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

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, 2026One payment locality689 Medicare services in 2024

In Miami, FL, Medicare pays $441.95 for 30906 in the office and $142.23 when it’s performed in a hospital or facility.

$441.95Office (non-facility)
$142.23Hospital or facility
+8.5%vs the national office rate ($407.16)

Check a contract rate as a % of Medicare · 30906 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 30906 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 30906 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 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.

How Miami, FL compares for 30906

Across 109 of 109 payment localities, the office rate for 30906 runs from $356.06 in Arkansas to $547.61 in San Benito County, CA. Miami, FL pays $441.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

30906 in Miami, FL vs other payment areas
  1. Miami, FL · this page$441.95
  2. Fort Lauderdale, FL · Florida$422.83−$19.12
  3. Rest of Florida · Florida$400.61−$41.34
  4. Los Angeles, CA · California$462.88+$20.93
  5. Washington, DC area · District of Columbia$468.80+$26.85
  6. Chicago, IL · Illinois$427.88−$14.07
  7. Manhattan, NY · New York$471.38+$29.43

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

Every other payment area

30906 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$460.97$154.33
AlabamaAlabama$361.80$109.88
ArkansasArkansas$356.06$108.74
ArizonaArizona$395.39$116.40
Bakersfield, CACalifornia$433.10$117.55
Chico, CACalifornia$431.89$116.34
El Centro, CACalifornia$431.97$116.41
Fresno, CACalifornia$431.89$116.34

30906 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.

$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

See 30906 in every payment locality

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.

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,482

Code
30906
Physician work
2.39
Practice expense
9.37
Malpractice
0.43

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 30906 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work2.39× 1.0002.3900
Practice expense9.37× 1.0419.7542
Malpractice0.43× 2.5291.0875
Total RVUs13.2316
Conversion factor× 33.4009

Office rate, Miami, FL$441.95

Office: (2.39 × 1 + 9.37 × 1.041 + 0.43 × 2.529) × $33.4009 = $441.95

Facility: (2.39 × 1 + 0.75 × 1.041 + 0.43 × 2.529) × $33.4009 = $142.23

Open 30906 in the RVU calculator

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

Codes related to 30906

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

Codes related to 30906
CodeHow it relatesOffice range, Miami, FL
Same family
30905Nosebleed control, posterior, initial treatmentInitial posterior hemorrhage control; 30906 describes subsequent control.$428.43
Used instead
30901Nosebleed control, anterior, limited treatmentFor anterior bleeding controlled with simple cautery and/or packing.$180.44
30903Nosebleed control, complex anterior treatmentFor anterior bleeding requiring extensive cautery and/or packing.$288.63
30915Nasal artery ligation, sinus-region arterial supplySurgical control for posterior hemorrhage using transantral arterial ligation.No office rate

How 30906 has changed in Miami, FL

30906 · Office / nonfacility

$441.95

Effective 2026-10-01

The base rate is $48.88 higher than on 2025-10-01, moving from $393.07 to $441.95 (12.4%).

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

    $393.07changed to$441.95

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.45 changed to 2.39
    • Practice expense RVU 8.40 changed to 9.37
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $403.03changed to$393.07

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.43 changed to 8.40
    • Malpractice RVU 0.40 changed to 0.43

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $396.45changed to$403.03

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $409.55changed to$396.45

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.45 changed to 8.43
    • Malpractice RVU 0.38 changed to 0.40
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500

  5. January 1, 2023

    RVU23A

    $415.88changed to$409.55

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.35 changed to 8.45
    • Malpractice RVU 0.39 changed to 0.38
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $408.72changed to$415.88

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.13 changed to 8.35
    • Malpractice RVU 0.36 changed to 0.39

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $390.45changed to$408.72

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.22 changed to 8.13
    • Malpractice RVU 0.37 changed to 0.36
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $379.88changed to$390.45

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.99 changed to 7.22
    • Malpractice RVU 0.35 changed to 0.37
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $370.02changed to$379.88

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.76 changed to 6.99
    • Malpractice RVU 0.34 changed to 0.35

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $380.17changed to$370.02

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.04 changed to 6.76
    • Malpractice RVU 0.35 changed to 0.34
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $383.74changed to$380.17

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.16 changed to 7.04
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $312.37changed to$383.74

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.20 changed to 7.16

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $310.82changed to$312.37

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $315.27changed to$310.82

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.27 changed to 5.20
    • Malpractice RVU 0.32 changed to 0.35
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $325.10changed to$315.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.86 changed to 5.27
    • Malpractice RVU 0.33 changed to 0.32
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $325.10

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$441.95$142.23RVU26D
2026-07-01$441.95$142.23RVU26C
2026-04-01$441.95$142.23RVU26B
2026-01-01$441.95$142.23RVU26A
2025-10-01$393.07$149.90RVU25D
2025-07-01$393.07$149.90RVU25C
2025-04-01$393.07$149.90RVU25B
2025-01-01$393.07$149.90RVU25A
2024-10-01$403.03$152.79RVU24D
2024-07-01$403.03$152.79RVU24C
2024-04-01$403.03$152.79RVU24B
2024-03-09$403.03$152.79RVU24AR
2024-01-01$396.45$150.29RVU24A
2023-10-01$409.55$155.64RVU23D
2023-07-01$409.55$155.64RVU23C
2023-04-01$409.55$155.64RVU23B
2023-01-01$409.55$155.64RVU23A
2022-10-01$415.88$161.33RVU22D
2022-07-01$415.88$161.33RVU22C
2022-04-01$415.88$161.33RVU22B
2022-01-01$415.88$161.33RVU22A
2021-10-01$408.72$159.21RVU21D
2021-07-01$408.72$159.21RVU21C
2021-04-01$408.72$159.21RVU21B
2021-01-01$408.72$159.21RVU21A
2020-10-01$390.45$163.84RVU20D
2020-07-01$390.45$163.84RVU20C
2020-04-01$390.45$163.84RVU20B
2020-01-01$390.45$163.84RVU20A
2019-10-01$379.88$161.46RVU19D
2019-07-01$379.88$161.46RVU19C
2019-04-01$379.88$161.46RVU19B
2019-01-01$379.88$161.46RVU19A
2018-10-01$370.02$159.98RVU18D
2018-07-01$370.02$159.98RVU18C
2018-04-01$370.02$159.98RVU18B
2018-01-01$370.02$159.98RVU18AR1
2017-10-01$380.17$161.49RVU17D
2017-07-01$380.17$161.49RVU17C
2017-04-01$380.17$161.49RVU17B
2017-01-01$380.17$161.49RVU17A
2016-10-01$383.74$161.83RVU16D
2016-07-01$383.74$161.83RVU16C
2016-04-01$383.74$161.83RVU16B
2016-01-01$383.74$161.83RVU16A
2015-10-01$312.37$155.36RVU15D
2015-07-01$312.37$155.36RVU15C
2015-04-01$310.82$154.59RVU15B
2015-01-01$310.82$154.59RVU15A
2014-10-01$315.27$155.95RVU14D
2014-07-01$315.27$155.95RVU14C
2014-04-01$315.27$155.95RVU14B
2014-01-01$315.27$155.95RVU14A
2013-10-01$325.10$153.69RVU13D
2013-07-01$325.10$153.69RVU13C
2013-04-01$325.10$153.69RVU13B
2013-01-01$325.10$153.69RVU13AR

Price 30906 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

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)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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