$2,288.77
Choose 30469 for remodeling tissue beneath the nasal lining without an implant. Choose 30468 when the repair uses an implant.
On this page
CMS RVU26D · Effective 2026-10-01
30469 Nasal valve repair Medicare reimbursement rates in Wisconsin
Reports bilateral treatment of nasal valve collapse by remodeling tissue beneath the nasal lining, commonly with controlled radiofrequency energy and without an implant. Compare 30469 office and facility rates across CMS payment localities in Wisconsin.
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 30469 in Wisconsin?
Wisconsin has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$2220.67
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$119.68
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
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.
Nasal surgery
About 30469: Nasal valve collapse remodeling
Reports bilateral treatment of nasal valve collapse by remodeling tissue beneath the nasal lining, commonly with controlled radiofrequency energy and without an implant.
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.
CMS billing rules for 30469
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.38 · 3%
- Practice expense (office) RVU66.80 · 96%
- Malpractice RVU0.36 · 1%
6.1K
Medicare services in 2024 · #1746 by national volume
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.
30469 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
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.
30420
No office rateReconstruction 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.
Compare 30469 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.
1 of 1 payment localities
Wisconsin →
Office / nonfacility
$2220.67
Facility
$119.68
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 30469 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
3,442
- Code
- 30469
- Physician work
- 2.38
- Practice expense
- 66.80
- Malpractice
- 0.36
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.38 | × 1.000 | 2.3800 |
| Practice expense | 66.80 | × 0.958 | 63.9944 |
| Malpractice | 0.36 | × 0.308 | 0.1109 |
| Total RVUs | 66.4853 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$2220.67
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.38 | 1 |
| Practice expense | 66.8 | 0.958 |
| Malpractice | 0.36 | 0.308 |
(2.38 × 1 + 66.8 × 0.958 + 0.36 × 0.308) × $33.4009 = $2220.67
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.38 | 1 |
| Practice expense | 1.14 | 0.958 |
| Malpractice | 0.36 | 0.308 |
(2.38 × 1 + 1.14 × 0.958 + 0.36 × 0.308) × $33.4009 = $119.68
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 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.
3,43930462,,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
3,44230469,,Rpr nsl vlv collapse w/rmdlg,A,,2.38,66.80,,1.14,,0.36,69.54,3.88,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,4433046F,,Hemoglobin a1c level >9.0%,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
3,4443048F,,Ldl-c <100 mg/dl,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
3,4453049F,,Ldl-c 100-129 mg/dl,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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,