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CPT code 30430: Nose revision, minor secondary revision2026 Medicare rate & RVUs

Reports a limited secondary rhinoplasty, such as a small nasal-tip contour correction, when prior nasal surgery requires focused revision.

CMS RVU26DEffective Oct 1, 2026109 payment localities31 Medicare services in 2024

Medicare pays $1,063.15 for 30430 nationally in a facility.

Medicare rate · 30430

Nose revision, minor secondary revision

Office or facility?

Work RVUs
8.03
Total RVUs
31.83
Global days
090

National rate · 2026

$1,063.15

Facility setting, before claim adjustments.

See every locality for 30430 →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 30430 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 30430 covers

Code 30430 represents a limited secondary rhinoplasty after prior nasal surgery. A canonical example is a small, focused correction of nasal-tip contour; the code level follows the overall scope, not simply the number of prior procedures. Plastic surgeons and otolaryngologists commonly perform revision rhinoplasty in an operating room to address residual contour or structural concerns. The operative report should distinguish a limited correction from intermediate or major revision work; a tip-related task alone does not establish the level.

For Medicare, payment is restricted to specific circumstances, so document the prior procedure, indication, findings, and corrective work supporting coverage. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. With multiple procedures in one session, the highest-valued procedure is paid in full and each other procedure is subject to the standard multiple-procedure reduction. 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 30430 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

30430 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$948.51
AlaskaUnavailable$1,223.52
ArizonaUnavailable$1,032.92
ArkansasUnavailable$934.06
Atlanta, GAUnavailable$1,085.82
Austin, TXUnavailable$1,101.29
Bakersfield, CAUnavailable$1,120.49
Baltimore area, MDUnavailable$1,133.58
Beaumont, TXUnavailable$992.55
Brazoria, TXUnavailable$1,047.71

30430 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
30430 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 30430 rate is calculated

Each of 30430’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 · 30430

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.03

8.03 RVUs× 1.000 GPCI

Practice expense22.32

22.32 RVUs× 1.000 GPCI

Malpractice1.48

1.48 RVUs× 1.000 GPCI

Adjusted RVUs

31.8300

Conversion factor

$33.4009

Medicare rate

$1,063.15

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

Payment rules and modifiers for 30430

30430 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 30430

Nose revision, minor secondary revision

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 · 30430

Nose revision, minor secondary revision

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

30430 without 51 · national facility

$1,063.15

Nose revision, minor secondary revision

30430-51 · Second procedure: 50%

$531.58

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

30430 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 30430

    Nose revision, minor secondary revision8.03 wRVU

    Not priced

  • 30435

    Revision rhinoplasty, intermediate, osteotomies12.41 wRVU

    Not priced

  • 30450

    Nasal revision, major revision19.17 wRVU

    Not priced

  • 30410

    Rhinoplasty, primary, complete external reconstruction13.65 wRVU

    Not priced

  • 30420

    Rhinoplasty, with major septal repair16.48 wRVU

    Not priced

How to choose

30435Revision rhinoplastyIntermediate, osteotomies
30430 is the minor secondary-revision level; 30435 is the intermediate level. Choose based on the documented overall scope of the revision.
30450Nasal revisionMajor revision
30450 is the major secondary-revision level, while 30430 is the minor level. The operative documentation should support the selected scope.
30410RhinoplastyPrimary, complete external reconstruction
30410 is a primary rhinoplasty code for more comprehensive external nasal work. 30430 is for a limited revision after prior nasal surgery.
30420RhinoplastyWith major septal repair
30420 is a primary rhinoplasty code that includes major septal repair. 30430 describes a limited secondary revision.

Codes related to 30430

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

Codes related to 30430
CodeHow it relatesNational office range
Same family
30435Revision rhinoplasty, intermediate, osteotomiesIntermediate secondary-revision level; select by the documented scope of work.No office rate
30450Nasal revision, major revisionMajor secondary-revision level; select by the documented scope of work.No office rate
Used instead
30400Nasal reconstruction, lateral or alar cartilage, or tipPrimary rhinoplasty option for work involving the nasal tip or cartilage, rather than secondary revision.No office rate
30410Rhinoplasty, primary, complete external reconstructionPrimary rhinoplasty option for more comprehensive external nasal work.No office rate
30420Rhinoplasty, with major septal repairPrimary rhinoplasty option when major septal repair is included.No office rate

30430 billing questions

How does 30430 differ from 30435?

30430 is the minor secondary-revision level, while 30435 is the intermediate level. Choose between them based on the documented overall scope of the revision.

When is 30450 more appropriate?

30450 is the major secondary-revision level. Select it when the documented overall scope supports a major rather than limited revision.

Can modifier 50 be appended for work on both sides of the nose?

No. Bilateral adjustment is inappropriate for this code; do not use modifier 50.

What is included in the 90-day global period?

The day-before preoperative visit and 90 days of related postoperative care are included.

Can 30430 be reported with another procedure in the same session?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.

What documentation supports Medicare payment?

Document the prior nasal procedure, indication, findings, specific corrective work, and circumstances supporting coverage under Medicare's applicable criteria.

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 30430PPRRVU2026_Oct_nonQPP.csv, line 3,434 (RVU26D)

Open CMS sourceHow we calculate rates

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