Billing code 30460: RhinoplastyMedicare rate & RVUs in Ohio
Reports focused rhinoplasty to correct a congenital cleft-related nasal deformity when surgery is limited to the nasal tip, with columellar lengthening as needed.
CMS doesn’t publish an office rate for 30460 in Ohio.
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 30460 covers
This code covers surgery to improve a nasal-tip deformity associated with congenital cleft lip or palate. The work may include lengthening the columella, the tissue between the nostrils, but is limited to the tip; septal work and osteotomies point to a different code. Plastic surgeons and facial plastic or otolaryngology surgeons may perform this operation in an operating room, often as part of cleft-related reconstructive care.
Report it when the operative record links the nasal deformity to the congenital cleft and documents tip-focused correction. The 90-day global period includes 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid, and co-surgeons are permitted; team surgery is 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.
30460 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $735.94 |
How the 30460 rate is calculated
Each of 30460’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 · 30460
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 10.06Practice expense 11.05Malpractice 1.87
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 30460
30460 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 30460
Rhinoplasty
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.76/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 30460
Rhinoplasty
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
30460 without 51 · national facility
$767.55
Rhinoplasty
30460-51 · Second procedure: 50%
$383.78
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%).
30460 compared with similar codes
Compare codes
30460 vs 30462 vs 30430 vs 30450: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 30462Revision rhinoplasty
- Both address nasal deformity associated with congenital cleft lip or palate. Choose 30460 for tip-only correction; 30462 includes broader work involving the septum and osteotomies.
- 30430Revision of nose
- 30430 describes a minor secondary nasal revision. Use 30460 when the indication is a congenital cleft-related deformity and the operative scope is tip-only.
- 30450Revision of nose
- 30450 describes a major secondary nasal revision. It is not the cleft-specific tip-only code; select based on the documented indication and operative scope.
30460 billing questions
How does this differ from 30462?
30460 is for cleft-related nasal deformity when correction is limited to the tip, with columellar lengthening as needed. Use 30462 when the documented work also involves the septum or osteotomies.
Can this code be used for any secondary rhinoplasty?
No. The deformity must be associated with congenital cleft lip or palate, and the procedure must fit the tip-only scope. Other secondary rhinoplasty codes describe revisions by extent.
Should modifier 50 be appended for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50.
What documentation supports reporting 30460?
Document the congenital cleft-related nasal deformity, the operative correction performed, and that the work was limited to the nasal tip. Describe any columellar lengthening and clarify whether septal work or osteotomies were performed.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and permits co-surgeons for this code. Team surgery is not permitted.
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
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