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

Reports complex treatment of anterior nasal bleeding, such as extensive cautery or packing, when a simple control service is insufficient.

CMS RVU26DEffective Oct 1, 2026One payment locality28.7K Medicare services in 2024

In Arkansas, Medicare pays $232.23 for 30903 in the office and $63.81 when it’s performed in a hospital or facility.

$232.23Office (non-facility)
$63.81Hospital or facility
−12.7%vs the national office rate ($265.87)

Check a contract rate as a % of Medicare · 30903 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 30903 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 30903 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 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.

How Arkansas compares for 30903

Across 109 of 109 payment localities, the office rate for 30903 runs from $232.23 in Arkansas to $358.28 in San Benito County, CA. Arkansas pays $232.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

30903 in Arkansas vs other payment areas
  1. Arkansas · this page$232.23
  2. Los Angeles, CA · California$302.56+$70.33
  3. Washington, DC area · District of Columbia$306.38+$74.15
  4. Miami, FL · Florida$288.63+$56.40
  5. Chicago, IL · Illinois$279.37+$47.14
  6. Manhattan, NY · New York$308.00+$75.77
  7. Alaska · Alaska$300.14+$67.91

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

Every other payment area

30903 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$236.01$64.45
ArizonaArizona$258.13$68.14
Bakersfield, CACalifornia$282.98$68.10
Chico, CACalifornia$282.20$67.31
El Centro, CACalifornia$282.25$67.36
Fresno, CACalifornia$282.20$67.31
Hanford, CACalifornia$282.20$67.31
Madera, CACalifornia$282.20$67.31

30903 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$232.23

$320.24

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

View every state and territory as a table
30903 office rate range by state
State / territoryOffice rate rangeLocalities
AK$300.141
AL$236.011
AR$232.231
AZ$258.131
CA$282.20–$358.2829
CO$277.631
CT$284.731
DC$306.381
DE$262.701
FL$261.49–$288.633
GA$245.37–$271.202
GU$290.211
HI$290.211
IA$242.691
ID$244.431
IL$253.18–$279.374
IN$246.001
KS$241.421
KY$242.161
LA$241.74–$254.962
MA$275.71–$306.942
MD$268.08–$306.383
ME$245.82–$260.562
MI$249.12–$265.062
MN$265.271
MO$237.14–$255.983
MS$234.741
MT$265.851
NC$248.671
ND$260.321
NE$244.161
NH$273.171
NJ$287.77–$302.692
NM$250.621
NV$264.521
NY$252.77–$316.115
OH$247.991
OK$241.701
OR$262.27–$287.192
PA$248.43–$277.042
PR$268.001
RI$272.621
SC$248.781
SD$259.661
TN$242.761
TX$246.63–$276.888
UT$252.531
VA$259.61–$306.382
VI$268.001
VT$259.191
WA$275.23–$313.522
WI$250.731
WV$242.861
WY$263.441

See 30903 in every payment locality

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.

How the rate is built · 30903

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.50

1.50 RVUs× 1.000 GPCI

Practice expense6.18

6.18 RVUs× 1.000 GPCI

Malpractice0.28

0.28 RVUs× 1.000 GPCI

Adjusted RVUs

7.9600

Conversion factor

$33.4009

Medicare rate

$265.87

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

3,480

Code
30903
Physician work
1.50
Practice expense
6.18
Malpractice
0.28

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office calculation for 30903 in Arkansas
ComponentRVULocality factorAdjusted
Physician work1.50× 1.0001.5000
Practice expense6.18× 0.8595.3086
Malpractice0.28× 0.5150.1442
Total RVUs6.9528
Conversion factor× 33.4009

Office rate, Arkansas$232.23

Office: (1.5 × 1 + 6.18 × 0.859 + 0.28 × 0.515) × $33.4009 = $232.23

Facility: (1.5 × 1 + 0.31 × 0.859 + 0.28 × 0.515) × $33.4009 = $63.81

Open 30903 in the RVU calculator

Payment rules and modifiers for 30903

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

CMS payment indicators · 30903

Nosebleed control, complex anterior treatment

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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 50 · payment effect

With and without the modifier

30903 without 50 · national office

$265.87

Nosebleed control, complex anterior treatment

30903-50 · Bilateral: 150%

$398.81

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 30903

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

Codes related to 30903
CodeHow it relatesOffice range, Arkansas
Used instead
30901Nosebleed control, anterior, limited treatmentSimple anterior bleeding control; use when treatment does not meet the complex level.$145.17
30905Nosebleed control, posterior, initial treatmentInitial control of posterior nasal bleeding, rather than complex anterior treatment.$344.27
30906Nosebleed control, posterior, subsequent treatmentRepeat control of posterior nasal bleeding.$356.06
30915Nasal artery ligation, sinus-region arterial supplyNasal or sinus artery ligation for bleeding requiring a surgical approach.No office rate

How 30903 has changed in Arkansas

30903 · Office / nonfacility

$232.23

Effective 2026-10-01

The base rate is $27.40 higher than on 2025-10-01, moving from $204.83 to $232.23 (13.4%).

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

    $204.83changed to$232.23

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.54 changed to 1.50
    • Practice expense RVU 5.41 changed to 6.18
    • Malpractice RVU 0.27 changed to 0.28
    • 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

    $213.77changed to$204.83

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.52 changed to 5.41
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $210.28changed to$213.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $219.55changed to$210.28

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.64 changed to 5.52
    • Practice expense GPCI 0.853 changed to 0.860
    • Malpractice GPCI 0.492 changed to 0.518

  5. January 1, 2023

    RVU23A

    $223.22changed to$219.55

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.66 changed to 5.64
    • Malpractice RVU 0.25 changed to 0.26
    • Practice expense GPCI 0.847 changed to 0.853
    • Malpractice GPCI 0.465 changed to 0.492

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $220.21changed to$223.22

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.49 changed to 5.66
    • Malpractice RVU 0.26 changed to 0.25

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $205.74changed to$220.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.68 changed to 5.49
    • Malpractice RVU 0.27 changed to 0.26
    • Practice expense GPCI 0.859 changed to 0.847
    • Malpractice GPCI 0.521 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $198.34changed to$205.74

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.40 changed to 4.68
    • Malpractice RVU 0.22 changed to 0.27
    • Practice expense GPCI 0.872 changed to 0.859
    • Malpractice GPCI 0.576 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $191.53changed to$198.34

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.19 changed to 4.40

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $200.15changed to$191.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.50 changed to 4.19
    • Practice expense GPCI 0.870 changed to 0.872
    • Malpractice GPCI 0.555 changed to 0.576

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $200.59changed to$200.15

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.55 changed to 4.50
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.534 changed to 0.555

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $187.48changed to$200.59

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.10 changed to 4.55
    • Malpractice RVU 0.23 changed to 0.22

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $186.55changed to$187.48

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $186.86changed to$186.55

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.12 changed to 4.10
    • Malpractice RVU 0.22 changed to 0.23
    • Practice expense GPCI 0.866 changed to 0.867
    • Malpractice GPCI 0.492 changed to 0.534

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $191.00changed to$186.86

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.59 changed to 4.12
    • Malpractice RVU 0.23 changed to 0.22
    • Practice expense GPCI 0.865 changed to 0.866
    • Malpractice GPCI 0.450 changed to 0.492

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $191.00

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$232.23$63.81RVU26D
2026-07-01$232.23$63.81RVU26C
2026-04-01$232.23$63.81RVU26B
2026-01-01$232.23$63.81RVU26A
2025-10-01$204.83$68.52RVU25D
2025-07-01$204.83$68.52RVU25C
2025-04-01$204.83$68.52RVU25B
2025-01-01$204.83$68.52RVU25A
2024-10-01$213.77$70.06RVU24D
2024-07-01$213.77$70.06RVU24C
2024-04-01$213.77$70.06RVU24B
2024-03-09$213.77$70.06RVU24AR
2024-01-01$210.28$68.92RVU24A
2023-10-01$219.55$71.26RVU23D
2023-07-01$219.55$71.26RVU23C
2023-04-01$219.55$71.26RVU23B
2023-01-01$219.55$71.26RVU23A
2022-10-01$223.22$71.39RVU22D
2022-07-01$223.22$71.39RVU22C
2022-04-01$223.22$71.39RVU22B
2022-01-01$223.22$71.39RVU22A
2021-10-01$220.21$71.84RVU21D
2021-07-01$220.21$71.84RVU21C
2021-04-01$220.21$71.84RVU21B
2021-01-01$220.21$71.84RVU21A
2020-10-01$205.74$75.23RVU20D
2020-07-01$205.74$75.23RVU20C
2020-04-01$205.74$75.23RVU20B
2020-01-01$205.74$75.23RVU20A
2019-10-01$198.34$75.47RVU19D
2019-07-01$198.34$75.47RVU19C
2019-04-01$198.34$75.47RVU19B
2019-01-01$198.34$75.47RVU19A
2018-10-01$191.53$75.38RVU18D
2018-07-01$191.53$75.38RVU18C
2018-04-01$191.53$75.38RVU18B
2018-01-01$191.53$75.38RVU18AR1
2017-10-01$200.15$76.82RVU17D
2017-07-01$200.15$76.82RVU17C
2017-04-01$200.15$76.82RVU17B
2017-01-01$200.15$76.82RVU17A
2016-10-01$200.59$76.73RVU16D
2016-07-01$200.59$76.73RVU16C
2016-04-01$200.59$76.73RVU16B
2016-01-01$200.59$76.73RVU16A
2015-10-01$187.48$75.64RVU15D
2015-07-01$187.48$75.64RVU15C
2015-04-01$186.55$75.26RVU15B
2015-01-01$186.55$75.26RVU15A
2014-10-01$186.86$75.49RVU14D
2014-07-01$186.86$75.49RVU14C
2014-04-01$186.86$75.49RVU14B
2014-01-01$186.86$75.49RVU14A
2013-10-01$191.00$72.99RVU13D
2013-07-01$191.00$72.99RVU13C
2013-04-01$191.00$72.99RVU13B
2013-01-01$191.00$72.99RVU13AR

Price 30903 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

30903 billing questions

How does this differ from 30901?

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

When should 30905 be considered instead?

30905 applies to initial control of posterior nasal bleeding. Choose 30903 when the treated bleeding is anterior and the intervention is complex.

How is bilateral treatment reported?

Report modifier 50 for bilateral treatment. CMS pays the bilateral service at 150%.

What should the note support?

Document that the bleeding was anterior and describe the complex treatment performed, such as the extent of cautery or packing.

Is same-day postoperative care separately included?

No. The 0-day global period includes same-day preoperative and postoperative care.

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 30903PPRRVU2026_Oct_nonQPP.csv, line 3,480 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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