$362.85
Both concern posterior hemorrhage control with posterior packing and/or cautery. Choose 30905 for the initial control and 30906 for subsequent control.
On this page
CMS RVU26D · Effective 2026-10-01
30906 Nosebleed control Medicare reimbursement rates in Nebraska
Reports repeat control of posterior nasal bleeding using posterior packing and/or cautery, such as when bleeding persists or recurs after initial treatment. Compare 30906 office and facility rates across CMS payment localities in Nebraska.
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 30906 in Nebraska?
Nebraska 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
$374.13
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$108.38
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
ENT procedure
About 30906: Subsequent posterior nasal hemorrhage control
Reports repeat control of posterior nasal bleeding using posterior packing and/or cautery, such as when bleeding persists or recurs after initial treatment.
This code describes subsequent control of a posterior nosebleed using posterior nasal packing and/or cautery. It may be performed by an otolaryngologist or an emergency physician when posterior bleeding continues or recurs after initial control, including in an emergency department or hospital setting. The service is distinct from treating an anterior bleeding site with limited or extensive cautery or packing.
Select the subsequent-treatment level when the clinician again controls posterior bleeding, rather than for the initial posterior control reported with 30905. Document the posterior source, the reason repeat control was needed, and the method used. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 30906
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- 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 RVU2.39 · 20%
- Practice expense (office) RVU9.37 · 77%
- Malpractice RVU0.43 · 4%
689
Medicare services in 2024 · #3278 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.
30906 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$244.16
30903 is for extensive treatment of anterior bleeding; 30906 is for subsequent treatment of posterior bleeding.
$152.21
30901 covers simple control of anterior bleeding, while 30906 covers repeat control of a posterior bleed.
No office rate
30915 involves transantral ligation of an artery for posterior hemorrhage; 30906 reports subsequent control with posterior packing and/or cautery.
Compare 30906 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
Nebraska →
Office / nonfacility
$374.13
Facility
$108.38
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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 30906 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,482
- Code
- 30906
- Physician work
- 2.39
- Practice expense
- 9.37
- Malpractice
- 0.43
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.39 | × 1.000 | 2.3900 |
| Practice expense | 9.37 | × 0.923 | 8.6485 |
| Malpractice | 0.43 | × 0.378 | 0.1625 |
| Total RVUs | 11.2011 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$374.13
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.39 | 1 |
| Practice expense | 9.37 | 0.923 |
| Malpractice | 0.43 | 0.378 |
(2.39 × 1 + 9.37 × 0.923 + 0.43 × 0.378) × $33.4009 = $374.13
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.39 | 1 |
| Practice expense | 0.75 | 0.923 |
| Malpractice | 0.43 | 0.378 |
(2.39 × 1 + 0.75 × 0.923 + 0.43 × 0.378) × $33.4009 = $108.38
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.
30906 billing questions
When should 30906 be reported instead of 30905?
Use 30906 for subsequent control of posterior bleeding with posterior packing and/or cautery. Use 30905 for the initial posterior control.
Can 30906 be used for an anterior nosebleed?
No. It is for subsequent posterior hemorrhage control. Anterior bleeding is coded according to its own treatment and complexity, such as 30901 or 30903.
Should modifier 50 be appended when both sides are treated?
The code is already priced as bilateral, and modifier 50 does not increase payment.
Is same-day care included in the procedure payment?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
What documentation supports 30906?
Record that the bleeding source was posterior, why repeat control was required, and whether posterior packing, cautery, or both were used.
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.
3,47930901,,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
3,48430915,,Ligation nasal sinus artery,A,,7.25,7.87,NA,7.87,,1.07,16.19,16.19,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4853091F,,Mdd severe w/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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068