CPT code 30468: Nasal valve repair, lateral wall implant2026 Medicare rate & RVUs in Puerto Rico
Reports implant-based support of collapsing nasal valve sidewalls causing obstruction, performed bilaterally by placing an implant beneath the nasal lining.
In Puerto Rico, Medicare pays $2,419.16 for 30468 in the office and $145.88 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 30468 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 30468 covers
This procedure supports weakened nasal valve sidewalls with an implant placed under the skin or lining of the lateral nasal wall. It is used for nasal obstruction associated with valve collapse, including inward movement of the sidewall during breathing. Otolaryngologists and facial plastic surgeons typically perform it in an office procedure room or an operating room. The technique differs from radiofrequency remodeling and from reconstruction using grafts or other structural methods.
Report the code for the bilateral implant procedure; CMS pricing already accounts for both sides, so modifier 50 does not increase payment. Documentation should identify nasal valve collapse, the obstruction being treated, and implant placement. The 0-day global period includes same-day preoperative and 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. Assistant-at-surgery services are not 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.
How Puerto Rico compares for 30468
Across 109 of 109 payment localities, the office rate for 30468 runs from $2,064.86 in Arkansas to $3,410.02 in San Benito County, CA. Puerto Rico pays $2,419.16. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$2,419.16
- Los Angeles, CA · California$2,812.43+$393.27
- Washington, DC area · District of Columbia$2,808.16+$389.00
- Miami, FL · Florida$2,508.48+$89.32
- Chicago, IL · Illinois$2,423.56+$4.40
- Manhattan, NY · New York$2,778.76+$359.60
- Alaska · Alaska$2,582.60+$163.44
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $2,102.17 | $134.69 |
| ArkansasArkansas | $2,064.86 | $133.36 |
| ArizonaArizona | $2,321.27 | $142.43 |
| Bakersfield, CACalifornia | $2,610.49 | $146.08 |
| Chico, CACalifornia | $2,609.33 | $144.92 |
| El Centro, CACalifornia | $2,609.40 | $144.99 |
| Fresno, CACalifornia | $2,609.33 | $144.92 |
| Hanford, CACalifornia | $2,609.33 | $144.92 |
| Madera, CACalifornia | $2,609.33 | $144.92 |
| Merced, CACalifornia | $2,609.33 | $144.92 |
| Modesto, CACalifornia | $2,609.33 | $144.92 |
| Napa, CACalifornia | $3,121.45 | $157.86 |
| Oxnard, CACalifornia | $2,808.41 | $150.62 |
| Redding, CACalifornia | $2,609.33 | $144.92 |
| Rest of CaliforniaCalifornia | $2,609.33 | $144.92 |
| Riverside, CACalifornia | $2,613.66 | $149.25 |
| Sacramento, CACalifornia | $2,764.47 | $149.41 |
| Salinas, CACalifornia | $2,754.86 | $148.79 |
| San Diego, CACalifornia | $2,839.56 | $150.30 |
| Marin County, CACalifornia | $3,334.36 | $163.91 |
| San Francisco, CACalifornia | $3,333.91 | $163.45 |
| San Benito County, CACalifornia | $3,410.02 | $167.62 |
| Santa Clara County, CACalifornia | $3,408.17 | $165.76 |
| San Luis Obispo, CACalifornia | $2,707.79 | $146.69 |
| Santa Cruz, CACalifornia | $2,882.16 | $150.18 |
| Santa Maria, CACalifornia | $2,770.61 | $148.80 |
| Santa Rosa, CACalifornia | $2,912.75 | $151.53 |
| Stockton, CACalifornia | $2,609.33 | $144.92 |
| Vallejo, CACalifornia | $3,120.80 | $157.21 |
| Visalia, CACalifornia | $2,609.33 | $144.92 |
| Yuba City, CACalifornia | $2,609.33 | $144.92 |
| ColoradoColorado | $2,538.88 | $146.43 |
| ConnecticutConnecticut | $2,575.11 | $153.42 |
| DelawareDelaware | $2,365.81 | $144.24 |
| Fort Lauderdale, FLFlorida | $2,434.74 | $156.96 |
| Rest of FloridaFlorida | $2,300.15 | $150.54 |
| Atlanta, GAGeorgia | $2,433.77 | $149.24 |
| Rest of GeorgiaGeorgia | $2,149.46 | $143.76 |
| Hawaii, Guam, HIHawaii | $2,702.23 | $145.63 |
| IowaIowa | $2,191.50 | $134.08 |
| IdahoIdaho | $2,203.97 | $135.30 |
| East St. Louis, ILIllinois | $2,224.55 | $155.89 |
| Rest of IllinoisIllinois | $2,202.50 | $149.58 |
| Suburban Chicago, ILIllinois | $2,466.95 | $157.69 |
| IndianaIndiana | $2,220.17 | $135.76 |
| KansasKansas | $2,167.75 | $135.06 |
| KentuckyKentucky | $2,138.89 | $139.93 |
| New Orleans, LALouisiana | $2,260.91 | $145.02 |
| Rest of LouisianaLouisiana | $2,130.31 | $140.34 |
| Metropolitan Boston, MAMassachusetts | $2,840.63 | $155.87 |
| Rest of MassachusettsMassachusetts | $2,514.27 | $146.55 |
| Baltimore area, MDMaryland | $2,565.94 | $153.25 |
| Rest of MarylandMaryland | $2,421.47 | $145.94 |
| Rest of MaineMaine | $2,205.96 | $137.29 |
| Southern Maine, MEMaine | $2,368.64 | $140.33 |
| Detroit, MIMichigan | $2,323.20 | $153.36 |
| Rest of MichiganMichigan | $2,196.70 | $143.78 |
| MinnesotaMinnesota | $2,451.17 | $137.41 |
| Metropolitan Kansas City, MOMissouri | $2,254.20 | $142.81 |
| Metropolitan St. Louis, MOMissouri | $2,284.30 | $143.68 |
| Rest of MissouriMissouri | $2,077.86 | $139.61 |
| MississippiMississippi | $2,072.43 | $136.43 |
| MontanaMontana | $2,394.15 | $145.60 |
| North CarolinaNorth Carolina | $2,235.95 | $138.05 |
| North DakotaNorth Dakota | $2,386.24 | $137.69 |
| NebraskaNebraska | $2,209.56 | $134.15 |
| New HampshireNew Hampshire | $2,486.38 | $145.64 |
| Northern New JerseyNew Jersey | $2,767.17 | $158.85 |
| Rest of New JerseyNew Jersey | $2,609.77 | $154.35 |
| New MexicoNew Mexico | $2,206.82 | $144.90 |
| NevadaNevada | $2,394.23 | $143.44 |
| NYC suburbs and Long Island, NYNew York | $2,844.20 | $170.68 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $2,618.60 | $156.44 |
| Queens, NYNew York | $2,822.63 | $164.85 |
| Rest of New YorkNew York | $2,275.73 | $139.61 |
| OhioOhio | $2,195.09 | $142.16 |
| OklahomaOklahoma | $2,146.21 | $138.25 |
| Portland, OROregon | $2,646.36 | $148.23 |
| Rest of OregonOregon | $2,381.05 | $141.50 |
| Metropolitan Philadelphia, PAPennsylvania | $2,492.27 | $151.53 |
| Rest of PennsylvaniaPennsylvania | $2,205.69 | $141.52 |
| Rhode IslandRhode Island | $2,470.02 | $147.27 |
| South CarolinaSouth Carolina | $2,218.16 | $140.50 |
| South DakotaSouth Dakota | $2,385.31 | $136.76 |
| TennesseeTennessee | $2,179.63 | $135.70 |
| Austin, TXTexas | $2,525.63 | $146.67 |
| Beaumont, TXTexas | $2,187.16 | $140.98 |
| Brazoria, TXTexas | $2,371.36 | $143.05 |
| Dallas, TXTexas | $2,383.94 | $144.39 |
| Fort Worth, TXTexas | $2,361.22 | $144.15 |
| Galveston, TXTexas | $2,376.58 | $143.77 |
| Houston, TXTexas | $2,383.90 | $151.09 |
| Rest of TexasTexas | $2,276.11 | $142.24 |
| UtahUtah | $2,255.44 | $141.80 |
| VirginiaVirginia | $2,351.32 | $141.00 |
| Virgin Islands, VIUnited States Virgin Islands | $2,419.16 | $145.88 |
| VermontVermont | $2,364.68 | $138.62 |
| Rest of WashingtonWashington | $2,513.52 | $145.80 |
| King County, WAWashington | $2,916.04 | $157.07 |
| WisconsinWisconsin | $2,288.77 | $134.66 |
| West VirginiaWest Virginia | $2,099.99 | $146.00 |
| WyomingWyoming | $2,390.70 | $142.15 |
30468 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$2,064.86
$3,009.68
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $2,582.60 | 1 |
| AL | $2,102.17 | 1 |
| AR | $2,064.86 | 1 |
| AZ | $2,321.27 | 1 |
| CA | $2,609.33–$3,410.02 | 29 |
| CO | $2,538.88 | 1 |
| CT | $2,575.11 | 1 |
| DC | $2,808.16 | 1 |
| DE | $2,365.81 | 1 |
| FL | $2,300.15–$2,508.48 | 3 |
| GA | $2,149.46–$2,433.77 | 2 |
| GU | $2,702.23 | 1 |
| HI | $2,702.23 | 1 |
| IA | $2,191.50 | 1 |
| ID | $2,203.97 | 1 |
| IL | $2,202.50–$2,466.95 | 4 |
| IN | $2,220.17 | 1 |
| KS | $2,167.75 | 1 |
| KY | $2,138.89 | 1 |
| LA | $2,130.31–$2,260.91 | 2 |
| MA | $2,514.27–$2,840.63 | 2 |
| MD | $2,421.47–$2,808.16 | 3 |
| ME | $2,205.96–$2,368.64 | 2 |
| MI | $2,196.70–$2,323.20 | 2 |
| MN | $2,451.17 | 1 |
| MO | $2,077.86–$2,284.30 | 3 |
| MS | $2,072.43 | 1 |
| MT | $2,394.15 | 1 |
| NC | $2,235.95 | 1 |
| ND | $2,386.24 | 1 |
| NE | $2,209.56 | 1 |
| NH | $2,486.38 | 1 |
| NJ | $2,609.77–$2,767.17 | 2 |
| NM | $2,206.82 | 1 |
| NV | $2,394.23 | 1 |
| NY | $2,275.73–$2,844.20 | 5 |
| OH | $2,195.09 | 1 |
| OK | $2,146.21 | 1 |
| OR | $2,381.05–$2,646.36 | 2 |
| PA | $2,205.69–$2,492.27 | 2 |
| PR | $2,419.16 | 1 |
| RI | $2,470.02 | 1 |
| SC | $2,218.16 | 1 |
| SD | $2,385.31 | 1 |
| TN | $2,179.63 | 1 |
| TX | $2,187.16–$2,525.63 | 8 |
| UT | $2,255.44 | 1 |
| VA | $2,351.32–$2,808.16 | 2 |
| VI | $2,419.16 | 1 |
| VT | $2,364.68 | 1 |
| WA | $2,513.52–$2,916.04 | 2 |
| WI | $2,288.77 | 1 |
| WV | $2,099.99 | 1 |
| WY | $2,390.70 | 1 |
How the 30468 rate is calculated
Each of 30468’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 · 30468
RVUs × geographic indexes × conversion factor
Work2.73
2.73 RVUs× 1.000 GPCI
Practice expense68.55
68.55 RVUs× 1.000 GPCI
Malpractice0.40
0.40 RVUs× 1.000 GPCI
Adjusted RVUs
71.6800
Conversion factor
$33.4009
Medicare rate
$2,394.18
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,441
- Code
- 30468
- Physician work
- 2.73
- Practice expense
- 68.55
- Malpractice
- 0.40
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.73 | × 1.000 | 2.7300 |
| Practice expense | 68.55 | × 1.011 | 69.3040 |
| Malpractice | 0.40 | × 0.985 | 0.3940 |
| Total RVUs | 72.4280 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$2419.16
Office: (2.73 × 1 + 68.55 × 1.011 + 0.4 × 0.985) × $33.4009 = $2419.16
Facility: (2.73 × 1 + 1.23 × 1.011 + 0.4 × 0.985) × $33.4009 = $145.88
Payment rules and modifiers for 30468
The CMS indicators that decide how 30468 is paid alongside other services.
CMS payment indicators · 30468
Nasal valve repair, lateral wall implant
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
30468 without 51 · national office
$2,394.18
Nasal valve repair, lateral wall implant
30468-51 · Second procedure: 50%
$1,197.09
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%).
How 30468 has changed in Puerto Rico
30468 · Office / nonfacility
$2419.16
Effective 2026-10-01
The base rate is $96.69 higher than on 2025-10-01, moving from $2322.47 to $2419.16 (4.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$2322.47changed to$2419.16
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.80 changed to 2.73
- Practice expense RVU 68.13 changed to 68.55
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$2512.38changed to$2322.47
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 71.78 changed to 68.13
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$2471.38changed to$2512.38
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$2647.21changed to$2471.38
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 74.33 changed to 71.78
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$2627.27changed to$2647.21
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$2772.12changed to$2627.27
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 76.30 changed to 74.33
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$2949.88changed to$2772.12
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 80.72 changed to 76.30
- Malpractice RVU 0.38 changed to 0.40
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
No ratechanged to$2949.88
Held through RVU21B, RVU21C, RVU21D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $2,419.16 | $145.88 | RVU26D |
| 2026-07-01 | $2,419.16 | $145.88 | RVU26C |
| 2026-04-01 | $2,419.16 | $145.88 | RVU26B |
| 2026-01-01 | $2,419.16 | $145.88 | RVU26A |
| 2025-10-01 | $2,322.47 | $164.84 | RVU25D |
| 2025-07-01 | $2,322.47 | $164.84 | RVU25C |
| 2025-04-01 | $2,322.47 | $164.84 | RVU25B |
| 2025-01-01 | $2,322.47 | $164.84 | RVU25A |
| 2024-10-01 | $2,512.38 | $168.63 | RVU24D |
| 2024-07-01 | $2,512.38 | $168.63 | RVU24C |
| 2024-04-01 | $2,512.38 | $168.63 | RVU24B |
| 2024-03-09 | $2,512.38 | $168.63 | RVU24AR |
| 2024-01-01 | $2,471.38 | $165.88 | RVU24A |
| 2023-10-01 | $2,647.21 | $171.42 | RVU23D |
| 2023-07-01 | $2,627.27 | $171.13 | RVU23C |
| 2023-04-01 | $2,627.27 | $171.13 | RVU23B |
| 2023-01-01 | $2,627.27 | $171.13 | RVU23A |
| 2022-10-01 | $2,772.12 | $171.24 | RVU22D |
| 2022-07-01 | $2,772.12 | $171.24 | RVU22C |
| 2022-04-01 | $2,772.12 | $171.24 | RVU22B |
| 2022-01-01 | $2,772.12 | $171.24 | RVU22A |
| 2021-10-01 | $2,949.88 | $170.22 | RVU21D |
| 2021-07-01 | $2,949.88 | $170.22 | RVU21C |
| 2021-04-01 | $2,949.88 | $170.22 | RVU21B |
| 2021-01-01 | $2,949.88 | $170.22 | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
30468 billing questions
Should this code be reported for one side only?
The CMS pricing treats the code as bilateral. Modifier 50 does not increase payment; document the sides treated and the implant placement.
How does this differ from radiofrequency nasal valve treatment?
This code is for support provided by a lateral wall implant. Code 30469 describes a radiofrequency remodeling approach.
Is same-day postoperative care included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. CMS does not permit co-surgeons or team surgery.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
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
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