Billing code 30905: Nosebleed controlMedicare rate & RVUs in Texas
Reports initial control of posterior nasal bleeding when treatment requires posterior packing, cautery, or both, such as during emergency or otolaryngology care.
Medicare pays $365.89–$412.57 for 30905 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 30905 covers
This service treats a posterior nasal bleed with posterior packing, cautery, or both. It is commonly performed by an emergency physician or otolaryngologist in an emergency department or hospital when bleeding arises from the back of the nasal cavity and needs more than limited anterior treatment. Posterior packs or balloon devices may be used to control bleeding; cautery may be used when the bleeding site can be identified.
Report 30905 for the initial control of a posterior bleed, not for a later repeat-control service. The note should support the posterior source or clinical circumstances, identify the treatment performed, and establish that this was the initial treatment. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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. The code is priced as bilateral, so modifier 50 does not increase payment. 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 30905 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
$365.89 to $412.57
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $412.57 | $99.12 |
| Beaumont | $365.89 | $96.29 |
| Brazoria | $390.25 | $96.65 |
| Dallas | $392.92 | $97.84 |
| Fort Worth | $389.91 | $97.79 |
| Galveston | $391.51 | $97.32 |
| Houston | $398.65 | $104.46 |
| Rest Of Texas | $377.97 | $96.81 |
How the 30905 rate is calculated
Each of 30905’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 · 30905
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.92Practice expense 9.53Malpractice 0.39
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 30905
The CMS indicators that decide how 30905 is paid alongside other services.
CMS payment indicators · 30905
Nosebleed control
| 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
30905 without 51 · national office
$395.47
Nosebleed control
30905-51 · Second procedure: 50%
$197.74
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%).
30905 compared with similar codes
Compare codes
30905 vs 30901 vs 30903 vs 30906 vs 30915: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 30901Nosebleed control
- Use 30901 for limited treatment of an anterior bleed, rather than posterior packing or cautery for a posterior source.
- 30903Nosebleed control
- 30903 is for more extensive control of an anterior bleed; 30905 addresses initial control of a posterior bleed.
- 30906Nosebleed control
- 30905 reports initial posterior bleed control; 30906 reports subsequent control.
- 30915Nasal artery ligation
- 30915 describes arterial treatment for nasal hemorrhage, a different intervention from posterior packing or cautery reported with 30905.
30905 billing questions
How is 30905 different from 30901 or 30903?
30905 is for initial control of a posterior nasal bleed using posterior packing, cautery, or both. Codes 30901 and 30903 describe anterior control, with 30903 used for more extensive anterior treatment.
When should 30906 be used instead?
Use 30906 for subsequent control of a posterior bleed after the initial treatment. Use 30905 for the initial control service.
Does modifier 50 increase payment for bilateral treatment?
No. CMS prices 30905 as bilateral, and modifier 50 does not increase payment.
What documentation supports 30905?
Document the posterior bleeding source or the clinical basis for posterior treatment, the packing or cautery performed, and whether this was the initial control service.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. The 0-day global period does not include care on later dates.
Can an assistant or co-surgeon be reported?
CMS restricts assistant-at-surgery payment for this code and does not permit co-surgeons or team surgery.
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
Fee sheets
Put 30905 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →