2025 CPT code 30460
(Active) Effective Date: N/A Revision Date: N/A Surgery - Rhinoplasty Surgery Feed
Rhinoplasty for nasal deformity due to cleft lip/palate, including columellar lengthening; tip only.
Modifiers may apply depending on the circumstances of the procedure.Refer to the CPT manual and payer guidelines for appropriate modifier usage.
Medical necessity for 30460 is established when the nasal deformity significantly impacts the patient's breathing or causes significant psychosocial distress due to its aesthetic impact.Documentation should support the need for the procedure beyond purely cosmetic reasons.
The surgeon's responsibilities include raising the nasal skin, modifying cartilage and soft tissue to correct the deformity, smoothing nasal cartilages, possibly placing a graft, performing a nasal tip plasty (altering lower lateral cartilage), performing a septoplasty (repositioning the septum if necessary), and closing the wound with sutures and tapes.
In simple words: This code describes a nose surgery to fix a misshapen nose caused by a birth defect (cleft lip or palate). The surgery focuses on improving the tip of the nose and making the columella (the area between the nostrils) longer.
This CPT code 30460 signifies a rhinoplasty procedure specifically addressing nasal deformities resulting from congenital cleft lip and/or palate.The procedure includes columellar lengthening, focusing solely on the nasal tip. It does not encompass work on the nasal septum or osteotomies.
Example 1: A 16-year-old patient with a unilateral cleft lip and palate undergoes rhinoplasty to address a deviated nasal tip and columellar shortening. Only the tip is addressed in this surgery., A 25-year-old patient with a history of bilateral cleft lip and palate repair presents with a nasal tip asymmetry and a short columella.This surgery is performed to address these aesthetic concerns while also lengthening the columella., A 17-year-old patient with a history of cleft lip repair has a noticeable nasal tip asymmetry impacting their self-esteem. The patient undergoes tip rhinoplasty with columellar lengthening to improve the appearance and symmetry of their nasal tip.
** This procedure is often part of a series of surgeries for patients with cleft lip and/or palate.The extent of the deformity and the patient's age influence the timing and scope of the surgery.Always verify medical necessity based on the individual patient's clinical presentation.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: This information is not available in the provided text.RVUs vary based on geographic location, facility type, and payer.
- Global Days : The global period is not specified in the provided data.This needs to be determined by referring to the specific payer's guidelines.
- Payment Status: Active
- Modifier TC rule: Information on the applicability of a Technical Component (TC) modifier is not provided in the source data. Refer to your specific payer's guidelines to determine if a TC modifier is appropriate.
- Fee Schedule : Historical fee schedule data is not available in the provided text.
- Specialties:Plastic Surgery, Otolaryngology
- Place of Service:Ambulatory Surgical Center, Office, Hospital (Inpatient or Outpatient)