CPT code 30906: Nosebleed control, posterior, subsequent treatment2026 Medicare rate & RVUs

Reports repeat control of posterior nasal bleeding using posterior packing and/or cautery, such as when bleeding persists or recurs after initial treatment.

CMS RVU26DEffective Oct 1, 2026109 payment localities689 Medicare services in 2024

Medicare pays $407.16 for 30906 nationally in the office and $119.24 in a hospital or facility. Local office rates run $356.06–$547.61.

Medicare rate · 30906

Nosebleed control, posterior, subsequent treatment

Office or facility?

Work RVUs
2.39
Total RVUs
12.19
Global days
000

National rate · 2026

$407.16

Office setting, before claim adjustments.

See every locality for 30906 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 30906 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 30906 covers

This code describes subsequent control of a posterior nosebleed using posterior nasal packing and/or cautery. It may be performed by an otolaryngologist or an emergency physician when posterior bleeding continues or recurs after initial control, including in an emergency department or hospital setting. The service is distinct from treating an anterior bleeding site with limited or extensive cautery or packing.

Select the subsequent-treatment level when the clinician again controls posterior bleeding, rather than for the initial posterior control reported with 30905. Document the posterior source, the reason repeat control was needed, and the method used. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Medicare does not pay an assistant at surgery for this code; 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.

Where 30906 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$356.06 to $547.61

$356.06$451.84$547.61
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

30906 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$361.80$109.88
Alaska$460.97$154.33
Arizona$395.39$116.40
Arkansas$356.06$108.74
Atlanta, GA$415.29$122.77
Austin, TX$423.83$119.22
Bakersfield, CA$433.10$117.55
Baltimore area, MD$434.68$125.75
Beaumont, TX$377.97$115.97
Brazoria, TX$401.82$116.49

30906 rates by state

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

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.

$356.06

$489.75

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

View every state and territory as a table
30906 office rate range by state
State / territoryOffice rate rangeLocalities
AK$460.971
AL$361.801
AR$356.061
AZ$395.391
CA$431.89–$547.6129
CO$425.001
CT$435.871
DC$468.801
DE$402.351
FL$400.61–$441.953
GA$376.11–$415.292
GU$443.991
HI$443.991
IA$371.891
ID$374.551
IL$388.01–$427.884
IN$376.931
KS$369.991
KY$371.201
LA$370.56–$390.652
MA$422.11–$469.572
MD$410.53–$468.803
ME$376.69–$399.042
MI$381.78–$406.062
MN$406.121
MO$363.59–$392.163
MS$359.911
MT$407.131
NC$381.001
ND$398.631
NE$374.131
NH$418.191
NJ$440.54–$463.242
NM$384.071
NV$405.071
NY$387.24–$483.735
OH$380.041
OK$370.471
OR$401.64–$439.502
PA$380.70–$424.202
PR$410.381
RI$417.451
SC$381.221
SD$397.621
TN$372.031
TX$377.97–$423.838
UT$386.911
VA$397.61–$468.802
VI$410.381
VT$396.931
WA$421.35–$479.562
WI$384.071
WV$372.351
WY$403.421

How the 30906 rate is calculated

Each of 30906’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 · 30906

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.39

2.39 RVUs× 1.000 GPCI

Practice expense9.37

9.37 RVUs× 1.000 GPCI

Malpractice0.43

0.43 RVUs× 1.000 GPCI

Adjusted RVUs

12.1900

Conversion factor

$33.4009

Medicare rate

$407.16

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

Payment rules and modifiers for 30906

The CMS indicators that decide how 30906 is paid alongside other services.

CMS payment indicators · 30906

Nosebleed control, posterior, subsequent 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

30906 without 51 · national office

$407.16

Nosebleed control, posterior, subsequent treatment

30906-51 · Second procedure: 50%

$203.58

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

30906 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 30906

    Nosebleed control, posterior, subsequent treatment2.39 wRVU

    $407.16

  • 30905

    Nosebleed control, posterior, initial treatment1.92 wRVU

    $395.47−$11.69

  • 30903

    Nosebleed control, complex anterior treatment1.5 wRVU

    $265.87−$141.29

  • 30901

    Nosebleed control, anterior, limited treatment1.07 wRVU

    $165.67−$241.49

  • 30915

    Nasal artery ligation, sinus-region arterial supply7.25 wRVU

    Not priced

How to choose

30905Nosebleed controlPosterior, initial treatment
Both concern posterior hemorrhage control with posterior packing and/or cautery. Choose 30905 for the initial control and 30906 for subsequent control.
30903Nosebleed controlComplex anterior treatment
30903 is for extensive treatment of anterior bleeding; 30906 is for subsequent treatment of posterior bleeding.
30901Nosebleed controlAnterior, limited treatment
30901 covers simple control of anterior bleeding, while 30906 covers repeat control of a posterior bleed.
30915Nasal artery ligationSinus-region arterial supply
30915 involves transantral ligation of an artery for posterior hemorrhage; 30906 reports subsequent control with posterior packing and/or cautery.

30906 billing questions

When should 30906 be reported instead of 30905?

Use 30906 for subsequent control of posterior bleeding with posterior packing and/or cautery. Use 30905 for the initial posterior control.

Can 30906 be used for an anterior nosebleed?

No. It is for subsequent posterior hemorrhage control. Anterior bleeding is coded according to its own treatment and complexity, such as 30901 or 30903.

Should modifier 50 be appended when both sides are treated?

The code is already priced as bilateral, and modifier 50 does not increase payment.

Is same-day care included in the procedure payment?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

What documentation supports 30906?

Record that the bleeding source was posterior, why repeat control was required, and whether posterior packing, cautery, or both were used.

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 30906PPRRVU2026_Oct_nonQPP.csv, line 3,482 (RVU26D)

Open CMS sourceHow we calculate rates

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