CPT 30450: Major Revision Rhinoplasty with Nasal Tip and Osteotomy
CPT code 30450 denotes a major revision rhinoplasty—surgical correction of the nose in a patient with prior rhinoplasty that includes work on the nasal tip and bone cutting. This code captures complex reconstructive or aesthetic nasal surgery and is important nationally as it affects reimbursement, prior authorization pathways, and surgical care planning for facial plastic and otolaryngology practices. The code is commonly billed in hospital operating rooms and ambulatory surgical centers for procedures requiring general anesthesia and advanced surgical techniques.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for when the code applies, benchmark considerations for utilization and reimbursement, common claim submission elements, and relevant policy and coverage themes tied to revision rhinoplasty. The publication also outlines typical sites of service and service type to assist coding accuracy and administrative workflows.
This executive summary is intended for a national audience of coding professionals, surgical providers, and healthcare administrators seeking a concise briefing on CPT code 30450, its clinical scope, and the payer landscape relevant to major revision rhinoplasty.
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Billing Code Overview
CPT code 30450 represents a major revision rhinoplasty performed on a patient who has had prior rhinoplasty. The procedure includes surgical reshaping of the nasal tip and osteotomy (cutting the nasal bones) as part of a comprehensive corrective or reconstructive operation.
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Service type: Major reconstructive/operative facial plastic surgery
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Typical site of service: Hospital operating room or ambulatory surgical center for elective or reconstructive nasal surgery