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CMS RVU26D · Effective 2026-10-01

30901 in Modesto

Office / nonfacility

$175.20

Base rate per service

Facility setting

$48.17

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Nasal procedure

About 30901: Simple anterior nosebleed control

Reports limited treatment of an active anterior nosebleed, such as localized cautery or packing performed to stop nasal bleeding.

30901 describes treatment to stop bleeding from the front portion of the nose using limited cautery, packing, or another method. Emergency physicians and otolaryngologists commonly perform it in emergency departments, outpatient clinics, and offices when an anterior bleeding site is treated. The record should identify the anterior source and document the treatment method and its extent so the service can be distinguished from more extensive anterior treatment or posterior control.

Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When both sides are treated and the service is reported bilaterally with modifier 50, payment is 150%. If other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 30901

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.07 · 22%
  • Practice expense (office) RVU3.70 · 75%
  • Malpractice RVU0.19 · 4%

54.1K

Medicare services in 2024 · #753 by national volume

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.

30901 compared with similar codes

Office rates for Modesto, from the same CMS release.

30903

Nosebleed control

Complex anterior treatment

$282.20

Both address anterior bleeding, but 30903 represents extensive cautery or packing rather than limited treatment.

30905

Nosebleed control

Posterior, initial treatment

$421.07

Use 30905 for initial control of posterior bleeding; 30901 is for an anterior source.

30906

Nosebleed control

Posterior, subsequent treatment

$431.89

30906 describes repeat control of a nosebleed, while 30901 describes limited initial treatment of anterior bleeding.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 30901 is $175.73—$0.53 higher than the $175.20 rate in Modesto. Both use the same code, release and participation basis.

30901 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $175.20

  2. $0.53 higher than Modesto

  3. Chico

    $175.20

    The same base rate than Modesto

  4. El Centro

    $175.23

    $0.03 higher than Modesto

  5. Fresno

    $175.20

    The same base rate than Modesto

  6. The same base rate than Modesto

  7. $12.42 higher than Modesto

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 30901 ranges from $145.17 in Arkansas to $221.28 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Madera

    California · 30901

    Office

    $175.20

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Merced

    California · 30901

    Office

    $175.20

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Napa

    California · 30901

    Office

    $204.10

    Facility

    $51.34

    $28.90 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 30901

    Office

    $186.77

    Facility

    $49.77

    $11.57 higher than Modesto for the office setting.

  • Redding

    California · 30901

    Office

    $175.20

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 30901

    Office

    $175.20

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 30901

    Office

    $177.24

    Facility

    $50.22

    $2.04 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 30901

    Office

    $184.15

    Facility

    $49.36

    $8.95 higher than Modesto for the office setting.

  • Salinas

    California · 30901

    Office

    $183.48

    Facility

    $49.15

    $8.28 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 30901

    Office

    $188.06

    Facility

    $49.44

    $12.86 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 30901

    Office

    $216.30

    Facility

    $52.88

    $41.10 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 30901

    Office

    $216.08

    Facility

    $52.66

    $40.88 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 30901

    Office

    $221.28

    Facility

    $54.15

    $46.08 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 30901

    Office

    $220.40

    Facility

    $53.27

    $45.20 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 30901

    Office

    $180.51

    Facility

    $48.50

    $5.31 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 30901

    Office

    $190.04

    Facility

    $49.22

    $14.84 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 30901

    Office

    $184.24

    Facility

    $49.10

    $9.04 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 30901

    Office

    $191.97

    Facility

    $49.65

    $16.77 higher than Modesto for the office setting.

  • Stockton

    California · 30901

    Office

    $175.20

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 30901

    Office

    $203.79

    Facility

    $51.03

    $28.59 higher than Modesto for the office setting.

  • Visalia

    California · 30901

    Office

    $175.20

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 30901

    Office

    $175.20

    Facility

    $48.17

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 30901

    Office

    $190.31

    Facility

    $53.78

    $15.11 higher than Modesto for the office setting.

  • Miami

    Florida · 30901

    Office

    $180.44

    Facility

    $59.79

    $5.24 higher than Modesto for the office setting.

  • Chicago

    Illinois · 30901

    Office

    $174.75

    Facility

    $58.27

    $0.45 lower than Modesto for the office setting.

  • Manhattan

    New York · 30901

    Office

    $191.70

    Facility

    $57.02

    $16.50 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 30901

    Office

    $188.72

    Facility

    $65.29

    $13.52 higher than Modesto for the office setting.

  • Alabama

    Alabama · 30901

    Office

    $147.47

    Facility

    $46.05

    $27.73 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 30901

    Office

    $145.17

    Facility

    $45.61

    $30.03 lower than Modesto for the office setting.

  • Arizona

    Arizona · 30901

    Office

    $160.92

    Facility

    $48.62

    $14.28 lower than Modesto for the office setting.

  • Colorado

    Colorado · 30901

    Office

    $172.62

    Facility

    $49.30

    $2.58 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 30901

    Office

    $177.23

    Facility

    $52.41

    $2.03 higher than Modesto for the office setting.

  • Delaware

    Delaware · 30901

    Office

    $163.72

    Facility

    $49.21

    $11.48 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 30901

    Office

    $172.40

    Facility

    $54.99

    $2.80 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 30901

    Office

    $163.42

    Facility

    $52.62

    $11.78 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 30901

    Office

    $169.03

    Facility

    $51.27

    $6.17 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 30901

    Office

    $153.54

    Facility

    $50.16

    $21.66 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 30901

    Office

    $179.93

    Facility

    $48.15

    $4.73 higher than Modesto for the office setting.

  • Iowa

    Iowa · 30901

    Office

    $151.34

    Facility

    $45.29

    $23.86 lower than Modesto for the office setting.

  • Idaho

    Idaho · 30901

    Office

    $152.44

    Facility

    $45.81

    $22.76 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 30901

    Office

    $162.22

    Facility

    $55.59

    $12.98 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 30901

    Office

    $158.49

    Facility

    $52.67

    $16.71 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 30901

    Office

    $174.15

    Facility

    $55.12

    $1.05 lower than Modesto for the office setting.

  • Indiana

    Indiana · 30901

    Office

    $153.38

    Facility

    $45.94

    $21.82 lower than Modesto for the office setting.

  • Kansas

    Kansas · 30901

    Office

    $150.66

    Facility

    $45.88

    $24.54 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 30901

    Office

    $151.41

    Facility

    $48.38

    $23.79 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 30901

    Office

    $159.24

    Facility

    $50.18

    $15.96 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 30901

    Office

    $151.19

    Facility

    $48.62

    $24.01 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 30901

    Office

    $190.41

    Facility

    $52.02

    $15.21 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 30901

    Office

    $171.50

    Facility

    $49.46

    $3.70 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 30901

    Office

    $176.77

    Facility

    $52.40

    $1.57 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 30901

    Office

    $166.99

    Facility

    $49.70

    $8.21 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 30901

    Office

    $153.38

    Facility

    $46.75

    $21.82 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 30901

    Office

    $162.21

    Facility

    $47.36

    $12.99 lower than Modesto for the office setting.

  • Detroit

    Michigan · 30901

    Office

    $165.70

    Facility

    $53.85

    $9.50 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 30901

    Office

    $155.74

    Facility

    $49.92

    $19.46 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 30901

    Office

    $164.78

    Facility

    $45.52

    $10.42 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 30901

    Office

    $157.98

    Facility

    $49.15

    $17.22 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 30901

    Office

    $159.75

    Facility

    $49.41

    $15.45 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 30901

    Office

    $148.45

    Facility

    $48.54

    $26.75 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 30901

    Office

    $146.83

    Facility

    $47.04

    $28.37 lower than Modesto for the office setting.

  • Montana**

    Montana · 30901

    Office

    $165.66

    Facility

    $49.75

    $9.54 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 30901

    Office

    $155.10

    Facility

    $46.96

    $20.10 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 30901

    Office

    $161.90

    Facility

    $46.00

    $13.30 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 30901

    Office

    $152.21

    Facility

    $45.23

    $22.99 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 30901

    Office

    $169.94

    Facility

    $49.29

    $5.26 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 30901

    Office

    $188.12

    Facility

    $53.68

    $12.92 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 30901

    Office

    $179.08

    Facility

    $52.52

    $3.88 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 30901

    Office

    $156.69

    Facility

    $50.41

    $18.51 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 30901

    Office

    $164.73

    Facility

    $48.72

    $10.47 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 30901

    Office

    $196.75

    Facility

    $58.95

    $21.55 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 30901

    Office

    $180.35

    Facility

    $53.44

    $5.15 higher than Modesto for the office setting.

  • Queens

    New York · 30901

    Office

    $193.25

    Facility

    $56.26

    $18.05 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 30901

    Office

    $157.60

    Facility

    $47.50

    $17.60 lower than Modesto for the office setting.

  • Ohio

    Ohio · 30901

    Office

    $154.97

    Facility

    $49.15

    $20.23 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 30901

    Office

    $151.03

    Facility

    $47.53

    $24.17 lower than Modesto for the office setting.

  • Portland

    Oregon · 30901

    Office

    $178.33

    Facility

    $49.57

    $3.13 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 30901

    Office

    $163.29

    Facility

    $47.85

    $11.91 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 30901

    Office

    $172.60

    Facility

    $51.95

    $2.60 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 30901

    Office

    $155.19

    Facility

    $48.79

    $20.01 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 30901

    Office

    $166.93

    Facility

    $49.76

    $8.27 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 30901

    Office

    $169.74

    Facility

    $50.01

    $5.46 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 30901

    Office

    $155.32

    Facility

    $48.23

    $19.88 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 30901

    Office

    $161.45

    Facility

    $45.55

    $13.75 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 30901

    Office

    $151.48

    Facility

    $46.13

    $23.72 lower than Modesto for the office setting.

  • Austin

    Texas · 30901

    Office

    $172.18

    Facility

    $49.56

    $3.02 lower than Modesto for the office setting.

  • Beaumont

    Texas · 30901

    Office

    $154.10

    Facility

    $48.63

    $21.10 lower than Modesto for the office setting.

  • Brazoria

    Texas · 30901

    Office

    $163.45

    Facility

    $48.59

    $11.75 lower than Modesto for the office setting.

  • Dallas

    Texas · 30901

    Office

    $164.59

    Facility

    $49.16

    $10.61 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 30901

    Office

    $163.44

    Facility

    $49.16

    $11.76 lower than Modesto for the office setting.

  • Galveston

    Texas · 30901

    Office

    $164.00

    Facility

    $48.91

    $11.20 lower than Modesto for the office setting.

  • Houston

    Texas · 30901

    Office

    $167.48

    Facility

    $52.39

    $7.72 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 30901

    Office

    $158.75

    Facility

    $48.76

    $16.45 lower than Modesto for the office setting.

  • Utah

    Utah · 30901

    Office

    $157.61

    Facility

    $48.66

    $17.59 lower than Modesto for the office setting.

  • Virginia

    Virginia · 30901

    Office

    $161.70

    Facility

    $47.77

    $13.50 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 30901

    Office

    $166.93

    Facility

    $49.76

    $8.27 lower than Modesto for the office setting.

  • Vermont

    Vermont · 30901

    Office

    $161.30

    Facility

    $46.56

    $13.90 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 30901

    Office

    $171.17

    Facility

    $49.12

    $4.03 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 30901

    Office

    $194.35

    Facility

    $52.14

    $19.15 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 30901

    Office

    $156.09

    Facility

    $45.05

    $19.11 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 30901

    Office

    $152.21

    Facility

    $51.50

    $22.99 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 30901

    Office

    $164.02

    Facility

    $48.12

    $11.18 lower than Modesto for the office setting.

See how rates vary across the country

30901 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$145.17

$198.24

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$188.721
AL$147.471
AR$145.171
AZ$160.921
CA$175.20–$221.2829
CO$172.621
CT$177.231
DC$190.311
DE$163.721
FL$163.42–$180.443
GA$153.54–$169.032
GU$179.931
HI$179.931
IA$151.341
ID$152.441
IL$158.49–$174.754
IN$153.381
KS$150.661
KY$151.411
LA$151.19–$159.242
MA$171.50–$190.412
MD$166.99–$190.313
ME$153.38–$162.212
MI$155.74–$165.702
MN$164.781
MO$148.45–$159.753
MS$146.831
MT$165.661
NC$155.101
ND$161.901
NE$152.211
NH$169.941
NJ$179.08–$188.122
NM$156.691
NV$164.731
NY$157.60–$196.755
OH$154.971
OK$151.031
OR$163.29–$178.332
PA$155.19–$172.602
PR$166.931
RI$169.741
SC$155.321
SD$161.451
TN$151.481
TX$154.10–$172.188
UT$157.611
VA$161.70–$190.312
VI$166.931
VT$161.301
WA$171.17–$194.352
WI$156.091
WV$152.211
WY$164.021

Explore 30901 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Why are the office and facility amounts different?

For 30901 in Modesto, the physician’s office rate is $175.20 and the facility-setting rate is $48.17: a difference of $127.03.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 30901 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$192.72

$175.20 × 110% = $192.72

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 30901 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

3,479

Code
30901
Physician work
1.07
Practice expense
3.70
Malpractice
0.19

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 30901 in Modesto
ComponentRVULocality factorAdjusted
Physician work1.07× 1.0171.0882
Practice expense3.70× 1.0964.0552
Malpractice0.19× 0.5360.1018
Total RVUs5.2452
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$175.20

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 30901 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.071.017
Practice expense3.71.096
Malpractice0.190.536

(1.07 × 1.017 + 3.7 × 1.096 + 0.19 × 0.536) × $33.4009 = $175.20

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.071.017
Practice expense0.231.096
Malpractice0.190.536

(1.07 × 1.017 + 0.23 × 1.096 + 0.19 × 0.536) × $33.4009 = $48.17

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

30901 · Office / nonfacility

$175.20

Effective 2026-10-01

The base rate is $16.01 higher than on 2025-10-01, moving from $159.19 to $175.20 (10.1%).

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

    $159.19changed to$175.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.10 changed to 1.07
    • Practice expense RVU 3.39 changed to 3.70
    • Malpractice RVU 0.18 changed to 0.19
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $159.19

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$175.20$48.17RVU26D
2026-07-01$175.20$48.17RVU26C
2026-04-01$175.20$48.17RVU26B
2026-01-01$175.20$48.17RVU26A
2025-10-01$159.19$53.84RVU25D
2025-07-01$159.19$53.84RVU25C
2025-04-01$159.19$53.84RVU25B
2025-01-01$159.19$53.84RVU25A

30901 billing questions

How does 30901 differ from 30903?

30901 is for limited treatment of an anterior bleeding site. Use 30903 when the anterior treatment is extensive; document the treatment performed and its extent.

When is 30905 a better fit?

30905 is for initial control of posterior nasal bleeding. 30901 applies to treatment of an anterior source.

Can 30901 be reported for both nostrils?

When the procedure is performed bilaterally, report modifier 50; Medicare pays the bilateral service at 150%.

Is same-day care included in the procedure?

Yes. Its 0-day global period includes same-day preoperative and postoperative care.

How does Medicare handle 30901 with another procedure in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 30901, and co-surgeons and team surgery are 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 30901PPRRVU2026_Oct_nonQPP.csv, line 3,479 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)