CPT code 30420: Rhinoplasty, with major septal repair2026 Medicare rate & RVUs in Texas
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 doesn’t publish an office rate for 30420 in Texas.
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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On this page 9 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.
Where 30420 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $1,343.25 |
| Beaumont, TX | Unavailable | $1,245.34 |
| Brazoria, TX | Unavailable | $1,292.25 |
| Dallas, TX | Unavailable | $1,302.70 |
| Fort Worth, TX | Unavailable | $1,297.01 |
| Galveston, TX | Unavailable | $1,297.61 |
| Houston, TX | Unavailable | $1,343.37 |
| Rest of Texas | Unavailable | $1,269.62 |
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.
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%).
30420 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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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