No office rate
Both are secondary nasal deformity procedures. 30462 includes major septal repair; use 30460 when that major septal work is not part of the revision.
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CMS RVU26D · Effective 2026-10-01
30462 Revision rhinoplasty Medicare reimbursement rates in Michigan
Report 30462 for secondary correction of a nasal deformity when the revision includes substantial septal repair as part of the nasal reconstruction. Compare 30462 office and facility rates across CMS payment localities in Michigan.
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 30462 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1418.39–$1521.96
2 of 2 localities have a supported rate.
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.
Rhinoplasty
About 30462: Secondary rhinoplasty with septal repair
Report 30462 for secondary correction of a nasal deformity when the revision includes substantial septal repair as part of the nasal reconstruction.
This code represents a secondary rhinoplasty for a nasal deformity that includes major work on the septum. It may be performed by an otolaryngologist, facial plastic surgeon, or plastic surgeon when a prior nasal operation or injury has left structural deformity requiring revision. The operative work addresses the nasal framework and septum together; it is not simply a limited cosmetic adjustment or isolated septal procedure.
Select the code from the documented scope of the revision, especially the major septal repair, rather than from the patient's reason for seeking care alone. The operative report should describe the preexisting deformity, prior surgery when relevant, structures revised, and the septal reconstruction performed. CMS assigns a 90-day global period, including 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 others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon payment are permitted; team surgery is not.
CMS billing rules for 30462
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU19.77 · 45%
- Practice expense (office) RVU20.32 · 46%
- Malpractice RVU3.67 · 8%
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.
30462 compared with similar codes
Office rates for Michigan, from the same CMS release.
30450
No office rateRevision of nose
30450 describes major secondary rhinoplasty. Choose 30462 when the documented secondary deformity correction includes major septal repair.
No office rate
30465 is directed at repair of nasal stenosis. 30462 is for secondary nasal deformity correction that includes major septal repair.
Compare 30462 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
Unavailable
Facility
$1521.96
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$1418.39
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30462 billing questions
How is 30462 different from 30460?
Both address secondary nasal deformity. Choose 30462 when the revision includes major septal repair; 30460 represents secondary deformity correction without that major septal work.
Can a separate septal repair be reported with 30462?
Major septal repair included in the revision is part of 30462, not a separate service. The documentation must support any distinct additional procedure reported separately.
Should modifier 50 be appended for work on both sides of the nose?
No. CMS identifies bilateral adjustment as inappropriate for this code, even when the operative work involves paired nasal structures.
How does the multiple-procedure reduction affect 30462?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50% under the standard reduction.
What global care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related 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.
3,4363044F,,Hg a1c level lt 7.0%,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
3,43730450,,Revision of nose,R,,19.17,26.39,NA,26.39,,3.56,49.12,49.12,0,090,0.10,0.76,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,43830460,,Revision of nose,A,,10.06,11.05,NA,11.05,,1.87,22.98,22.98,0,090,0.10,0.76,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,43930462,,Revision of nose,A,,19.77,20.32,NA,20.32,,3.67,43.76,43.76,0,090,0.10,0.76,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,44030465,,Repair nasal stenosis,A,,12.05,13.79,NA,13.79,,1.79,27.63,27.63,0,090,0.10,0.76,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,44130468,,Rpr nsl vlv collapse w/implt,A,,2.73,68.55,,1.23,,0.40,71.68,4.36,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,44230469,,Rpr nsl vlv collapse w/rmdlg,A,,2.38,66.80,,1.14,,0.36,69.54,3.88,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00