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Billing code 30460: RhinoplastyMedicare rate & RVUs

Reports focused rhinoplasty to correct a congenital cleft-related nasal deformity when surgery is limited to the nasal tip, with columellar lengthening as needed.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $767.55 for 30460 nationally in a facility.

Medicare rate · 30460

Rhinoplasty

Work RVUs
10.06
Total RVUs
22.98
Global days
090

National rate · 2026

$767.55

Facility setting, before claim adjustments.

See every locality for 30460 →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.

On this page 10 sections
  1. Medicare rate
  2. What 30460 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 30460 covers

This code covers surgery to improve a nasal-tip deformity associated with congenital cleft lip or palate. The work may include lengthening the columella, the tissue between the nostrils, but is limited to the tip; septal work and osteotomies point to a different code. Plastic surgeons and facial plastic or otolaryngology surgeons may perform this operation in an operating room, often as part of cleft-related reconstructive care.

Report it when the operative record links the nasal deformity to the congenital cleft and documents tip-focused correction. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid, and co-surgeons are permitted; team surgery is 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 30460 pays more and less

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

109 of 109 payment localities

30460 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$694.31
Alaska*Unavailable$931.51
ArizonaUnavailable$747.12
ArkansasUnavailable$685.22
AtlantaUnavailable$787.02
AustinUnavailable$782.51
BakersfieldUnavailable$784.95
Baltimore/Surr. CntysUnavailable$814.67
BeaumontUnavailable$729.90
BrazoriaUnavailable$753.18

30460 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
30460 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 30460 rate is calculated

Each of 30460’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 · 30460

RVUs × geographic indexes × conversion factor

Work10.06

10.06 RVUs× 1.000 GPCI

Practice expense11.05

11.05 RVUs× 1.000 GPCI

Malpractice1.87

1.87 RVUs× 1.000 GPCI

Adjusted RVUs

22.9800

Conversion factor

$33.4009

Medicare rate

$767.55

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

Payment rules and modifiers for 30460

30460 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 30460

Rhinoplasty

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
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)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.76/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 30460

Rhinoplasty

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

30460 without 51 · national facility

$767.55

Rhinoplasty

30460-51 · Second procedure: 50%

$383.78

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

30460 compared with similar codes

Compare codes · National

4 codes, side by side

  • 30460

    Rhinoplasty10.06 wRVU

    Not priced

  • 30462

    Revision rhinoplasty19.77 wRVU

    Not priced

  • 30430

    Not on the physician fee schedule8.03 wRVU

    Not priced

  • 30450

    Not on the physician fee schedule19.17 wRVU

    Not priced

How to choose

30462Revision rhinoplasty
Both address nasal deformity associated with congenital cleft lip or palate. Choose 30460 for tip-only correction; 30462 includes broader work involving the septum and osteotomies.
30430Revision of nose
30430 describes a minor secondary nasal revision. Use 30460 when the indication is a congenital cleft-related deformity and the operative scope is tip-only.
30450Revision of nose
30450 describes a major secondary nasal revision. It is not the cleft-specific tip-only code; select based on the documented indication and operative scope.

Codes related to 30460

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

Codes related to 30460
CodeHow it relatesNational office range
Same family
30462Revision rhinoplastyCleft-related rhinoplasty with broader work involving the tip, septum, and osteotomies.No office rate
Used instead
30430Revision of noseSecondary rhinoplasty for a minor revision when the cleft-specific tip-only criteria do not describe the case.No office rate
30435Revision of noseSecondary rhinoplasty for an intermediate revision outside the cleft-specific tip-only scope.No office rate
30450Revision of noseSecondary rhinoplasty for a major revision outside the cleft-specific tip-only scope.No office rate

30460 billing questions

How does this differ from 30462?

30460 is for cleft-related nasal deformity when correction is limited to the tip, with columellar lengthening as needed. Use 30462 when the documented work also involves the septum or osteotomies.

Can this code be used for any secondary rhinoplasty?

No. The deformity must be associated with congenital cleft lip or palate, and the procedure must fit the tip-only scope. Other secondary rhinoplasty codes describe revisions by extent.

Should modifier 50 be appended for bilateral work?

No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50.

What documentation supports reporting 30460?

Document the congenital cleft-related nasal deformity, the operative correction performed, and that the work was limited to the nasal tip. Describe any columellar lengthening and clarify whether septal work or osteotomies were performed.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

CMS permits payment for an assistant at surgery and permits co-surgeons for this code. Team surgery is not permitted.

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 30460PPRRVU2026_Oct_nonQPP.csv, line 3,438 (RVU26D)

Open CMS sourceHow we calculate rates

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