No office rate
30920 identifies internal maxillary artery ligation. 30915 is for ligation of a nasal or sinus artery; use the documented vessel and procedure to distinguish them.
On this page
CMS RVU26D · Effective 2026-10-01
30920 Arterial ligation Medicare reimbursement rates in Nebraska
Reports surgical ligation of the internal maxillary artery to control severe nasal bleeding when the operative service involves this artery. Compare 30920 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 30920 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
No supported rate
Facility setting
$715.33
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.
Nasal surgery
About 30920: Internal maxillary artery ligation
Reports surgical ligation of the internal maxillary artery to control severe nasal bleeding when the operative service involves this artery.
This operation ties off the internal maxillary artery, a major arterial supply to the nasal region, to control severe epistaxis. It is generally performed by an otolaryngologist in an operating room when bleeding requires surgical arterial control. The operative record should identify the vessel treated, the approach, and the bleeding problem that led to surgery; the code is not selected simply because epistaxis was present.
Report 30920 for the internal maxillary artery ligation actually performed, distinguishing it from ligation of a nasal or sinus artery and from direct control of bleeding. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related 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% multiple-procedure reduction. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 30920
- 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
- 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 RVU10.86 · 47%
- Practice expense (office) RVU10.79 · 46%
- Malpractice RVU1.58 · 7%
33
Medicare services in 2024 · #5594 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.
30920 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$362.85
30905 reports direct control of posterior epistaxis. 30920 reports surgical ligation of the internal maxillary artery.
$374.13
30906 is for subsequent direct control of posterior epistaxis. It is not the code for internal maxillary artery ligation.
Compare 30920 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
Unavailable
Facility
$715.33
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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 30920 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,486
- Code
- 30920
- Physician work
- 10.86
- Practice expense
- 10.79
- Malpractice
- 1.58
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.86 | × 1.000 | 10.8600 |
| Practice expense | 10.79 | × 0.923 | 9.9592 |
| Malpractice | 1.58 | × 0.378 | 0.5972 |
| Total RVUs | 21.4164 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$715.33
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.86 | 1 |
| Practice expense | 10.79 | 0.923 |
| Malpractice | 1.58 | 0.378 |
(10.86 × 1 + 10.79 × 0.923 + 1.58 × 0.378) × $33.4009 = $715.33
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.
30920 billing questions
How is 30920 distinguished from 30915?
Choose based on the artery and procedure documented in the operative report. 30920 concerns internal maxillary artery ligation; 30915 describes ligation of a nasal or sinus artery.
Can 30920 be reported with posterior epistaxis control?
30905 and 30906 describe direct control of posterior nasal bleeding, whereas 30920 reports surgical ligation of the internal maxillary artery. Code the service performed rather than reporting both for the same work.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral treatment?
No. The anatomy and descriptor make modifier 50 inappropriate for 30920.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard 50% 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 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.
3,4833090F,,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
3,48630920,,Ligation upper jaw artery,A,,10.86,10.79,NA,10.79,,1.58,23.23,23.23,0,090,0.10,0.76,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4873092F,,Mdd in remission,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
3,48830930,,Ther fx nasal inf turbinate,A,,1.28,1.80,NA,1.80,,0.18,3.26,3.26,0,010,0.10,0.80,0.10,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4893093F,,Doc new diag 1st/addl mdd,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