major septal repair16.48 wRVU

    Not priced

  • 30400

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

    Not priced

  • 30410

    Rhinoplasty, primary, complete external reconstruction13.65 wRVU

    Not priced

  • 30430

    Nose revision, minor secondary revision8.03 wRVU

    Not priced

  • 30520

    Septoplasty, septal deviation correction6.83 wRVU

    Not priced

How to choose

30400Nasal reconstructionLateral or alar cartilage, or tip
30400 describes a more limited primary nasal reconstruction. Use 30420 when the primary reconstruction includes substantial septal repair.
30410RhinoplastyPrimary, complete external reconstruction
30410 represents primary complete rhinoplasty without the major septal repair distinction. 30420 is appropriate when substantial septal repair is incorporated.
30430Nose revisionMinor secondary revision
30430 is for revision work after a previous rhinoplasty. 30420 is for primary reconstruction, not a revision.
30520SeptoplastySeptal deviation correction
30520 addresses septal correction without the external nasal reconstruction included in 30420. Do not separately report septal work already integral to 30420.

Codes related to 30420

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

Codes related to 30420
CodeHow it relatesNational office range
Same family
30400Nasal reconstruction, lateral or alar cartilage, or tipPrimary rhinoplasty for a more limited nasal reconstruction.No office rate
30410Rhinoplasty, primary, complete external reconstructionPrimary complete rhinoplasty without the major septal repair distinction.No office rate
30430Nose revision, minor secondary revisionUsed for limited revision rhinoplasty after an earlier nasal reconstruction.No office rate
Used instead
30520Septoplasty, septal deviation correctionSeptal correction without the primary external nasal reconstruction represented by 30420.No office rate

30420 billing questions

How does this differ from 30410?

30420 includes substantial septal repair as part of primary nasal reconstruction. Choose 30410 for a primary complete rhinoplasty when that major septal work is not part of the service.

Can septoplasty be reported separately?

Do not separately report septal work that is integral to the reconstruction represented by 30420. A separate septoplasty code requires distinct, separately supported work rather than the septal repair included in this service.

Can modifier 50 be used for bilateral work?

No. CMS identifies bilateral adjustment as inappropriate for this code, so do not use modifier 50.

What documentation supports 30420?

Document the primary nature of the procedure, the nasal deformity and structures reconstructed, and the major septal repair performed. The record should also support the clinical circumstances for Medicare coverage.

How are multiple procedures in the same session handled?

The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard 50% multiple procedure reduction. The 90-day global period includes the day-before preoperative visit and related postoperative care.

Is an assistant or co-surgeon payable?

Medicare does not pay an assistant at surgery for 30420. Co-surgeons and team surgery are not permitted.

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 30420PPRRVU2026_Oct_nonQPP.csv, line 3,432 (RVU26D)

Open CMS sourceHow we calculate rates

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