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

In New Mexico, Medicare pays $896.65 for 30465 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 30465 nationwide

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

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.

How New Mexico compares for 30465

Across 109 of 109 payment localities, the facility rate for 30465 runs from $828.93 in Arkansas to $1,142.98 in San Benito County, CA. New Mexico pays $896.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

30465 rates by state

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

See 30465 in every payment locality

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.

Payment rules and modifiers for 30465

30465 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

Codes related to 30465

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

How 30465 has changed in New Mexico

Price 30465 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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