Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method

CPT 30903 is the billing code for "Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method". Complex anterior nasal hemorrhage control requiring extensive cautery and/or packing

Medicare pays approximately $233.54 for CPT 30903 (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.

CPT 30903 has a total RVU of 3.12, broken down as: Work RVU 1.50, Practice Expense RVU 1.50, and Malpractice RVU 0.12. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 30903 include: Location of hemorrhage documented (anterior); Complexity documented; Extensive cautery/packing documented; Patient response to treatment. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 30903: Anterior nasal hemorrhage. Extensive cautery/packing Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 30903 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.

The typical time requirement for CPT 30903 is Typically 20-30 minutes. Time-based codes require documentation of the actual time spent providing the service.