CPT code 30420: Rhinoplasty, with major septal repair2026 Medicare rate & RVUs in South Dakota
Reports primary nasal reconstruction that includes substantial septal repair, typically when correcting a structural deformity requires work on both the external nose and septum.
In South Dakota, Medicare pays $1,256.88 for 30420 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 30420 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 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.
How South Dakota compares for 30420
Across 109 of 109 payment localities, the facility rate for 30420 runs from $1,176.17 in Arkansas to $1,633.97 in San Benito County, CA. South Dakota pays $1,256.88. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$1,256.88
- Los Angeles, CA · California$1,430.98+$174.10
- Washington, DC area · District of Columbia$1,472.23+$215.35
- Miami, FL · Florida$1,467.81+$210.93
- Chicago, IL · Illinois$1,427.70+$170.82
- Manhattan, NY · New York$1,506.38+$249.50
- Alaska · Alaska$1,594.15+$337.27
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,191.28 |
| ArkansasArkansas | — | $1,176.17 |
| ArizonaArizona | — | $1,279.27 |
| Bakersfield, CACalifornia | — | $1,355.25 |
| Chico, CACalifornia | — | $1,348.06 |
| El Centro, CACalifornia | — | $1,348.48 |
| Fresno, CACalifornia | — | $1,348.06 |
| Hanford, CACalifornia | — | $1,348.06 |
| Madera, CACalifornia | — | $1,348.06 |
| Merced, CACalifornia | — | $1,348.06 |
| Modesto, CACalifornia | — | $1,348.06 |
| Napa, CACalifornia | — | $1,521.64 |
| Oxnard, CACalifornia | — | $1,419.72 |
| Redding, CACalifornia | — | $1,348.06 |
| Rest of CaliforniaCalifornia | — | $1,348.06 |
| Riverside, CACalifornia | — | $1,375.08 |
| Sacramento, CACalifornia | — | $1,403.97 |
| Salinas, CACalifornia | — | $1,398.50 |
| San Diego, CACalifornia | — | $1,423.55 |
| Marin County, CACalifornia | — | $1,597.57 |
| San Francisco, CACalifornia | — | $1,594.73 |
| San Benito County, CACalifornia | — | $1,633.97 |
| Santa Clara County, CACalifornia | — | $1,622.36 |
| San Luis Obispo, CACalifornia | — | $1,377.23 |
| Santa Cruz, CACalifornia | — | $1,430.99 |
| Santa Maria, CACalifornia | — | $1,401.60 |
| Santa Rosa, CACalifornia | — | $1,444.76 |
| Stockton, CACalifornia | — | $1,348.06 |
| Vallejo, CACalifornia | — | $1,517.55 |
| Visalia, CACalifornia | — | $1,348.06 |
| Yuba City, CACalifornia | — | $1,348.06 |
| ColoradoColorado | — | $1,344.06 |
| ConnecticutConnecticut | — | $1,393.10 |
| DelawareDelaware | — | $1,298.50 |
| Fort Lauderdale, FLFlorida | — | $1,388.61 |
| Rest of FloridaFlorida | — | $1,324.47 |
| Atlanta, GAGeorgia | — | $1,341.61 |
| Rest of GeorgiaGeorgia | — | $1,255.09 |
| Hawaii, Guam, HIHawaii | — | $1,370.10 |
| IowaIowa | — | $1,204.31 |
| IdahoIdaho | — | $1,214.05 |
| East St. Louis, ILIllinois | — | $1,342.72 |
| Rest of IllinoisIllinois | — | $1,300.31 |
| Suburban Chicago, ILIllinois | — | $1,398.95 |
| IndianaIndiana | — | $1,219.88 |
| KansasKansas | — | $1,205.78 |
| KentuckyKentucky | — | $1,229.92 |
| New Orleans, LALouisiana | — | $1,283.65 |
| Rest of LouisianaLouisiana | — | $1,230.80 |
| Metropolitan Boston, MAMassachusetts | — | $1,457.31 |
| Rest of MassachusettsMassachusetts | — | $1,340.13 |
| Baltimore area, MDMaryland | — | $1,390.44 |
| Rest of MarylandMaryland | — | $1,319.12 |
| Rest of MaineMaine | — | $1,226.49 |
| Southern Maine, MEMaine | — | $1,275.40 |
| Detroit, MIMichigan | — | $1,345.86 |
| Rest of MichiganMichigan | — | $1,264.07 |
| MinnesotaMinnesota | — | $1,273.21 |
| Metropolitan Kansas City, MOMissouri | — | $1,269.02 |
| Metropolitan St. Louis, MOMissouri | — | $1,279.93 |
| Rest of MissouriMissouri | — | $1,216.53 |
| MississippiMississippi | — | $1,196.23 |
| MontanaMontana | — | $1,312.15 |
| North CarolinaNorth Carolina | — | $1,236.73 |
| North DakotaNorth Dakota | — | $1,262.72 |
| NebraskaNebraska | — | $1,208.15 |
| New HampshireNew Hampshire | — | $1,329.70 |
| Northern New JerseyNew Jersey | — | $1,461.22 |
| Rest of New JerseyNew Jersey | — | $1,404.85 |
| New MexicoNew Mexico | — | $1,272.80 |
| NevadaNevada | — | $1,299.05 |
| NYC suburbs and Long Island, NYNew York | — | $1,547.32 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,419.07 |
| Queens, NYNew York | — | $1,507.92 |
| Rest of New YorkNew York | — | $1,253.60 |
| OhioOhio | — | $1,253.97 |
| OklahomaOklahoma | — | $1,221.11 |
| Portland, OROregon | — | $1,375.05 |
| Rest of OregonOregon | — | $1,284.81 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,366.16 |
| Rest of PennsylvaniaPennsylvania | — | $1,252.10 |
| Puerto RicoPuerto Rico | — | $1,318.53 |
| Rhode IslandRhode Island | — | $1,336.15 |
| South CarolinaSouth Carolina | — | $1,248.24 |
| TennesseeTennessee | — | $1,211.93 |
| Austin, TXTexas | — | $1,343.25 |
| Beaumont, TXTexas | — | $1,245.34 |
| Brazoria, TXTexas | — | $1,292.25 |
| Dallas, TXTexas | — | $1,302.70 |
| Fort Worth, TXTexas | — | $1,297.01 |
| Galveston, TXTexas | — | $1,297.61 |
| Houston, TXTexas | — | $1,343.37 |
| Rest of TexasTexas | — | $1,269.62 |
| UtahUtah | — | $1,263.10 |
| VirginiaVirginia | — | $1,276.24 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,318.53 |
| VermontVermont | — | $1,264.29 |
| Rest of WashingtonWashington | — | $1,335.47 |
| King County, WAWashington | — | $1,478.55 |
| WisconsinWisconsin | — | $1,226.05 |
| West VirginiaWest Virginia | — | $1,259.44 |
| WyomingWyoming | — | $1,290.61 |
30420 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 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
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.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,432
- Code
- 30420
- Physician work
- 16.48
- Practice expense
- 20.31
- Malpractice
- 2.50
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.48 | × 1.000 | 16.4800 |
| Practice expense | 20.31 | × 1.000 | 20.3100 |
| Malpractice | 2.50 | × 0.336 | 0.8400 |
| Total RVUs | 37.6300 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Dakota$1256.88
Facility: (16.48 × 1 + 20.31 × 1 + 2.5 × 0.336) × $33.4009 = $1256.88
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
| 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) | 1 | Not paid (statutory restriction). |
| 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 · 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.
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%).
How 30420 has changed in South Dakota
30420 · 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 | $1,256.88 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,256.88 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,256.88 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,256.88 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,349.93 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,349.93 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,349.93 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,349.93 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,406.56 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,406.56 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,406.56 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,406.56 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,383.61 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,437.80 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,437.80 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,437.80 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,437.80 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,459.24 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,459.24 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,459.24 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,459.24 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,439.21 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,439.21 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,439.21 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,439.21 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,401.21 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,401.21 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,401.21 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,401.21 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,366.05 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,366.05 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,366.05 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,366.05 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,328.42 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,328.42 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,328.42 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,328.42 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,340.57 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,340.57 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,340.57 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,340.57 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,350.97 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,350.97 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,350.97 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,350.97 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,353.11 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,353.11 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,346.38 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,346.38 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,355.06 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,355.06 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,355.06 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,355.06 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,357.75 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,357.75 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,357.75 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,357.75 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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