Billing code 30465: Nasal stenosis repairMedicare rate & RVUs in Ohio
Reports surgical reconstruction of a narrowed nasal vestibule, such as structural grafting to relieve obstruction from stenosis or weakened nasal support.
CMS doesn’t publish an office rate for 30465 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 30465 covers
An otolaryngologist or facial plastic surgeon uses this service to surgically widen or support a narrowed nasal vestibule when structural stenosis contributes to nasal airflow obstruction. Repair may involve grafting or reconstruction of the lateral nasal wall or other supporting structures, often through an open or endonasal approach. The operative report should identify the site and nature of the narrowing, the functional problem, and the corrective reconstruction performed.
Report the code for the structural stenosis repair, rather than for nasal reshaping alone or a less invasive nasal-valve treatment. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Do not append modifier 50; CMS identifies bilateral adjustment as inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this service.
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.
30465 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $883.27 |
How the 30465 rate is calculated
Each of 30465’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 · 30465
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 12.05Practice expense 13.79Malpractice 1.79
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 30465
30465 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 30465
Nasal stenosis repair
| 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not 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 · 30465
Nasal stenosis repair
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
30465 without 51 · national facility
$922.87
Nasal stenosis repair
30465-51 · Second procedure: 50%
$461.44
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%).
30465 compared with similar codes
Compare codes
30465 vs 30468 vs 30469 vs 30420: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 30468Nasal valve repair
- Use 30468 when the nasal-valve repair uses an implant. Use 30465 for surgical reconstruction of stenosis, such as structural grafting.
- 30469Nasal valve repair
- Use 30469 for radiofrequency remodeling of nasal-valve collapse. Use 30465 for structural reconstruction of nasal vestibular narrowing.
- 30420Reconstruction of nose
- 30420 describes primary rhinoplasty with major septal repair. Choose 30465 when the service is specifically a structural repair of nasal vestibular stenosis.
30465 billing questions
How is this different from nasal-valve implant or radiofrequency treatment?
This code describes structural surgical reconstruction for stenosis, such as grafting or lateral-wall support. Codes 30468 and 30469 describe nasal-valve treatments using an implant or radiofrequency remodeling, respectively.
Can modifier 50 be used when both sides are repaired?
No. CMS identifies bilateral adjustment as inappropriate for this code, so do not report modifier 50.
What documentation supports reporting this repair?
Document the obstructed or narrowed nasal vestibule, the structural cause and location, and the reconstruction performed. The operative note should make clear that the work addressed stenosis rather than nasal appearance alone.
Is routine postoperative care separately reported during the global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period.
When are multiple-procedure reductions relevant?
When this repair and other procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this service.
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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