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CPT code 30465: Nasal stenosis repair, structural vestibular repair2026 Medicare rate & RVUs

Reports surgical reconstruction of a narrowed nasal vestibule, such as structural grafting to relieve obstruction from stenosis or weakened nasal support.

CMS RVU26DEffective Oct 1, 2026109 payment localities3.8K Medicare services in 2024

Medicare pays $922.87 for 30465 nationally in a facility.

Medicare rate · 30465

Nasal stenosis repair, structural vestibular repair

Office or facility?

Work RVUs
12.05
Total RVUs
27.63
Global days
090

National rate · 2026

$922.87

Facility setting, before claim adjustments.

See every locality for 30465 →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 30465 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 30465 covers

An otolaryngologist or facial plastic surgeon uses this service to surgically widen or support a narrowed nasal vestibule when structural stenosis contributes to nasal airflow obstruction. Repair may involve grafting or reconstruction of the lateral nasal wall or other supporting structures, often through an open or endonasal approach. The operative report should identify the site and nature of the narrowing, the functional problem, and the corrective reconstruction performed.

Report the code for the structural stenosis repair, rather than for nasal reshaping alone or a less invasive nasal-valve treatment. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Do not append modifier 50; CMS identifies bilateral adjustment as inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this service.

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 30465 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

30465 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$839.34
AlaskaUnavailable$1,127.20
ArizonaUnavailable$899.98
ArkansasUnavailable$828.93
Atlanta, GAUnavailable$943.46
Austin, TXUnavailable$943.57
Bakersfield, CAUnavailable$951.35
Baltimore area, MDUnavailable$977.10
Beaumont, TXUnavailable$877.17
Brazoria, TXUnavailable$908.79

30465 rates by state

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

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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
30465 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 30465 rate is calculated

Each of 30465’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 · 30465

RVUs × geographic indexes × conversion factor

Office or facility?

Work12.05

12.05 RVUs× 1.000 GPCI

Practice expense13.79

13.79 RVUs× 1.000 GPCI

Malpractice1.79

1.79 RVUs× 1.000 GPCI

Adjusted RVUs

27.6300

Conversion factor

$33.4009

Medicare rate

$922.87

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

Payment rules and modifiers for 30465

30465 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 30465

Nasal stenosis repair, structural vestibular 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)0Not paid without supporting documentation.
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 · 30465

Nasal stenosis repair, structural vestibular 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

30465 without 51 · national facility

$922.87

Nasal stenosis repair, structural vestibular repair

30465-51 · Second procedure: 50%

$461.44

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

30465 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 30465

    Nasal stenosis repair, structural vestibular repair12.05 wRVU

    Not priced

  • 30468

    Nasal valve repair, lateral wall implant2.73 wRVU

    $2,394.18

  • 30469

    Nasal valve repair, submucosal remodeling2.38 wRVU

    $2,322.70

  • 30420

    Rhinoplasty, with major septal repair16.48 wRVU

    Not priced

How to choose

30468Nasal valve repairLateral wall implant
Use 30468 when the nasal-valve repair uses an implant. Use 30465 for surgical reconstruction of stenosis, such as structural grafting.
30469Nasal valve repairSubmucosal remodeling
Use 30469 for radiofrequency remodeling of nasal-valve collapse. Use 30465 for structural reconstruction of nasal vestibular narrowing.
30420RhinoplastyWith major septal repair
30420 describes primary rhinoplasty with major septal repair. Choose 30465 when the service is specifically a structural repair of nasal vestibular stenosis.

Codes related to 30465

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

Codes related to 30465
CodeHow it relatesNational office range
Used instead
30468Nasal valve repair, lateral wall implantNasal-valve collapse treated with an implant rather than structural vestibular reconstruction.$2,064.86–$3,410.02
30469Nasal valve repair, submucosal remodelingNasal-valve collapse treated with radiofrequency remodeling rather than structural reconstruction.$2,002.27–$3,312.05
Often billed with
30520Septoplasty, septal deviation correctionSeptoplasty may accompany the repair when a separately treated septal deviation is present.No office rate

30465 billing questions

How is this different from nasal-valve implant or radiofrequency treatment?

This code describes structural surgical reconstruction for stenosis, such as grafting or lateral-wall support. Codes 30468 and 30469 describe nasal-valve treatments using an implant or radiofrequency remodeling, respectively.

Can modifier 50 be used when both sides are repaired?

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

What documentation supports reporting this repair?

Document the obstructed or narrowed nasal vestibule, the structural cause and location, and the reconstruction performed. The operative note should make clear that the work addressed stenosis rather than nasal appearance alone.

Is routine postoperative care separately reported during the global period?

The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period.

When are multiple-procedure reductions relevant?

When this repair and other procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%.

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this service.

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 30465PPRRVU2026_Oct_nonQPP.csv, line 3,440 (RVU26D)

Open CMS sourceHow we calculate rates

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