Billing code 30468: Nasal valve repairMedicare rate & RVUs in Florida
Reports implant-based support of collapsing nasal valve sidewalls causing obstruction, performed bilaterally by placing an implant beneath the nasal lining.
Medicare pays $2,300.15–$2,508.48 for 30468 in the office in Florida, from Rest Of Florida to Miami. 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.
On this page 9 sections
What 30468 covers
This procedure supports weakened nasal valve sidewalls with an implant placed under the skin or lining of the lateral nasal wall. It is used for nasal obstruction associated with valve collapse, including inward movement of the sidewall during breathing. Otolaryngologists and facial plastic surgeons typically perform it in an office procedure room or an operating room. The technique differs from radiofrequency remodeling and from reconstruction using grafts or other structural methods.
Report the code for the bilateral implant procedure; CMS pricing already accounts for both sides, so modifier 50 does not increase payment. Documentation should identify nasal valve collapse, the obstruction being treated, and implant placement. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery services are not 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.
Where 30468 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$2300.15 to $2508.48
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $2,434.74 | $156.96 |
| Miami | $2,508.48 | $167.74 |
| Rest Of Florida | $2,300.15 | $150.54 |
How the 30468 rate is calculated
Each of 30468’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 · 30468
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.73Practice expense 68.55Malpractice 0.40
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 30468
The CMS indicators that decide how 30468 is paid alongside other services.
CMS payment indicators · 30468
Nasal valve repair
| 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
30468 without 51 · national office
$2,394.18
Nasal valve repair
30468-51 · Second procedure: 50%
$1,197.09
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%).
30468 compared with similar codes
Compare codes
30468 vs 30469 vs 30465 vs 30420: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 30469Nasal valve repair
- Choose 30468 for lateral wall support with an implant; 30469 describes treatment using radiofrequency remodeling.
- 30465Nasal stenosis repair
- 30465 is for repair of nasal vestibular stenosis, generally using structural repair techniques. Do not select it solely because an implant is used to support a collapsing valve.
- 30420Reconstruction of nose
- 30420 describes broader nasal reconstruction with major septal repair. This code is specific to implant-based lateral wall support for valve collapse.
30468 billing questions
Should this code be reported for one side only?
The CMS pricing treats the code as bilateral. Modifier 50 does not increase payment; document the sides treated and the implant placement.
How does this differ from radiofrequency nasal valve treatment?
This code is for support provided by a lateral wall implant. Code 30469 describes a radiofrequency remodeling approach.
Is same-day postoperative care included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. CMS does not permit co-surgeons or team surgery.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
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
Fee sheets
Put 30468 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →