No office rate
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.
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CMS RVU26D · Effective 2026-10-01
30460 Rhinoplasty Medicare reimbursement rates in Texas
Reports focused rhinoplasty to correct a congenital cleft-related nasal deformity when surgery is limited to the nasal tip, with columellar lengthening as needed. Compare 30460 office and facility rates across CMS payment localities in Texas.
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 30460 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 30460 pays more and less in Texas
Plastic surgery
About 30460: Cleft-related tip rhinoplasty
Reports focused rhinoplasty to correct a congenital cleft-related nasal deformity when surgery is limited to the nasal tip, with columellar lengthening as needed.
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.
CMS billing rules for 30460
- 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 RVU10.06 · 44%
- Practice expense (office) RVU11.05 · 48%
- Malpractice RVU1.87 · 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.
30460 compared with similar codes
Office rates for Texas, from the same CMS release.
30430
No office rateRevision 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.
30450
No office rateRevision 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.
Compare 30460 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $782.51 |
| Beaumont | Office Unavailable | Facility $729.90 |
| Brazoria | Office Unavailable | Facility $753.18 |
| Dallas | Office Unavailable | Facility $760.23 |
| Fort Worth | Office Unavailable | Facility $757.35 |
| Galveston | Office Unavailable | Facility $756.91 |
| Houston | Office Unavailable | Facility $791.14 |
| Rest Of Texas | Office Unavailable | Facility $742.67 |
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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 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.
3,43530435,,Revision of nose,R,,12.41,23.92,NA,23.92,,2.31,38.64,38.64,0,090,0.10,0.76,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4363044F,,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