CPT code 42972: Nasal bleeding control, posterior, endoscopic2026 Medicare rate & RVUs in Minnesota

In Minnesota, Medicare pays $423.85 for 42972 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 42972 nationwide

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

What 42972 covers

This service is endoscopic control of bleeding originating in the posterior nose. An otolaryngologist typically performs it in a hospital or operating room when a posterior nasal hemorrhage needs direct endoscopic visualization and treatment, such as cautery or another hemostatic maneuver. The record should identify the posterior nasal source and describe the endoscopic approach and work used to stop the bleeding.

Choose this code for endoscopic posterior nasal hemorrhage control, rather than the related codes for posterior packing or cautery without endoscopy, or for a subsequent packing-related visit. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; 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 Minnesota compares for 42972

Across 109 of 109 payment localities, the facility rate for 42972 runs from $404.32 in Arkansas to $562.44 in Alaska. Minnesota pays $423.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

42972 rates by state

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

See 42972 in every payment locality

How the 42972 rate is calculated

Each of 42972’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.

Payment rules and modifiers for 42972

42972 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 42972

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

How 42972 has changed in Minnesota

Price 42972 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

• Ada
• Adams
• Adrian
• Afton
• Aitkin
• Akeley
• Albany
• Albert Lea

Browse all communities in Minnesota

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