2025 CPT code 30462
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Rhinoplasty Surgery Feed
Rhinoplasty for nasal deformity due to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies.
Modifiers may apply depending on the specific circumstances of the procedure.Consult the CPT modifier guidelines for further information.
Medical necessity for 30462 is established by documentation of nasal deformity secondary to cleft lip and/or palate.The functional issues (e.g., breathing difficulties) and aesthetic concerns should be clearly documented.This may involve objective measurement of nasal airflow, alongside photographic evidence.
The surgeon raises the nasal skin, reshapes the cartilage and soft tissues, performs osteotomies if needed to adjust the nasal bones, and smooths the nasal cartilages. A nasal tip plasty may be done to refine the lower lateral cartilage, and a septoplasty may be performed to reposition the septum. Columellar lengthening techniques may also be employed to correct cleft-related deformities. Wound closure is achieved using transmucosal sutures, tapes, and splints.
In simple words: This code covers a nose surgery to fix a misshapen nose caused by a birth defect (cleft lip or palate). The surgery reshapes the nose tip, straightens the nasal septum (the cartilage dividing the nostrils), and may involve breaking and resetting the nasal bones for better alignment. It also lengthens the columella (the area between the nostrils and upper lip).
This CPT code encompasses rhinoplasty performed to correct nasal deformities resulting from a congenital cleft lip and/or palate.The procedure includes columellar lengthening and addresses the nasal tip, septum, and nasal bones via osteotomies.This is typically a complex procedure requiring advanced surgical skills due to the altered anatomy and potential presence of scar tissue from prior surgeries.
Example 1: A 16-year-old female patient presents with a unilateral cleft lip and palate. She has undergone previous surgeries but still has nasal asymmetry and breathing difficulties.A 30462 rhinoplasty is performed to correct the nasal deformity, including osteotomies, septal work, tip plasty, and columellar lengthening., A 17-year-old male patient with a bilateral cleft lip and palate has significant nasal deformity affecting both sides of his nose. A 30462 rhinoplasty is performed to address the asymmetry, improve breathing, and enhance the overall aesthetics of his nose.The procedure involves osteotomies, septal repositioning, and columellar lengthening to achieve symmetry., An adult patient with a history of cleft lip repair in childhood requires revision rhinoplasty to address residual nasal deformity. Due to prior surgical interventions, the procedure is more complex, requiring extensive soft tissue manipulation, cartilage grafting and other techniques. The code 30462 accurately reflects the extensive nature of this revision rhinoplasty addressing multiple nasal structural components.
Preoperative photos and documentation of the nasal deformity. Operative report detailing all aspects of the procedure, including osteotomies performed, septal adjustments, type of columellar lengthening technique, and cartilage grafting (if any). Postoperative photographs demonstrating the improvement in nasal symmetry and function.Complete patient history including prior surgeries.
** This code is commonly used for secondary or revision rhinoplasty in cleft patients. The complexity of the surgery can significantly vary based on individual patient anatomy and prior surgical interventions.Always refer to the most current CPT manual and guidelines for accurate coding practices.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: Not specified in provided data.Refer to CMS fee schedules for current RVU values.
- Global Days : Not specified in provided data. Global surgical package days vary by payer and may depend on the complexity of the procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable to this code, as it's not typically broken down into technical and professional components.
- Fee Schedule : Refer to historical CPT fee schedules for past reimbursement rates. Note that these will vary greatly depending on location and payer.
- Specialties:Plastic Surgery, Otolaryngology
- Place of Service:Ambulatory Surgical Center, Office, Hospital (Inpatient or Outpatient)