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CPT code 30905: Nosebleed control, posterior, initial treatment2026 Medicare rate & RVUs in Hawaii, Guam, HI

Reports initial control of posterior nasal bleeding when treatment requires posterior packing, cautery, or both, such as during emergency or otolaryngology care.

CMS RVU26DEffective Oct 1, 2026One payment locality3.6K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $433.59 for 30905 in the office and $96.74 when it’s performed in a hospital or facility.

$433.59Office (non-facility)
$96.74Hospital or facility
+9.6%vs the national office rate ($395.47)

Check a contract rate as a % of Medicare · 30905 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 30905 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 30905 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 30905 covers

This service treats a posterior nasal bleed with posterior packing, cautery, or both. It is commonly performed by an emergency physician or otolaryngologist in an emergency department or hospital when bleeding arises from the back of the nasal cavity and needs more than limited anterior treatment. Posterior packs or balloon devices may be used to control bleeding; cautery may be used when the bleeding site can be identified.

Report 30905 for the initial control of a posterior bleed, not for a later repeat-control service. The note should support the posterior source or clinical circumstances, identify the treatment performed, and establish that this was the initial treatment. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. 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 Hawaii, Guam, HI compares for 30905

Across 109 of 109 payment localities, the office rate for 30905 runs from $344.27 in Arkansas to $537.17 in San Benito County, CA. Hawaii, Guam, HI pays $433.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

30905 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$433.59
  2. Los Angeles, CA · California$451.97+$18.38
  3. Washington, DC area · District of Columbia$457.06+$23.47
  4. Miami, FL · Florida$428.43−$5.16
  5. Chicago, IL · Illinois$414.38−$19.21
  6. Manhattan, NY · New York$458.77+$25.18
  7. Alaska · Alaska$442.37+$8.78

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

Every other payment area

30905 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$350.02$90.79
ArkansasArkansas$344.27$89.77
ArizonaArizona$383.72$96.64
Bakersfield, CACalifornia$422.15$97.44
Chico, CACalifornia$421.07$96.36
El Centro, CACalifornia$421.14$96.43
Fresno, CACalifornia$421.07$96.36
Hanford, CACalifornia$421.07$96.36

30905 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.

$344.27

$479.12

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

View every state and territory as a table
30905 office rate range by state
State / territoryOffice rate rangeLocalities
AK$442.371
AL$350.021
AR$344.271
AZ$383.721
CA$421.07–$537.1729
CO$413.761
CT$423.991
DC$457.061
DE$390.651
FL$388.01–$428.433
GA$363.59–$403.372
GU$433.591
HI$433.591
IA$360.561
ID$363.141
IL$375.11–$414.574
IN$365.531
KS$358.451
KY$359.031
LA$358.31–$378.462
MA$410.72–$458.422
MD$398.86–$457.063
ME$365.08–$387.802
MI$369.45–$393.262
MN$395.531
MO$351.20–$380.213
MS$347.821
MT$395.441
NC$369.441
ND$387.731
NE$362.851
NH$406.891
NJ$428.58–$451.322
NM$371.671
NV$393.611
NY$375.68–$470.905
OH$367.881
OK$358.501
OR$390.32–$428.492
PA$368.65–$412.192
PR$398.771
RI$405.781
SC$369.321
SD$386.821
TN$360.471
TX$365.89–$412.578
UT$375.041
VA$386.23–$457.062
VI$398.771
VT$385.851
WA$410.06–$468.552
WI$373.081
WV$359.381
WY$392.081

See 30905 in every payment locality

How the 30905 rate is calculated

Each of 30905’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 · 30905

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.92

1.92 RVUs× 1.000 GPCI

Practice expense9.53

9.53 RVUs× 1.000 GPCI

Malpractice0.39

0.39 RVUs× 1.000 GPCI

Adjusted RVUs

11.8400

Conversion factor

$33.4009

Medicare rate

$395.47

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

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,481

Code
30905
Physician work
1.92
Practice expense
9.53
Malpractice
0.39

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 30905 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work1.92× 1.0001.9200
Practice expense9.53× 1.13710.8356
Malpractice0.39× 0.5790.2258
Total RVUs12.9814
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$433.59

Office: (1.92 × 1 + 9.53 × 1.137 + 0.39 × 0.579) × $33.4009 = $433.59

Facility: (1.92 × 1 + 0.66 × 1.137 + 0.39 × 0.579) × $33.4009 = $96.74

Open 30905 in the RVU calculator

Payment rules and modifiers for 30905

The CMS indicators that decide how 30905 is paid alongside other services.

CMS payment indicators · 30905

Nosebleed control, posterior, initial 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)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

30905 without 51 · national office

$395.47

Nosebleed control, posterior, initial treatment

30905-51 · Second procedure: 50%

$197.74

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

Codes related to 30905

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

Codes related to 30905
CodeHow it relatesOffice range, Hawaii, Guam, HI
Same family
30901Nosebleed control, anterior, limited treatmentAnterior nosebleed control with limited cautery or packing.$179.93
30903Nosebleed control, complex anterior treatmentAnterior nosebleed control requiring more extensive treatment.$290.21
30906Nosebleed control, posterior, subsequent treatmentSubsequent control of a posterior nasal bleed.$443.99
Used instead
30915Nasal artery ligation, sinus-region arterial supplyArterial treatment may be considered for posterior bleeding requiring a different intervention.No office rate
30999Nasal procedure, unlisted serviceUnlisted nasal procedure code when a nasal service lacks a specific code.No office rate

How 30905 has changed in Hawaii, Guam, HI

30905 · Office / nonfacility

$433.59

Effective 2026-10-01

The base rate is $64.89 higher than on 2025-10-01, moving from $368.70 to $433.59 (17.6%).

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

    $368.70changed to$433.59

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.97 changed to 1.92
    • Practice expense RVU 8.03 changed to 9.53
    • Malpractice RVU 0.36 changed to 0.39
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $385.36changed to$368.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.19 changed to 8.03
    • Malpractice RVU 0.35 changed to 0.36

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $379.07changed to$385.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $397.39changed to$379.07

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.32 changed to 8.19
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $407.08changed to$397.39

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.35 changed to 8.32
    • Malpractice RVU 0.34 changed to 0.35
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $408.06changed to$407.08

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.29 changed to 8.35

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $382.06changed to$408.06

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.33 changed to 8.29
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $371.10changed to$382.06

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.12 changed to 7.33
    • Malpractice RVU 0.27 changed to 0.34
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $364.10changed to$371.10

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.96 changed to 7.12

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $302.33changed to$364.10

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.44 changed to 6.96
    • Malpractice RVU 0.28 changed to 0.27
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $305.16changed to$302.33

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.48 changed to 5.44
    • Malpractice RVU 0.29 changed to 0.28
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $289.36changed to$305.16

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.07 changed to 5.48
    • Malpractice RVU 0.30 changed to 0.29

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $287.92changed to$289.36

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $287.05changed to$287.92

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.05 changed to 5.07
    • Malpractice RVU 0.29 changed to 0.30
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $295.61changed to$287.05

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.64 changed to 5.05
    • Malpractice RVU 0.30 changed to 0.29
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$295.61

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$433.59$96.74RVU26D
2026-07-01$433.59$96.74RVU26C
2026-04-01$433.59$96.74RVU26B
2026-01-01$433.59$96.74RVU26A
2025-10-01$368.70$102.22RVU25D
2025-07-01$368.70$102.22RVU25C
2025-04-01$368.70$102.22RVU25B
2025-01-01$368.70$102.22RVU25A
2024-10-01$385.36$104.24RVU24D
2024-07-01$385.36$104.24RVU24C
2024-04-01$385.36$104.24RVU24B
2024-03-09$385.36$104.24RVU24AR
2024-01-01$379.07$102.54RVU24A
2023-10-01$397.39$106.91RVU23D
2023-07-01$397.39$106.91RVU23C
2023-04-01$397.39$106.91RVU23B
2023-01-01$397.39$106.91RVU23A
2022-10-01$407.08$108.44RVU22D
2022-07-01$407.08$108.44RVU22C
2022-04-01$407.08$108.44RVU22B
2022-01-01$407.08$108.44RVU22A
2021-10-01$408.06$108.54RVU21D
2021-07-01$408.06$108.54RVU21C
2021-04-01$408.06$108.54RVU21B
2021-01-01$408.06$108.54RVU21A
2020-10-01$382.06$110.80RVU20D
2020-07-01$382.06$110.80RVU20C
2020-04-01$382.06$110.80RVU20B
2020-01-01$382.06$110.80RVU20A
2019-10-01$371.10$108.84RVU19D
2019-07-01$371.10$108.84RVU19C
2019-04-01$371.10$108.84RVU19B
2019-01-01$371.10$108.84RVU19A
2018-10-01$364.10$108.72RVU18D
2018-07-01$364.10$108.72RVU18C
2018-04-01$364.10$108.72RVU18B
2018-01-01$364.10$108.72RVU18AR1
2017-10-01$302.33$110.16RVU17D
2017-07-01$302.33$110.16RVU17C
2017-04-01$302.33$110.16RVU17B
2017-01-01$302.33$110.16RVU17A
2016-10-01$305.16$111.28RVU16D
2016-07-01$305.16$111.28RVU16C
2016-04-01$305.16$111.28RVU16B
2016-01-01$305.16$111.28RVU16A
2015-10-01$289.36$103.13RVU15D
2015-07-01$289.36$103.13RVU15C
2015-04-01$287.92$102.62RVU15B
2015-01-01$287.92$102.62RVU15A
2014-10-01$287.05$104.52RVU14D
2014-07-01$287.05$104.52RVU14C
2014-04-01$287.05$104.52RVU14B
2014-01-01$287.05$104.52RVU14A
2013-10-01$295.61$101.65RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 30905 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

30905 billing questions

How is 30905 different from 30901 or 30903?

30905 is for initial control of a posterior nasal bleed using posterior packing, cautery, or both. Codes 30901 and 30903 describe anterior control, with 30903 used for more extensive anterior treatment.

When should 30906 be used instead?

Use 30906 for subsequent control of a posterior bleed after the initial treatment. Use 30905 for the initial control service.

Does modifier 50 increase payment for bilateral treatment?

No. CMS prices 30905 as bilateral, and modifier 50 does not increase payment.

What documentation supports 30905?

Document the posterior bleeding source or the clinical basis for posterior treatment, the packing or cautery performed, and whether this was the initial control service.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure. The 0-day global period does not include care on later dates.

Can an assistant or co-surgeon be reported?

CMS restricts assistant-at-surgery payment for this code and does not permit co-surgeons or team surgery.

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 30905PPRRVU2026_Oct_nonQPP.csv, line 3,481 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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