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

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, 2026One payment locality3.8K Medicare services in 2024

In Nevada, Medicare pays $913.34 for 30465 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$913.34Hospital or facility

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.

We’ll open 30465 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 30465 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Nevada 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. Nevada pays $913.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

30465 in Nevada vs other payment areas
  1. Nevada · this page$913.34
  2. Los Angeles, CA · California$1,003.57+$90.23
  3. Washington, DC area · District of Columbia$1,033.34+$120.00
  4. Miami, FL · Florida$1,033.17+$119.83
  5. Chicago, IL · Illinois$1,005.41+$92.07
  6. Manhattan, NY · New York$1,058.28+$144.94
  7. Alaska · Alaska$1,127.20+$213.86

Other areas in Nevada first, then benchmark localities. Bars start at $0.

Every other payment area

30465 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$839.34
ArkansasArkansas—$828.93
ArizonaArizona—$899.98
Bakersfield, CACalifornia—$951.35
Chico, CACalifornia—$946.19
El Centro, CACalifornia—$946.48
Fresno, CACalifornia—$946.19
Hanford, CACalifornia—$946.19

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

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.

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.

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,440

Code
30465
Physician work
12.05
Practice expense
13.79
Malpractice
1.79

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Facility calculation for 30465 in Nevada
ComponentRVULocality factorAdjusted
Physician work12.05× 1.00012.0500
Practice expense13.79× 1.00113.8038
Malpractice1.79× 0.8331.4911
Total RVUs27.3449
Conversion factor× 33.4009

Facility rate, Nevada$913.34

Facility: (12.05 × 1 + 13.79 × 1.001 + 1.79 × 0.833) × $33.4009 = $913.34

Open 30465 in the RVU calculator

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

How 30465 has changed in Nevada

30465 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$913.34RVU26D
2026-07-01Not available in this setting$913.34RVU26C
2026-04-01Not available in this setting$913.34RVU26B
2026-01-01Not available in this setting$913.34RVU26A
2025-10-01Not available in this setting$985.20RVU25D
2025-07-01Not available in this setting$985.20RVU25C
2025-04-01Not available in this setting$985.20RVU25B
2025-01-01Not available in this setting$985.20RVU25A
2024-10-01Not available in this setting$1,022.46RVU24D
2024-07-01Not available in this setting$1,022.46RVU24C
2024-04-01Not available in this setting$1,022.46RVU24B
2024-03-09Not available in this setting$1,022.46RVU24AR
2024-01-01Not available in this setting$1,005.77RVU24A
2023-10-01Not available in this setting$1,059.80RVU23D
2023-07-01Not available in this setting$1,059.80RVU23C
2023-04-01Not available in this setting$1,059.80RVU23B
2023-01-01Not available in this setting$1,059.80RVU23A
2022-10-01Not available in this setting$1,093.44RVU22D
2022-07-01Not available in this setting$1,093.44RVU22C
2022-04-01Not available in this setting$1,093.44RVU22B
2022-01-01Not available in this setting$1,093.44RVU22A
2021-10-01Not available in this setting$1,078.51RVU21D
2021-07-01Not available in this setting$1,078.51RVU21C
2021-04-01Not available in this setting$1,078.51RVU21B
2021-01-01Not available in this setting$1,078.51RVU21A
2020-10-01Not available in this setting$1,039.76RVU20D
2020-07-01Not available in this setting$1,039.76RVU20C
2020-04-01Not available in this setting$1,039.76RVU20B
2020-01-01Not available in this setting$1,039.76RVU20A
2019-10-01Not available in this setting$1,017.33RVU19D
2019-07-01Not available in this setting$1,017.33RVU19C
2019-04-01Not available in this setting$1,017.33RVU19B
2019-01-01Not available in this setting$1,017.33RVU19A
2018-10-01Not available in this setting$992.38RVU18D
2018-07-01Not available in this setting$992.38RVU18C
2018-04-01Not available in this setting$992.38RVU18B
2018-01-01Not available in this setting$992.38RVU18AR1
2017-10-01Not available in this setting$1,012.94RVU17D
2017-07-01Not available in this setting$1,012.94RVU17C
2017-04-01Not available in this setting$1,012.94RVU17B
2017-01-01Not available in this setting$1,012.94RVU17A
2016-10-01Not available in this setting$1,031.76RVU16D
2016-07-01Not available in this setting$1,031.76RVU16C
2016-04-01Not available in this setting$1,031.76RVU16B
2016-01-01Not available in this setting$1,031.76RVU16A
2015-10-01Not available in this setting$1,032.03RVU15D
2015-07-01Not available in this setting$1,032.03RVU15C
2015-04-01Not available in this setting$1,026.90RVU15B
2015-01-01Not available in this setting$1,026.90RVU15A
2014-10-01Not available in this setting$1,040.79RVU14D
2014-07-01Not available in this setting$1,040.79RVU14C
2014-04-01Not available in this setting$1,040.79RVU14B
2014-01-01Not available in this setting$1,040.79RVU14A
2013-10-01Not available in this setting$1,049.60RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 30465 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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