2025 CPT code 30430
(Active) Effective Date: N/A Revision Date: N/A Surgery - Rhinoplasty Surgery Feed
Secondary rhinoplasty; minor revision (small amount of nasal tip work).
Modifiers may be applicable depending on the specific circumstances of the procedure.For example, modifier 52 (reduced services) might be used if only a portion of the originally planned revision is performed, or modifier 78 (unplanned return to OR) may apply depending on the scenario.
Medical necessity for a secondary rhinoplasty with minor revision is established when the patient presents with an unsatisfactory aesthetic outcome from a previous rhinoplasty, or when minor functional issues (e.g., minor breathing compromise) are present, that may benefit from small adjustments.The procedure must be deemed medically necessary by the attending physician and the payer should be provided justification.
The clinical responsibility involves the surgeon performing the rhinoplasty revision. This includes pre-operative planning, patient assessment,surgical technique selection (open or closed), cartilage and soft tissue manipulation, graft placement (if necessary), wound closure, and post-operative care instructions.
In simple words: This code describes a minor surgical touch-up on the nose. It's for people who've already had a nose job and want small changes made, especially to the tip of their nose. The doctor might use an open or closed approach, meaning the cuts might be visible or hidden inside the nostrils. This type of surgery usually involves making small adjustments to the cartilage and skin.
This CPT code 30430 signifies a secondary rhinoplasty procedure involving a minor revision, specifically focusing on a small amount of work on the nasal tip.The procedure may be performed using an open or closed approach, depending on the surgeon's preference and the patient's specific needs.The surgeon will make necessary adjustments to cartilage and soft tissue to achieve the desired aesthetic or functional outcome. Graft placement may be involved; however, obtaining tissues for grafts is separately reportable under other CPT codes. The procedure concludes with closure of the incisions.
Example 1: A patient had a primary rhinoplasty 5 years ago. They are now satisfied with the overall shape of their nose, but would like a minor refinement of the nasal tip to improve symmetry and refine the tip projection., A patient underwent a primary rhinoplasty 2 years ago, but experienced some asymmetry in the nasal tip due to the healing process.A minor revision is needed to correct this., A patient had a primary rhinoplasty 10 years ago resulting in a slightly droopy nasal tip.A secondary rhinoplasty with minor tip refinement is needed to restore a more aesthetically pleasing and proportionate nasal tip.
Detailed preoperative and postoperative photographs documenting the existing nasal anatomy and the surgical outcome. Operative report describing the surgical approach (open or closed), specific techniques used, and any grafts utilized.Patient history including previous rhinoplasty details.Medical necessity documentation supporting the need for the revision procedure.
** This code should only be used for minor revisions of a previously performed rhinoplasty, where the extent of the work is limited. More extensive revision procedures would require the use of other appropriate CPT codes.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: Information not available in provided text.
- Global Days : Information not available in provided text.
- Payment Status: Active
- Modifier TC rule: Information not available in provided text.
- Fee Schedule : Information not available in provided text.
- Specialties:Plastic Surgery, Otolaryngology
- Place of Service:Office, Ambulatory Surgical Center, Hospital Outpatient Department