CPT code 30469: Nasal valve repair, submucosal remodeling2026 Medicare rate & RVUs in Arkansas

Reports bilateral treatment of nasal valve collapse by remodeling tissue beneath the nasal lining, commonly with controlled radiofrequency energy and without an implant.

CMS RVU26DEffective Oct 1, 2026One payment locality6.1K Medicare services in 2024

In Arkansas, Medicare pays $2,002.27 for 30469 in the office and $118.39 when it’s performed in a hospital or facility.

$2,002.27Office (non-facility)
$118.39Hospital or facility
−13.8%vs the national office rate ($2,322.70)

Check a contract rate as a % of Medicare · 30469 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 30469 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 30469 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 30469 covers

This procedure addresses nasal obstruction caused by collapse of the nasal valve, the narrow passage near the nostril that can narrow during breathing. An otolaryngologist or other qualified nasal surgeon commonly uses a controlled energy device to remodel tissue beneath the nasal lining and support the valve. It is often performed as a minimally invasive treatment, including in an office setting. Unlike an implant-based repair, the approach remodels tissue rather than placing an implant.

Report 30469 for the bilateral remodeling service; the CMS fee schedule prices the code as bilateral, and modifier 50 does not increase payment. Documentation should connect the patient’s obstruction to nasal valve collapse and identify the treated areas and remodeling technique. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment is restricted; 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 Arkansas compares for 30469

Across 109 of 109 payment localities, the office rate for 30469 runs from $2,002.27 in Arkansas to $3,312.05 in San Benito County, CA. Arkansas pays $2,002.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

30469 in Arkansas vs other payment areas
  1. Arkansas · this page$2,002.27
  2. Los Angeles, CA · California$2,730.22+$727.95
  3. Washington, DC area · District of Columbia$2,725.50+$723.23
  4. Miami, FL · Florida$2,432.56+$430.29
  5. Chicago, IL · Illinois$2,349.98+$347.71
  6. Manhattan, NY · New York$2,696.28+$694.01
  7. Alaska · Alaska$2,502.07+$499.80

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

Every other payment area

30469 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$2,038.58$119.62
ArizonaArizona$2,251.80$126.68
Bakersfield, CACalifornia$2,533.70$130.06
Chico, CACalifornia$2,532.66$129.02
El Centro, CACalifornia$2,532.72$129.08
Fresno, CACalifornia$2,532.66$129.02
Hanford, CACalifornia$2,532.66$129.02
Madera, CACalifornia$2,532.66$129.02

30469 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.

$2,002.27

$2,922.36

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
30469 office rate range by state
State / territoryOffice rate rangeLocalities
AK$2,502.071
AL$2,038.581
AR$2,002.271
AZ$2,251.801
CA$2,532.66–$3,312.0529
CO$2,463.811
CT$2,498.611
DC$2,725.501
DE$2,295.111
FL$2,230.57–$2,432.563
GA$2,084.04–$2,361.052
GU$2,623.311
HI$2,623.311
IA$2,125.801
ID$2,137.871
IL$2,135.36–$2,392.784
IN$2,153.641
KS$2,102.541
KY$2,074.021
LA$2,065.61–$2,192.692
MA$2,439.78–$2,757.482
MD$2,349.28–$2,725.503
ME$2,139.66–$2,298.182
MI$2,130.14–$2,252.862
MN$2,378.941
MO$2,014.48–$2,215.633
MS$2,009.431
MT$2,322.671
NC$2,168.871
ND$2,315.561
NE$2,143.421
NH$2,412.671
NJ$2,532.31–$2,685.512
NM$2,139.931
NV$2,322.921
NY$2,207.57–$2,759.785
OH$2,128.681
OK$2,081.281
OR$2,310.20–$2,568.552
PA$2,139.08–$2,417.932
PR$2,347.061
RI$2,396.541
SC$2,151.331
SD$2,314.711
TN$2,114.091
TX$2,121.04–$2,450.908
UT$2,187.601
VA$2,281.23–$2,725.502
VI$2,347.061
VT$2,294.451
WA$2,439.11–$2,830.952
WI$2,220.671
WV$2,035.601
WY$2,319.571

See 30469 in every payment locality

How the 30469 rate is calculated

Each of 30469’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 · 30469

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.38

2.38 RVUs× 1.000 GPCI

Practice expense66.80

66.80 RVUs× 1.000 GPCI

Malpractice0.36

0.36 RVUs× 1.000 GPCI

Adjusted RVUs

69.5400

Conversion factor

$33.4009

Medicare rate

$2,322.70

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,442

Code
30469
Physician work
2.38
Practice expense
66.80
Malpractice
0.36

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office calculation for 30469 in Arkansas
ComponentRVULocality factorAdjusted
Physician work2.38× 1.0002.3800
Practice expense66.80× 0.85957.3812
Malpractice0.36× 0.5150.1854
Total RVUs59.9466
Conversion factor× 33.4009

Office rate, Arkansas$2002.27

Office: (2.38 × 1 + 66.8 × 0.859 + 0.36 × 0.515) × $33.4009 = $2002.27

Facility: (2.38 × 1 + 1.14 × 0.859 + 0.36 × 0.515) × $33.4009 = $118.39

Open 30469 in the RVU calculator

Payment rules and modifiers for 30469

The CMS indicators that decide how 30469 is paid alongside other services.

CMS payment indicators · 30469

Nasal valve repair, submucosal remodeling

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

30469 without 51 · national office

$2,322.70

Nasal valve repair, submucosal remodeling

30469-51 · Second procedure: 50%

$1,161.35

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 30469 has changed in Arkansas

30469 · Office / nonfacility

$2002.27

Effective 2026-10-01

The base rate is $65.19 higher than on 2025-10-01, moving from $1937.08 to $2002.27 (3.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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
  1. January 1, 2026

    RVU26A

    $1937.08changed to$2002.27

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.44 changed to 2.38
    • Practice expense RVU 66.58 changed to 66.80
    • Practice expense GPCI 0.860 changed to 0.859
    • Malpractice GPCI 0.518 changed to 0.515

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $2105.36changed to$1937.08

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 70.49 changed to 66.58

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $2071.00changed to$2105.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $2191.42changed to$2071.00

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 72.75 changed to 70.49
    • Malpractice RVU 0.35 changed to 0.36
    • Practice expense GPCI 0.853 changed to 0.860
    • Malpractice GPCI 0.492 changed to 0.518
  5. January 1, 2023

    RVU23A

    No ratechanged to$2191.42

    Held through RVU23B, RVU23C, RVU23D.

  6. 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, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$2,002.27$118.39RVU26D
2026-07-01$2,002.27$118.39RVU26C
2026-04-01$2,002.27$118.39RVU26B
2026-01-01$2,002.27$118.39RVU26A
2025-10-01$1,937.08$132.53RVU25D
2025-07-01$1,937.08$132.53RVU25C
2025-04-01$1,937.08$132.53RVU25B
2025-01-01$1,937.08$132.53RVU25A
2024-10-01$2,105.36$136.38RVU24D
2024-07-01$2,105.36$136.38RVU24C
2024-04-01$2,105.36$136.38RVU24B
2024-03-09$2,105.36$136.38RVU24AR
2024-01-01$2,071.00$134.16RVU24A
2023-10-01$2,191.42$137.37RVU23D
2023-07-01$2,191.42$137.37RVU23C
2023-04-01$2,191.42$137.37RVU23B
2023-01-01$2,191.42$137.37RVU23A
2022-10-01Not in this releaseNot in this releaseRVU22D
2022-07-01Not in this releaseNot in this releaseRVU22C
2022-04-01Not in this releaseNot in this releaseRVU22B
2022-01-01Not in this releaseNot in this releaseRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 30469 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

30469 billing questions

How is 30469 different from 30468?

30469 describes tissue remodeling beneath the nasal lining. 30468 is the implant-based nasal valve collapse repair.

Should modifier 50 be appended for bilateral treatment?

No. CMS prices 30469 as bilateral, and modifier 50 does not increase payment.

What documentation supports reporting 30469?

Document nasal valve collapse as the cause of obstruction, the clinical findings, the bilateral treatment areas, and the remodeling technique performed.

Can same-day care be billed separately?

The 0-day global period includes same-day preoperative and postoperative care. Other procedures performed in the same session are subject to the multiple-procedure payment rule.

Can an assistant or co-surgeon be paid for this procedure?

Assistant-at-surgery payment is restricted for 30469. CMS does not permit co-surgeons or team surgery for this code.

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 30469PPRRVU2026_Oct_nonQPP.csv, line 3,442 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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