exenatide SR once-monthly (PT304) / Peptron - LARVOL DELTA

Medicare Reimbursement for Various Nasal Surgeries based on Geographical Location (AAO-HNSF 2026) - "Substantial interstate variation in Medicare reimbursement for nasal surgery persists after adjusting for regional cost of living, with some states systematically over‑ and others under‑reimbursed relative to COLI‑expected levels."

Medicare • Reimbursement • Surgery • US reimbursement • Otorhinolaryngology

Presence of Additional Rhinoplasty Codes in Primary Cleft Lip Repair: A National Review of 8836 Cases. (PubMed, Cleft Palate Craniofac J) - "ObjectiveTo evaluate national billing patterns for adjunctive rhinoplasty during primary cleft lip repair and assess associated operative characteristics.DesignRetrospective database review.SettingAmerican College of Surgeons Pediatric National Surgical Quality Improvement Program, 2016-2021.Patients, ParticipantsPatients undergoing primary cleft lip repair identified using current procedural terminology (CPT) codes 40700-40702, stratified by use of additional rhinoplasty codes (30400-30462).InterventionsPrimary cleft lip repair with or without adjunctive rhinoplasty coding.Main Outcome Measure(s)Use of adjunctive rhinoplasty codes, operative and anesthesia times, surgeon specialty, patient characteristics, and temporal trends in coding.ResultsAmong 8836 patients, 32.9% (n = 2911) were billed adjunctive rhinoplasty codes, most commonly CPT 30460 (78.0%) and 30462 (16.2%)...Although comprehensive primary codes exist, differences in interpretation rather than evolving..."

Journal • Aesthetic Medicine • Anesthesia • Pediatrics

Timing of closed nasal reduction in pediatric nasal fractures (COSM 2026) - "The primary outcome was subsequent primary rhinoplasty (CPT 30400, 30410, 30420) performed anytime after the CNR till December 2025... This analysis found no significant difference in rhinoplasty rates between acute and delayed CNR for pediatric nasal fractures. These findings may suggest that strict adherence to early reduction timelines may not be necessary to prevent subsequent need for rhinoplasty in the future, potentially allowing for more flexibility in scheduling CNR."

Clinical • Aesthetic Medicine • Musculoskeletal Diseases • Orthopedics • Pediatrics

Recognizing Variations in Cleft Lip and Rhinoplasty Billing: A Review of 8,836 Cases (PSTM 2025) - "Cases were categorized into two cohorts: Tip Rhinoplasty Group, where concurrent rhinoplasty (CPT 30460/30462) was billed, and No Tip Rhinoplasty Group, where it was not...Standardized billing guidelines and CPT-RVU model reforms are needed to ensure equitable reimbursement and accurate documentation of craniofacial procedures. Future studies should assess the impact of billing variability on surgeon compensation, institutional reimbursement, and patient access to comprehensive cleft care."

Clinical • Review • Aesthetic Medicine • Anesthesia • Pediatrics

Nationwide Analysis of Cost and Insurance Type Coverage for Primary Rhinoplasty. (PubMed, Aesthetic Plast Surg) - "When compared to other plans where patients may be subjected to the effects of gatekeeping and have limited access to care, majority of patients in the present study had a PPO plan and were freely able to obtain treatment from preferred or out-of-network providers. Given the difference in expenses for out-of-pocket costs between insurance plans, healthcare systems and providers should be more transparent in sharing cost information. To minimize the financial burden placed on patients, providers and policymakers should be aware of the impact of out-of-pocket expenses for patients requiring surgery."

Journal • Reimbursement • US reimbursement • Aesthetic Medicine

Cost Utility Analysis of Costal Cartilage Autografts and Human Cadaveric Allografts in Rhinoplasty. (PubMed, Ann Otol Rhinol Laryngol) - "Initial procedure costs include physician fees (CPT 30420), hospital outpatient prospective payments, ambulatory surgical center payments, and fees for the following: rib graft (CPT 20910), hospital observation, and DRG (155) for inpatient admission...Cost of rhinoplasty without hospitalization was similar between HCA and CCA and this cost represents the lower limit of a practical cost for an engineered graft. Considering complications such as need for revision or for admission after CCA due to surgical morbidity, the upper limit of cost for an engineered implant would approximately double."

HEOR • Journal • Aesthetic Medicine • Infectious Disease • Otorhinolaryngology • Respiratory Diseases