CPT code 30906: Nosebleed control, posterior, subsequent treatment2026 Medicare rate & RVUs in Massachusetts
Reports repeat control of posterior nasal bleeding using posterior packing and/or cautery, such as when bleeding persists or recurs after initial treatment.
Medicare pays $422.11–$469.57 for 30906 in the office in Massachusetts, from Rest of Massachusetts to Metropolitan Boston, MA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | $469.57 | $125.79 |
| Rest of Massachusetts | $422.11 | $118.93 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
30906 compared with similar codes
Compare codes · National
5 codes, side by side
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
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