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30901

Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method

Surgery Respiratory System 1.61 Total RVUs
Quick Reference
Simple anterior nasal hemorrhage control using limited cautery and/or packing

Relative Value Units (RVUs)

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Work RVU
0.75
Physician effort
PE RVU
0.80
Practice expense
MP RVU
0.06
Malpractice
Total RVU
1.61
Combined value
Dollar reimbursement rates vary by locality and payer. RVUs shown for relative comparison only.
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Clinical Information

When to Use

Simple anterior nasal hemorrhage control using limited cautery and/or packing

Time Requirement
Typically 10-15 minutes

Common Scenarios

Anterior nosebleed control
Simple nasal hemorrhage
Anterior epistaxis control
Simple nasal bleeding control
Anterior nasal packing

Documentation Requirements

  • Location of hemorrhage documented (anterior)
  • Method of control documented
  • Simple cautery/packing documented
  • Patient response to treatment

Coding Guidelines

Common Modifiers

59 Distinct procedural service when multiple procedures performed
50 Bilateral procedure
LT Left side
RT Right side

Bundling Rules

  • Anterior nasal hemorrhage only
  • Simple cautery/packing
  • Includes local anesthesia

Exclusions

  • Do not bill with complex nasal hemorrhage codes (30903, 30905)
  • Do not bill if posterior hemorrhage

Coding Notes

Common ENT procedure
Simple anterior control
Limited cautery/packing

Clinical scenarios

Anterior nosebleed control
Anterior nosebleed control
When to use:Simple anterior nasal hemorrhage control using limited cautery and/or packing
  • Location of hemorrhage documented (anterior)
  • Method of control documented
  • Simple cautery/packing documented
Simple nasal hemorrhage
Simple nasal hemorrhage
When to use:Simple anterior nasal hemorrhage control using limited cautery and/or packing
  • Location of hemorrhage documented (anterior)
  • Method of control documented
  • Simple cautery/packing documented
Anterior epistaxis control
Anterior epistaxis control
When to use:Simple anterior nasal hemorrhage control using limited cautery and/or packing
  • Location of hemorrhage documented (anterior)
  • Method of control documented
  • Simple cautery/packing documented

Who are you?

Code Details

Code 30901
Category Surgery
Subcategory Respiratory System
Total RVUs 1.61

Medicare Pricing

PFS
2025 National Rate
$151.06
Facility
$54.67
Non-Facility
$151.06
RVU Breakdown
Work RVU:1.10PE RVU:3.39MP RVU:0.18Total RVU:4.67CF:$32.3465Global Days:000
OPPS Details
APC:5734Status:Q1Copayment:
Physician Fee Schedule: Medicare pays physicians based on Relative Value Units (RVUs) multiplied by a conversion factor.

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Frequently Asked Questions

What is CPT code 30901?

CPT 30901 is the billing code for "Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method". Simple anterior nasal hemorrhage control using limited cautery and/or packing

How much does Medicare pay for CPT 30901?

Medicare pays approximately $151.06 for CPT 30901 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

What are the RVUs for CPT 30901?

CPT 30901 has a total RVU of 1.61, broken down as: Work RVU 0.75, Practice Expense RVU 0.80, and Malpractice RVU 0.06. RVUs (Relative Value Units) determine Medicare reimbursement rates.

What documentation is required for CPT 30901?

Key documentation requirements for CPT 30901 include: Location of hemorrhage documented (anterior); Method of control documented; Simple cautery/packing documented; Patient response to treatment. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 30901 be billed with other codes?

Bundling considerations for CPT 30901: Anterior nasal hemorrhage only. Simple cautery/packing Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 30901?

Common modifiers for CPT 30901 include: 59 (Distinct procedural service when multiple procedures performed), 50 (Bilateral procedure), LT (Left side). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

What is the time requirement for CPT 30901?

The typical time requirement for CPT 30901 is Typically 10-15 minutes. Time-based codes require documentation of the actual time spent providing the service.

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