2025 CPT code 30400
(Active) Effective Date: N/A Revision Date: N/A Surgery - Rhinoplasty Surgery Feed
Primary rhinoplasty;surgical repair or reshaping of the nose, including work on the lateral and alar cartilages, and/or nasal tip elevation.
Modifiers may be applicable to 30400, depending on the circumstances. For example, modifier 51 (multiple procedures) may be used if additional surgical procedures are performed during the same session. Modifier 80 (assistant surgeon) may be used if an assistant surgeon participates in the procedure.
Medical necessity for rhinoplasty can be established for both functional and cosmetic reasons. Functional indications include nasal obstruction due to a deviated septum, nasal valve collapse, or other anatomical abnormalities impacting breathing. Cosmetic indications would be documented based on patient desire for improvement in nasal aesthetics. The documentation should clearly justify the procedure in accordance with payer guidelines.
The clinical responsibility lies with the surgeon performing the rhinoplasty. This includes preoperative assessment, surgical planning,execution of the surgical procedure using open or closed technique, and postoperative care.The surgeon must document the techniques used, the extent of the surgery, and any complications.
In simple words: This code describes a nose surgery (rhinoplasty) to change the shape of a person's nose. This is for someone having this surgery for the first time. The surgery reshapes the cartilage inside the nose to improve the look or function of the nose.
Rhinoplasty, also known as a nose job, is a surgical procedure performed to reshape or repair the nose.This CPT code, 30400, specifically addresses primary rhinoplasty—meaning the patient has not undergone prior rhinoplasty surgery. The procedure involves surgical manipulation of the lateral (side) and alar (tip) cartilages of the nose, potentially including nasal tip elevation. Surgical approaches can be open (external incisions) or closed (incisions within the nostrils).The surgeon may utilize various techniques such as suturing, cartilage reshaping, or removal to achieve the desired aesthetic or functional outcome. Graft placement may also be part of the procedure, but the harvesting of graft tissue would be separately reported using appropriate CPT codes.Accurate documentation is crucial, and the surgeon's notes must detail the specific techniques employed, the extent of cartilage manipulation, and any graft materials used.
Example 1: A patient presents with a deviated septum causing breathing difficulties and a dorsal hump resulting in an aesthetically undesirable nasal profile. The surgeon performs a primary rhinoplasty to correct both the functional and cosmetic issues.The procedure includes septoplasty, osteotomies, and tip plasty., A young adult patient desires a reduction rhinoplasty to refine the nasal tip, improve nasal symmetry, and enhance overall facial aesthetics. The surgeon uses a closed approach to perform the rhinoplasty, focusing on the alar cartilages and tip shaping., A patient presents with a nasal injury following trauma. The surgeon performs a primary rhinoplasty to reconstruct the nasal structure, correcting fractures, repositioning cartilage fragments, and restoring nasal patency.Graft material may be required, necessitating additional codes.
* Preoperative photographs and assessment of nasal structure.* Detailed surgical notes including incisions used (open vs. closed), specific techniques used on lateral and alar cartilages, and tip modification.* Intraoperative photographs.* Type and amount of any grafting material used (if applicable) with appropriate supporting codes.* Postoperative instructions and follow-up plan.* Documentation of any complications or adverse events.
** Accurate documentation is essential for proper coding and reimbursement.Specific surgical details, techniques used, and any complications should be thoroughly documented in the patient's medical record.Always refer to the latest CPT and payer guidelines.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: This information is not available in the provided data. Refer to the most current CPT codebook or a relevant billing resource for RVU details.
- Global Days : This information is not available in the provided data.The global period for this procedure would need to be determined based on payer guidelines and local practice standards.
- Payment Status: Active
- Modifier TC rule: The Technical Component (TC) modifier is not directly applicable to 30400 since it represents the complete surgical service.However, professional component modifiers may be relevant if the professional component of the service is billed separately.
- Fee Schedule : Historical fee schedule data for 30400 is not available in the given source. Consult historical CPT fee schedules or billing databases for such data.
- Specialties:Otolaryngology, Plastic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital (Inpatient or Outpatient), Office