CPT code 30999: Nasal procedure, unlisted service2026 Medicare rate & RVUs in Texas

Reports a procedure involving the nose when no specific CPT code describes the service performed.

CMS RVU26DEffective Oct 1, 20268 payment localities385 Medicare services in 2024

CMS doesn’t publish an office rate for 30999 in Texas.

—Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in Texas
  2. What 30999 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 30999 covers

A clinician reports 30999 for an unlisted procedure involving the nose when the service performed is not represented by a specific nasal procedure code. It is not a substitute for a listed code that describes the procedure. Nearby listed services include control of nasal bleeding, nasal or sinus artery ligation, and therapeutic fracture of the inferior turbinate; use a listed code when it describes the procedure performed. The claim record should describe the service so the Medicare contractor can assess it.

Medicare assigns this code physician fee schedule status C, meaning the Medicare Administrative Contractor sets payment for each claim and CMS publishes no national payment. The contractor also sets the global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

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 30999 pays more and less in Texas

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

8 of 8 payment localities

30999 office and facility rates by payment locality
Payment localityOfficeFacility
Austin, TXUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable
Dallas, TXUnavailableUnavailable
Fort Worth, TXUnavailableUnavailable
Galveston, TXUnavailableUnavailable
Houston, TXUnavailableUnavailable
Rest of TexasUnavailableUnavailable

How the 30999 rate is calculated

Each of 30999’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 · 30999

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

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

Payment rules and modifiers for 30999

The CMS indicators that decide how 30999 is paid alongside other services.

CMS payment indicators · 30999

Nasal procedure, unlisted service

RuleCMS valueWhat it means
Global periodYYYThe Medicare contractor sets the global period.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)1Permitted with supporting documentation.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

30999 without 51 · national facility

$0.00

Nasal procedure, unlisted service

30999-51 · Second procedure: 50%

$0.00

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

30999 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 30999

    Nasal procedure, unlisted service0 wRVU

    Not priced

  • 30901

    Nosebleed control, anterior, limited treatment1.07 wRVU

    $165.67

  • 30915

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

    Not priced

  • 30930

    Turbinate procedure, therapeutic inferior turbinate outfracture1.28 wRVU

    Not priced

How to choose

30901Nosebleed controlAnterior, limited treatment
30901 describes a defined anterior epistaxis-control service. Choose 30999 only when no specific code, including 30901, describes the nasal procedure performed.
30915Nasal artery ligationSinus-region arterial supply
30915 identifies a specified nasal or sinus artery ligation procedure. Use it when that ligation service was performed.
30930Turbinate procedureTherapeutic inferior turbinate outfracture
30930 describes therapeutic fracture of the inferior turbinate. Use 30999 only when no specific code describes the nasal procedure performed.

30999 billing questions

When should 30999 be used instead of a named nasal procedure code?

Use 30999 when no specific CPT code describes the nasal procedure performed. For a listed service such as control of nasal bleeding or therapeutic fracture of the inferior turbinate, use the code that describes that procedure.

What should the claim record describe?

Describe the nasal procedure performed so the Medicare contractor can assess the service.

How does Medicare price 30999?

It has physician fee schedule status C. The Medicare Administrative Contractor sets payment for each claim; CMS publishes no national payment.

Who sets the global period for 30999?

The Medicare contractor sets the global period.

How are multiple procedures treated when performed in the same session?

The highest-valued procedure is paid in full, and the others are paid at 50%.

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

Open CMS sourceHow we calculate rates

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