$151.41
Use 30901 for simple anterior bleeding control. Use 30903 when the anterior treatment is complex, such as extensive cautery or packing.
On this page
CMS RVU26D · Effective 2026-10-01
30903 Nosebleed control Medicare reimbursement rates in Kentucky
Reports complex treatment of anterior nasal bleeding, such as extensive cautery or packing, when a simple control service is insufficient. Compare 30903 office and facility rates across CMS payment localities in Kentucky.
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.
What does Medicare pay for 30903 in Kentucky?
Kentucky has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$242.16
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$67.86
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Otolaryngology
About 30903: Complex anterior nosebleed control
Reports complex treatment of anterior nasal bleeding, such as extensive cautery or packing, when a simple control service is insufficient.
This service treats active bleeding from the anterior nasal cavity with a complex intervention, such as extensive cautery, packing, or both. It is commonly performed by an otolaryngologist or emergency clinician in an office, emergency department, or other acute-care setting. The treatment is directed at controlling the bleed, rather than simply evaluating its cause or providing routine nasal care.
Select the code when the record supports anterior bleeding and the extent of treatment is complex; document the bleeding site, method, and work performed. 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 the others are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 30903
- 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 RVU1.50 · 19%
- Practice expense (office) RVU6.18 · 78%
- Malpractice RVU0.28 · 4%
28.7K
Medicare services in 2024 · #990 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.
30903 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$359.03
30905 is for initial control of posterior bleeding. 30903 is selected for complex treatment of anterior bleeding.
$371.20
30906 describes repeat control of posterior bleeding; 30903 describes complex anterior bleeding control.
No office rate
30915 is an artery-ligation procedure. 30903 is used for complex anterior control without that surgical ligation approach.
Compare 30903 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kentucky →
Office / nonfacility
$242.16
Facility
$67.86
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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 30903 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
3,480
- Code
- 30903
- Physician work
- 1.50
- Practice expense
- 6.18
- Malpractice
- 0.28
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.50 | × 1.000 | 1.5000 |
| Practice expense | 6.18 | × 0.889 | 5.4940 |
| Malpractice | 0.28 | × 0.915 | 0.2562 |
| Total RVUs | 7.2502 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$242.16
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.5 | 1 |
| Practice expense | 6.18 | 0.889 |
| Malpractice | 0.28 | 0.915 |
(1.5 × 1 + 6.18 × 0.889 + 0.28 × 0.915) × $33.4009 = $242.16
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.5 | 1 |
| Practice expense | 0.31 | 0.889 |
| Malpractice | 0.28 | 0.915 |
(1.5 × 1 + 0.31 × 0.889 + 0.28 × 0.915) × $33.4009 = $67.86
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.
30903 billing questions
How does this differ from 30901?
30903 is for complex anterior bleeding control, such as extensive cautery or packing. Use 30901 for simple anterior control.
When should 30905 be considered instead?
30905 applies to initial control of posterior nasal bleeding. Choose 30903 when the treated bleeding is anterior and the intervention is complex.
How is bilateral treatment reported?
Report modifier 50 for bilateral treatment. CMS pays the bilateral service at 150%.
What should the note support?
Document that the bleeding was anterior and describe the complex treatment performed, such as the extent of cautery or packing.
Is same-day postoperative care separately included?
No. The 0-day global period includes same-day preoperative and postoperative care.
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.
3,4773088F,,Mdd mild,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4783089F,,Mdd moderate,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,47930901,,Control of nosebleed,A,,1.07,3.70,,0.23,,0.19,4.96,1.49,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,48030903,,Control of nosebleed,A,,1.50,6.18,,0.31,,0.28,7.96,2.09,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,48130905,,Control of nosebleed,A,,1.92,9.53,,0.66,,0.39,11.84,2.97,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,48230906,,Repeat control of nosebleed,A,,2.39,9.37,,0.75,,0.43,12.19,3.57,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4833090F,,Mdd severe w/o psych,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631