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CPT code 30903: Nosebleed control, complex anterior treatment2026 Medicare rate & RVUs in Washington, DC area

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 Washington, DC area, Medicare pays $306.38 for 30903 in the office and $75.41 when it’s performed in a hospital or facility.

$306.38Office (non-facility)
$75.41Hospital or facility
+15.2%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $306.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

30903 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$306.38
  2. Los Angeles, CA · California$302.56−$3.82
  3. Miami, FL · Florida$288.63−$17.75
  4. Chicago, IL · Illinois$279.37−$27.01
  5. Manhattan, NY · New York$308.00+$1.62
  6. Alaska · Alaska$300.14−$6.24
  7. Alabama · Alabama$236.01−$70.37

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

30903 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$232.23$63.81
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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 30903 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.50× 1.0541.5810
Practice expense6.18× 1.1787.2800
Malpractice0.28× 1.1130.3116
Total RVUs9.1727
Conversion factor× 33.4009

Office rate, Washington, DC area$306.38

Office: (1.5 × 1.054 + 6.18 × 1.178 + 0.28 × 1.113) × $33.4009 = $306.38

Facility: (1.5 × 1.054 + 0.31 × 1.178 + 0.28 × 1.113) × $33.4009 = $75.41

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, Washington, DC area
Used instead
30901Nosebleed control, anterior, limited treatmentSimple anterior bleeding control; use when treatment does not meet the complex level.$190.31
30905Nosebleed control, posterior, initial treatmentInitial control of posterior nasal bleeding, rather than complex anterior treatment.$457.06
30906Nosebleed control, posterior, subsequent treatmentRepeat control of posterior nasal bleeding.$468.80
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 Washington, DC area

30903 · Office / nonfacility

$306.38

Effective 2026-10-01

The base rate is $34.93 higher than on 2025-10-01, moving from $271.45 to $306.38 (12.9%).

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

    $271.45changed to$306.38

    • 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
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $283.32changed to$271.45

    • 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

    $278.70changed to$283.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $297.98changed to$278.70

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.64 changed to 5.52
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $309.46changed to$297.98

    • 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
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $305.15changed to$309.46

    • 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

    $276.97changed to$305.15

    • 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
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $259.07changed to$276.97

    • 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
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $249.68changed to$259.07

    • 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

    $262.56changed to$249.68

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.50 changed to 4.19
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $264.34changed to$262.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.55 changed to 4.50
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $246.27changed to$264.34

    • 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

    $245.04changed to$246.27

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $244.83changed to$245.04

    • 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
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $250.89changed to$244.83

    • 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
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $250.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$306.38$75.41RVU26D
2026-07-01$306.38$75.41RVU26C
2026-04-01$306.38$75.41RVU26B
2026-01-01$306.38$75.41RVU26A
2025-10-01$271.45$82.52RVU25D
2025-07-01$271.45$82.52RVU25C
2025-04-01$271.45$82.52RVU25B
2025-01-01$271.45$82.52RVU25A
2024-10-01$283.32$84.13RVU24D
2024-07-01$283.32$84.13RVU24C
2024-04-01$283.32$84.13RVU24B
2024-03-09$283.32$84.13RVU24AR
2024-01-01$278.70$82.76RVU24A
2023-10-01$297.98$86.94RVU23D
2023-07-01$297.98$86.94RVU23C
2023-04-01$297.98$86.94RVU23B
2023-01-01$297.98$86.94RVU23A
2022-10-01$309.46$87.90RVU22D
2022-07-01$309.46$87.90RVU22C
2022-04-01$309.46$87.90RVU22B
2022-01-01$309.46$87.90RVU22A
2021-10-01$305.15$88.65RVU21D
2021-07-01$305.15$88.65RVU21C
2021-04-01$305.15$88.65RVU21B
2021-01-01$305.15$88.65RVU21A
2020-10-01$276.97$91.46RVU20D
2020-07-01$276.97$91.46RVU20C
2020-04-01$276.97$91.46RVU20B
2020-01-01$276.97$91.46RVU20A
2019-10-01$259.07$89.27RVU19D
2019-07-01$259.07$89.27RVU19C
2019-04-01$259.07$89.27RVU19B
2019-01-01$259.07$89.27RVU19A
2018-10-01$249.68$89.18RVU18D
2018-07-01$249.68$89.18RVU18C
2018-04-01$249.68$89.18RVU18B
2018-01-01$249.68$89.18RVU18AR1
2017-10-01$262.56$91.74RVU17D
2017-07-01$262.56$91.74RVU17C
2017-04-01$262.56$91.74RVU17B
2017-01-01$262.56$91.74RVU17A
2016-10-01$264.34$92.19RVU16D
2016-07-01$264.34$92.19RVU16C
2016-04-01$264.34$92.19RVU16B
2016-01-01$264.34$92.19RVU16A
2015-10-01$246.27$90.82RVU15D
2015-07-01$246.27$90.82RVU15C
2015-04-01$245.04$90.37RVU15B
2015-01-01$245.04$90.37RVU15A
2014-10-01$244.83$90.24RVU14D
2014-07-01$244.83$90.24RVU14C
2014-04-01$244.83$90.24RVU14B
2014-01-01$244.83$90.24RVU14A
2013-10-01$250.89$87.45RVU13D
2013-07-01$250.89$87.45RVU13C
2013-04-01$250.89$87.45RVU13B
2013-01-01$250.89$87.45RVU13AR

Price 30903 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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