CPT code 30450: Nasal revision, major revision2026 Medicare rate & RVUs

Medicare pays $1,640.65 for 30450 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 30450 covers

This code describes major secondary rhinoplasty: revision of a nose that has already undergone surgery, with work on both the nasal tip and nasal bones through osteotomies. A plastic surgeon, facial plastic surgeon, or otolaryngologist typically performs the operation in a surgical setting. The operative report should establish the prior nasal surgery and describe the tip work and osteotomies performed.

Choose this level based on the revision’s documented extent, not simply because it is a repeat operation. Medicare payment is restricted to specific circumstances, so the record must support the applicable coverage basis. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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 30450 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

30450 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 30450 rate is calculated

Each of 30450’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.

Payment rules and modifiers for 30450

30450 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

30450 compared with similar codes

How to choose

30430Nose revisionMinor secondary revision

Use 30430 for a minor secondary revision with a small amount of nasal tip work. This code is for the major revision level, including both tip work and osteotomies.

30435Revision rhinoplastyIntermediate, osteotomies

30435 is the intermediate revision level, described as involving bony work and osteotomies. This code is the major level when the revision also includes nasal tip work.

30400Nasal reconstructionLateral or alar cartilage, or tip

30400 is a nasal reconstruction code, not the major secondary revision code for a previously operated nose with tip work and osteotomies.

Codes related to 30450

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

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

Open CMS sourceHow we calculate rates