CPT code 30903: Nosebleed control, complex anterior treatment2026 Medicare rate & RVUs

Medicare pays $265.87 for 30903 nationally in the office and $69.81 in a hospital or facility. Local office rates run $232.23–$358.28.

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

What 30903 covers

This service treats active bleeding from the anterior nasal cavity with a complex intervention, such as extensive cautery, packing, or both. It is commonly performed by an otolaryngologist or emergency clinician in an office, emergency department, or other acute-care setting. The treatment is directed at controlling the bleed, rather than simply evaluating its cause or providing routine nasal care.

Select the code when the record supports anterior bleeding and the extent of treatment is complex; document the bleeding site, method, and work performed. 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 the others are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing 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.

Where 30903 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

30903 rates by state

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

How the 30903 rate is calculated

Each of 30903’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 30903

The CMS indicators that decide how 30903 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

30903 compared with similar codes

How to choose

30901Nosebleed controlAnterior, limited treatment

Use 30901 for simple anterior bleeding control. Use 30903 when the anterior treatment is complex, such as extensive cautery or packing.

30905Nosebleed controlPosterior, initial treatment

30905 is for initial control of posterior bleeding. 30903 is selected for complex treatment of anterior bleeding.

30906Nosebleed controlPosterior, subsequent treatment

30906 describes repeat control of posterior bleeding; 30903 describes complex anterior bleeding control.

30915Nasal artery ligationSinus-region arterial supply

30915 is an artery-ligation procedure. 30903 is used for complex anterior control without that surgical ligation approach.

Codes related to 30903

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

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