Billing code 30903: Nosebleed controlMedicare rate & RVUs in Utah

Reports complex treatment of anterior nasal bleeding, such as extensive cautery or packing, when a simple control service is insufficient.

CMS RVU26DEffective Oct 1, 20261 payment locality28.7K Medicare services in 2024

Medicare pays $252.53 for 30903 in the office in Utah (Utah). Which amount applies depends on the service address.

$252.53Office (non-facility)
$68.23Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 30903 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 30903 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 30903 covers

This service treats active bleeding from the anterior nasal cavity with a complex intervention, such as extensive cautery, packing, or both. It is commonly performed by an otolaryngologist or emergency clinician in an office, emergency department, or other acute-care setting. The treatment is directed at controlling the bleed, rather than simply evaluating its cause or providing routine nasal care.

Select the code when the record supports anterior bleeding and the extent of treatment is complex; document the bleeding site, method, and work performed. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing 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.

30903 in Utah

30903 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$252.53$68.23

How the 30903 rate is calculated

Each of 30903’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 · 30903

RVUs × geographic indexes × conversion factor

Work1.50

1.50 RVUs× 1.000 GPCI

Practice expense6.18

6.18 RVUs× 1.000 GPCI

Malpractice0.28

0.28 RVUs× 1.000 GPCI

Adjusted RVUs

7.9600

Conversion factor

$33.4009

Medicare rate

$265.87

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 30903

The CMS indicators that decide how 30903 is paid alongside other services.

CMS payment indicators · 30903

Nosebleed control

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

30903 without 50 · national office

$265.87

Nosebleed control

30903-50 · Bilateral: 150%

$398.81

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

30903 compared with similar codes

Compare codes · National

5 codes, side by side

  • 30903

    Nosebleed control1.5 wRVU

    $265.87

  • 30901

    Nosebleed control1.07 wRVU

    $165.67−$100.20

  • 30905

    Nosebleed control1.92 wRVU

    $395.47+$129.60

  • 30906

    Nosebleed control2.39 wRVU

    $407.16+$141.29

  • 30915

    Nasal artery ligation7.25 wRVU

    Not priced

How to choose

30901Nosebleed control
Use 30901 for simple anterior bleeding control. Use 30903 when the anterior treatment is complex, such as extensive cautery or packing.
30905Nosebleed control
30905 is for initial control of posterior bleeding. 30903 is selected for complex treatment of anterior bleeding.
30906Nosebleed control
30906 describes repeat control of posterior bleeding; 30903 describes complex anterior bleeding control.
30915Nasal artery ligation
30915 is an artery-ligation procedure. 30903 is used for complex anterior control without that surgical ligation approach.

30903 billing questions

How does this differ from 30901?

30903 is for complex anterior bleeding control, such as extensive cautery or packing. Use 30901 for simple anterior control.

When should 30905 be considered instead?

30905 applies to initial control of posterior nasal bleeding. Choose 30903 when the treated bleeding is anterior and the intervention is complex.

How is bilateral treatment reported?

Report modifier 50 for bilateral treatment. CMS pays the bilateral service at 150%.

What should the note support?

Document that the bleeding was anterior and describe the complex treatment performed, such as the extent of cautery or packing.

Is same-day postoperative care separately included?

No. The 0-day global period includes same-day preoperative and postoperative care.

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
RVUs for 30903PPRRVU2026_Oct_nonQPP.csv, line 3,480 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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