Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial

CPT 30905 is the billing code for "Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial". Initial control of posterior nasal hemorrhage with posterior packing and/or cautery

Medicare pays approximately $335.11 for CPT 30905 (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 30905 has a total RVU of 4.16, broken down as: Work RVU 2.00, Practice Expense RVU 2.00, and Malpractice RVU 0.16. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 30905 include: Location of hemorrhage documented (posterior); Method of control documented; Posterior packing/cautery documented; Patient response to treatment. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 30905: Posterior nasal hemorrhage. Initial control Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 30905 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 30905 is Typically 30-45 minutes. Time-based codes require documentation of the actual time spent providing the service.