Billing code 30469: Nasal valve repairMedicare rate & RVUs in Texas
Reports bilateral treatment of nasal valve collapse by remodeling tissue beneath the nasal lining, commonly with controlled radiofrequency energy and without an implant.
Medicare pays $2,121.04–$2,450.90 for 30469 in the office in Texas, from Beaumont to Austin. Which amount applies depends on the service address.
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 30469 covers
This procedure addresses nasal obstruction caused by collapse of the nasal valve, the narrow passage near the nostril that can narrow during breathing. An otolaryngologist or other qualified nasal surgeon commonly uses a controlled energy device to remodel tissue beneath the nasal lining and support the valve. It is often performed as a minimally invasive treatment, including in an office setting. Unlike an implant-based repair, the approach remodels tissue rather than placing an implant.
Report 30469 for the bilateral remodeling service; the CMS fee schedule prices the code as bilateral, and modifier 50 does not increase payment. Documentation should connect the patient’s obstruction to nasal valve collapse and identify the treated areas and remodeling technique. 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. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are 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.
Where 30469 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$2121.04 to $2450.90
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $2,450.90 | $130.59 |
| Beaumont | $2,121.04 | $125.31 |
| Brazoria | $2,300.61 | $127.24 |
| Dallas | $2,312.78 | $128.45 |
| Fort Worth | $2,290.63 | $128.23 |
| Galveston | $2,305.65 | $127.90 |
| Houston | $2,312.24 | $134.49 |
| Rest Of Texas | $2,207.74 | $126.49 |
How the 30469 rate is calculated
Each of 30469’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 · 30469
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.38Practice expense 66.80Malpractice 0.36
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 30469
The CMS indicators that decide how 30469 is paid alongside other services.
CMS payment indicators · 30469
Nasal valve repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
30469 without 51 · national office
$2,322.70
Nasal valve repair
30469-51 · Second procedure: 50%
$1,161.35
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%).
30469 compared with similar codes
Compare codes
30469 vs 30468 vs 30465 vs 30420: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 30468Nasal valve repair
- Choose 30469 for remodeling tissue beneath the nasal lining without an implant. Choose 30468 when the repair uses an implant.
- 30465Nasal stenosis repair
- 30465 describes structural repair of nasal vestibular stenosis, including approaches such as grafting or lateral wall reconstruction; 30469 describes subcutaneous or submucosal remodeling for nasal valve collapse.
- 30420Reconstruction of nose
- 30420 is a rhinoplasty service that includes major septal repair. It is not the focused bilateral nasal valve remodeling service described by 30469.
30469 billing questions
How is 30469 different from 30468?
30469 describes tissue remodeling beneath the nasal lining. 30468 is the implant-based nasal valve collapse repair.
Should modifier 50 be appended for bilateral treatment?
No. CMS prices 30469 as bilateral, and modifier 50 does not increase payment.
What documentation supports reporting 30469?
Document nasal valve collapse as the cause of obstruction, the clinical findings, the bilateral treatment areas, and the remodeling technique performed.
Can same-day care be billed separately?
The 0-day global period includes same-day preoperative and postoperative care. Other procedures performed in the same session are subject to the multiple-procedure payment rule.
Can an assistant or co-surgeon be paid for this procedure?
Assistant-at-surgery payment is restricted for 30469. CMS does not permit co-surgeons or team surgery for this code.
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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