CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 30903 RVU and Medicare Payment (2026)

Control of nosebleed — 1.5 work RVU, about $265.87 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
1.5
PE RVU (non-facility)
6.18
PE RVU (facility)
0.31
MP RVU
0.28
Office payment
$265.87
Facility payment
$69.81

How the payment is calculated

Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 30903 in a non-facility setting with national GPCI: (1.5 + 6.18 + 0.28) × $33.4009 ≈ $265.87. The same code in a facility setting pays about $69.81 because facility PE RVU (0.31) replaces office PE RVU.

What changes by locality

GPCI moves 30903 non-facility payment from $232.23 to $358.28 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.

Related codes

Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.

Frequently asked questions

What is the 2026 work RVU for CPT 30903?

1.5. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.

How much does Medicare pay for CPT 30903 in 2026?

About $265.87 non-facility ($69.81 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.

Does the work RVU change between office and facility?

No. Work RVU (1.5) and malpractice RVU stay fixed; only practice expense changes (6.18 office vs 0.31 facility). That is the entire office-vs-facility payment gap.