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

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 Virginia, Medicare pays $259.61 for 30903 in the office and $66.88 when it’s performed in a hospital or facility.

$259.61Office (non-facility)
$66.88Hospital or facility
−2.4%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 Virginia
  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 Virginia 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. Virginia pays $259.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

30903 in Virginia vs other payment areas
  1. Virginia · this page$259.61
  2. Los Angeles, CA · California$302.56+$42.95
  3. Washington, DC area · District of Columbia$306.38+$46.77
  4. Miami, FL · Florida$288.63+$29.02
  5. Chicago, IL · Illinois$279.37+$19.76
  6. Manhattan, NY · New York$308.00+$48.39
  7. Alaska · Alaska$300.14+$40.53

Other areas in Virginia 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
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

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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 30903 in Virginia
ComponentRVULocality factorAdjusted
Physician work1.50× 1.0001.5000
Practice expense6.18× 0.9836.0749
Malpractice0.28× 0.7060.1977
Total RVUs7.7726
Conversion factor× 33.4009

Office rate, Virginia$259.61

Office: (1.5 × 1 + 6.18 × 0.983 + 0.28 × 0.706) × $33.4009 = $259.61

Facility: (1.5 × 1 + 0.31 × 0.983 + 0.28 × 0.706) × $33.4009 = $66.88

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, Virginia
Used instead
30901Nosebleed control, anterior, limited treatmentSimple anterior bleeding control; use when treatment does not meet the complex level.$161.70
30905Nosebleed control, posterior, initial treatmentInitial control of posterior nasal bleeding, rather than complex anterior treatment.$386.23
30906Nosebleed control, posterior, subsequent treatmentRepeat control of posterior nasal bleeding.$397.61
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 Virginia

30903 · Office / nonfacility

$259.61

Effective 2026-10-01

The base rate is $30.91 higher than on 2025-10-01, moving from $228.70 to $259.61 (13.5%).

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

    $228.70changed to$259.61

    • 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 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $238.71changed to$228.70

    • 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

    $234.81changed to$238.71

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $248.68changed to$234.81

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.64 changed to 5.52
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $255.95changed to$248.68

    • 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 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $252.48changed to$255.95

    • 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

    $231.76changed to$252.48

    • 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 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $219.05changed to$231.76

    • 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 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $211.36changed to$219.05

    • 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

    $221.18changed to$211.36

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.50 changed to 4.19
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $221.77changed to$221.18

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.55 changed to 4.50
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $206.97changed to$221.77

    • 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

    $205.94changed to$206.97

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $205.94changed to$205.94

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $210.69changed to$205.94

    • 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 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $210.69

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$259.61$66.88RVU26D
2026-07-01$259.61$66.88RVU26C
2026-04-01$259.61$66.88RVU26B
2026-01-01$259.61$66.88RVU26A
2025-10-01$228.70$72.74RVU25D
2025-07-01$228.70$72.74RVU25C
2025-04-01$228.70$72.74RVU25B
2025-01-01$228.70$72.74RVU25A
2024-10-01$238.71$74.28RVU24D
2024-07-01$238.71$74.28RVU24C
2024-04-01$238.71$74.28RVU24B
2024-03-09$238.71$74.28RVU24AR
2024-01-01$234.81$73.06RVU24A
2023-10-01$248.68$76.57RVU23D
2023-07-01$248.68$76.57RVU23C
2023-04-01$248.68$76.57RVU23B
2023-01-01$248.68$76.57RVU23A
2022-10-01$255.95$77.58RVU22D
2022-07-01$255.95$77.58RVU22C
2022-04-01$255.95$77.58RVU22B
2022-01-01$255.95$77.58RVU22A
2021-10-01$252.48$78.19RVU21D
2021-07-01$252.48$78.19RVU21C
2021-04-01$252.48$78.19RVU21B
2021-01-01$252.48$78.19RVU21A
2020-10-01$231.76$81.19RVU20D
2020-07-01$231.76$81.19RVU20C
2020-04-01$231.76$81.19RVU20B
2020-01-01$231.76$81.19RVU20A
2019-10-01$219.05$80.11RVU19D
2019-07-01$219.05$80.11RVU19C
2019-04-01$219.05$80.11RVU19B
2019-01-01$219.05$80.11RVU19A
2018-10-01$211.36$80.02RVU18D
2018-07-01$211.36$80.02RVU18C
2018-04-01$211.36$80.02RVU18B
2018-01-01$211.36$80.02RVU18AR1
2017-10-01$221.18$81.55RVU17D
2017-07-01$221.18$81.55RVU17C
2017-04-01$221.18$81.55RVU17B
2017-01-01$221.18$81.55RVU17A
2016-10-01$221.77$81.34RVU16D
2016-07-01$221.77$81.34RVU16C
2016-04-01$221.77$81.34RVU16B
2016-01-01$221.77$81.34RVU16A
2015-10-01$206.97$80.16RVU15D
2015-07-01$206.97$80.16RVU15C
2015-04-01$205.94$79.76RVU15B
2015-01-01$205.94$79.76RVU15A
2014-10-01$205.94$79.90RVU14D
2014-07-01$205.94$79.90RVU14C
2014-04-01$205.94$79.90RVU14B
2014-01-01$205.94$79.90RVU14A
2013-10-01$210.69$77.40RVU13D
2013-07-01$210.69$77.40RVU13C
2013-04-01$210.69$77.40RVU13B
2013-01-01$210.69$77.40RVU13AR

Price 30903 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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