CPT code 69100: Ear biopsy, auricle, not ear canal2026 Medicare rate & RVUs in Delaware

Reports tissue sampling of a lesion on the visible external ear, such as the pinna, for histologic diagnosis rather than ear-canal biopsy.

CMS RVU26DEffective Oct 1, 2026One payment locality170.2K Medicare services in 2024

In Delaware, Medicare pays $91.65 for 69100 in the office and $37.20 when it’s performed in a hospital or facility.

$91.65Office (non-facility)

$37.20Hospital or facility

−0.9%vs the national office rate ($92.52)

Check a contract rate as a % of Medicare · 69100 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 11 sections

Rate in Delaware
What 69100 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 69100 covers

This service obtains tissue from the visible external ear, such as the auricle or pinna, when a lesion requires histologic diagnosis. Otolaryngologists and dermatologists commonly perform it in an office or procedure room. The sampled structure distinguishes this code from a biopsy of the external auditory canal: a lesion on the pinna is the relevant site, not a lesion deeper in the canal.

Choose the code according to the biopsy site and service performed. Document the exact ear subsite, lesion, reason for sampling, and procedure performed. A 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 69100

Across 109 of 109 payment localities, the office rate for 69100 runs from $82.39 in Arkansas to $122.54 in San Benito County, CA. Delaware pays $91.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

69100 in Delaware vs other payment areas

Delaware · this page$91.65
Los Angeles, CA · California$104.49+$12.84
Washington, DC area · District of Columbia$105.57+$13.92
Miami, FL · Florida$98.71+$7.06
Chicago, IL · Illinois$96.05+$4.40
Manhattan, NY · New York$105.91+$14.26
Alaska · Alaska$108.81+$17.16

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

69100 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	$83.53	$35.31
ArkansasArkansas	$82.39	$35.05
ArizonaArizona	$90.21	$36.80
Bakersfield, CACalifornia	$98.23	$37.83
Chico, CACalifornia	$98.01	$37.61
El Centro, CACalifornia	$98.02	$37.62
Fresno, CACalifornia	$98.01	$37.61
Hanford, CACalifornia	$98.01	$37.61
Madera, CACalifornia	$98.01	$37.61
Merced, CACalifornia	$98.01	$37.61
Modesto, CACalifornia	$98.01	$37.61
Napa, CACalifornia	$113.32	$40.68
Oxnard, CACalifornia	$103.99	$38.85
Redding, CACalifornia	$98.01	$37.61
Rest of CaliforniaCalifornia	$98.01	$37.61
Riverside, CACalifornia	$98.78	$38.37
Sacramento, CACalifornia	$102.78	$38.69
Salinas, CACalifornia	$102.40	$38.52
San Diego, CACalifornia	$104.75	$38.83
Marin County, CACalifornia	$119.92	$42.21
San Francisco, CACalifornia	$119.84	$42.13
San Benito County, CACalifornia	$122.54	$43.07
Santa Clara County, CACalifornia	$122.21	$42.74
San Luis Obispo, CACalifornia	$100.75	$37.98
Santa Cruz, CACalifornia	$105.71	$38.75
Santa Maria, CACalifornia	$102.76	$38.50
Santa Rosa, CACalifornia	$106.77	$39.10
Stockton, CACalifornia	$98.01	$37.61
Vallejo, CACalifornia	$113.21	$40.57
Visalia, CACalifornia	$98.01	$37.61
Yuba City, CACalifornia	$98.01	$37.61
ColoradoColorado	$96.41	$37.77
ConnecticutConnecticut	$98.45	$39.10
Fort Lauderdale, FLFlorida	$95.24	$39.41
Rest of FloridaFlorida	$90.89	$38.20
Atlanta, GAGeorgia	$94.09	$38.10
Rest of GeorgiaGeorgia	$86.08	$36.92
Hawaii, Guam, HIHawaii	$100.28	$37.61
IowaIowa	$85.69	$35.26
IdahoIdaho	$86.18	$35.48
East St. Louis, ILIllinois	$89.79	$39.09
Rest of IllinoisIllinois	$88.29	$37.97
Suburban Chicago, ILIllinois	$96.23	$39.63
IndianaIndiana	$86.66	$35.57
KansasKansas	$85.24	$35.42
KentuckyKentucky	$85.24	$36.25
New Orleans, LALouisiana	$89.07	$37.21
Rest of LouisianaLouisiana	$85.09	$36.31
Metropolitan Boston, MAMassachusetts	$105.72	$39.92
Rest of MassachusettsMassachusetts	$95.85	$37.82
Baltimore area, MDMaryland	$98.15	$39.02
Rest of MarylandMaryland	$93.36	$37.59
Rest of MaineMaine	$86.53	$35.83
Southern Maine, MEMaine	$91.08	$36.47
Detroit, MIMichigan	$91.89	$38.71
Rest of MichiganMichigan	$87.27	$36.96
MinnesotaMinnesota	$92.72	$36.01
Metropolitan Kansas City, MOMissouri	$88.58	$36.83
Metropolitan St. Louis, MOMissouri	$89.46	$37.00
Rest of MissouriMissouri	$83.66	$36.15
MississippiMississippi	$83.04	$35.59
MontanaMontana	$92.52	$37.40
North CarolinaNorth Carolina	$87.40	$35.98
North DakotaNorth Dakota	$91.13	$36.02
NebraskaNebraska	$86.15	$35.29
New HampshireNew Hampshire	$94.84	$37.47
Northern New JerseyNew Jersey	$104.55	$40.62
Rest of New JerseyNew Jersey	$99.67	$39.49
New MexicoNew Mexico	$87.70	$37.16
NevadaNevada	$92.19	$37.03
NYC suburbs and Long Island, NYNew York	$108.27	$42.74
Poughkeepsie and northern NYC suburbs, NYNew York	$100.26	$39.91
Queens, NYNew York	$106.85	$41.71
Rest of New YorkNew York	$88.64	$36.28
OhioOhio	$86.99	$36.67
OklahomaOklahoma	$85.17	$35.96
Portland, OROregon	$99.43	$38.20
Rest of OregonOregon	$91.57	$36.68
Metropolitan Philadelphia, PAPennsylvania	$96.06	$38.69
Rest of PennsylvaniaPennsylvania	$87.16	$36.57
Puerto RicoPuerto Rico	$93.19	$37.47
Rhode IslandRhode Island	$94.87	$37.94
South CarolinaSouth Carolina	$87.32	$36.40
South DakotaSouth Dakota	$90.97	$35.86
TennesseeTennessee	$85.63	$35.54
Austin, TXTexas	$96.01	$37.70
Beaumont, TXTexas	$86.61	$36.46
Brazoria, TXTexas	$91.64	$37.03
Dallas, TXTexas	$92.17	$37.28
Fort Worth, TXTexas	$91.56	$37.22
Galveston, TXTexas	$91.88	$37.16
Houston, TXTexas	$93.16	$38.44
Rest of TexasTexas	$89.04	$36.74
UtahUtah	$88.45	$36.65
VirginiaVirginia	$90.75	$36.57
Virgin Islands, VIUnited States Virgin Islands	$93.19	$37.47
VermontVermont	$90.73	$36.17
Rest of WashingtonWashington	$95.69	$37.65
King County, WAWashington	$107.89	$40.27
WisconsinWisconsin	$88.22	$35.43
West VirginiaWest Virginia	$85.17	$37.28
WyomingWyoming	$91.91	$36.80

69100 rates by state

Office rate range in each state. Select a state to see its payment localities.

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$82.39

$110.28

Color shows the midpoint of each state’s locality range.

View every state and territory as a table

69100 office rate range by state
State / territory	Office rate range	Localities
AK	$108.81	1
AL	$83.53	1
AR	$82.39	1
AZ	$90.21	1
CA	$98.01–$122.54	29
CO	$96.41	1
CT	$98.45	1
DC	$105.57	1
DE	$91.65	1
FL	$90.89–$98.71	3
GA	$86.08–$94.09	2
GU	$100.28	1
HI	$100.28	1
IA	$85.69	1
ID	$86.18	1
IL	$88.29–$96.23	4
IN	$86.66	1
KS	$85.24	1
KY	$85.24	1
LA	$85.09–$89.07	2
MA	$95.85–$105.72	2
MD	$93.36–$105.57	3
ME	$86.53–$91.08	2
MI	$87.27–$91.89	2
MN	$92.72	1
MO	$83.66–$89.46	3
MS	$83.04	1
MT	$92.52	1
NC	$87.40	1
ND	$91.13	1
NE	$86.15	1
NH	$94.84	1
NJ	$99.67–$104.55	2
NM	$87.70	1
NV	$92.19	1
NY	$88.64–$108.27	5
OH	$86.99	1
OK	$85.17	1
OR	$91.57–$99.43	2
PA	$87.16–$96.06	2
PR	$93.19	1
RI	$94.87	1
SC	$87.32	1
SD	$90.97	1
TN	$85.63	1
TX	$86.61–$96.01	8
UT	$88.45	1
VA	$90.75–$105.57	2
VI	$93.19	1
VT	$90.73	1
WA	$95.69–$107.89	2
WI	$88.22	1
WV	$85.17	1
WY	$91.91	1

See 69100 in every payment locality

How the 69100 rate is calculated

Each of 69100’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 69100

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work0.79

0.79 RVUs× 1.000 GPCI

Practice expense1.91

1.91 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

2.7700

Conversion factor

$33.4009

Medicare rate

$92.52

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,584

Code: 69100
Physician work: 0.79
Practice expense: 1.91
Malpractice: 0.07

GPCI2026.csv

Locality: Delaware
Physician work: 1.005
Practice expense: 0.988
Malpractice: 0.899

Office calculation for 69100 in Delaware
Component	RVU	Locality factor	Adjusted
Physician work	0.79	× 1.005	0.7939
Practice expense	1.91	× 0.988	1.8871
Malpractice	0.07	× 0.899	0.0629
Total RVUs			2.7440
Conversion factor			× 33.4009

Office rate, Delaware$91.65

Office: (0.79 × 1.005 + 1.91 × 0.988 + 0.07 × 0.899) × $33.4009 = $91.65

Facility: (0.79 × 1.005 + 0.26 × 0.988 + 0.07 × 0.899) × $33.4009 = $37.20

Open 69100 in the RVU calculator

Payment rules and modifiers for 69100

The CMS indicators that decide how 69100 is paid alongside other services.

CMS payment indicators · 69100

Ear biopsy, auricle, not ear canal

Rule	CMS value	What it means
Global period	000	Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures	2	Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)	0	The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)	1	Not paid (statutory restriction).
Co-surgeons (62)	0	Not permitted.
Team surgery (66)	0	Not permitted.
Professional/technical	0	Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

69100 without 51 · national office

$92.52

Ear biopsy, auricle, not ear canal

69100-51 · Second procedure: 50%

$46.26

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 69100

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 69100
Code	How it relates	Office range, Delaware
Used instead
69105	Ear canal biopsy, external auditory canalBiopsy of a lesion in the external auditory canal rather than the visible external ear.	$142.37
69110	Auricular excision, partial auricleFor partial removal of external-ear tissue when removal, rather than diagnostic sampling, is performed.	$464.12
Often billed with
88305	Tissue pathology exam, level IV specimenA laboratory may report a separately performed surgical pathology examination of submitted biopsy tissue.	$69.66

How 69100 has changed in Delaware

69100 · Office / nonfacility

$91.65

Effective 2026-10-01

Compare with release effective

The base rate is $0.51 higher than on 2025-10-01, moving from $91.14 to $91.65 (0.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

January 1, 2026
RVU26A
$91.14changed to$91.65
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.81 changed to 0.79
- Practice expense RVU 1.94 changed to 1.91
- Malpractice RVU 0.08 changed to 0.07
- Work GPCI 1.009 changed to 1.005
- Practice expense GPCI 0.992 changed to 0.988
- Malpractice GPCI 0.949 changed to 0.899
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$95.10changed to$91.14
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.97 changed to 1.94
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$93.55changed to$95.10
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$98.73changed to$93.55
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.99 changed to 1.97
- Malpractice RVU 0.10 changed to 0.09
- Work GPCI 1.007 changed to 1.009
- Practice expense GPCI 1.007 changed to 0.992
- Malpractice GPCI 0.938 changed to 0.949
January 1, 2023
RVU23A
$101.09changed to$98.73
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.98 changed to 1.99
- Malpractice RVU 0.09 changed to 0.10
- Work GPCI 1.005 changed to 1.007
- Practice expense GPCI 1.022 changed to 1.007
- Malpractice GPCI 0.927 changed to 0.938
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$102.99changed to$101.09
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.01 changed to 1.98
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$102.37changed to$102.99
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.89 changed to 2.01
- Work GPCI 1.006 changed to 1.005
- Practice expense GPCI 1.021 changed to 1.022
- Malpractice GPCI 1.023 changed to 0.927
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$102.51changed to$102.37
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.87 changed to 1.89
- Malpractice RVU 0.11 changed to 0.09
- Work GPCI 1.007 changed to 1.006
- Practice expense GPCI 1.019 changed to 1.021
- Malpractice GPCI 1.119 changed to 1.023
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$105.33changed to$102.51
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.95 changed to 1.87
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$105.07changed to$105.33
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.94 changed to 1.95
- Work GPCI 1.010 changed to 1.007
- Practice expense GPCI 1.025 changed to 1.019
- Malpractice GPCI 1.101 changed to 1.119
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$104.86changed to$105.07
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.93 changed to 1.94
- Work GPCI 1.012 changed to 1.010
- Practice expense GPCI 1.031 changed to 1.025
- Malpractice GPCI 1.083 changed to 1.101
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$105.22changed to$104.86
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.94 changed to 1.93
- Malpractice RVU 0.10 changed to 0.11
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$104.70changed to$105.22
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$102.36changed to$104.70
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.87 changed to 1.94
- Malpractice RVU 0.11 changed to 0.10
- Practice expense GPCI 1.038 changed to 1.031
- Malpractice GPCI 0.878 changed to 1.083
Held through RVU15B.
January 1, 2014
RVU14A
$106.06changed to$102.36
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 2.13 changed to 1.87
- Practice expense GPCI 1.044 changed to 1.038
- Malpractice GPCI 0.672 changed to 0.878
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $106.06
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$91.65	$37.20	RVU26D
2026-07-01	$91.65	$37.20	RVU26C
2026-04-01	$91.65	$37.20	RVU26B
2026-01-01	$91.65	$37.20	RVU26A
2025-10-01	$91.14	$44.62	RVU25D
2025-07-01	$91.14	$44.62	RVU25C
2025-04-01	$91.14	$44.62	RVU25B
2025-01-01	$91.14	$44.62	RVU25A
2024-10-01	$95.10	$45.90	RVU24D
2024-07-01	$95.10	$45.90	RVU24C
2024-04-01	$95.10	$45.90	RVU24B
2024-03-09	$95.10	$45.90	RVU24AR
2024-01-01	$93.55	$45.15	RVU24A
2023-10-01	$98.73	$47.20	RVU23D
2023-07-01	$98.73	$47.20	RVU23C
2023-04-01	$98.73	$47.20	RVU23B
2023-01-01	$98.73	$47.20	RVU23A
2022-10-01	$101.09	$47.33	RVU22D
2022-07-01	$101.09	$47.33	RVU22C
2022-04-01	$101.09	$47.33	RVU22B
2022-01-01	$101.09	$47.33	RVU22A
2021-10-01	$102.99	$47.72	RVU21D
2021-07-01	$102.99	$47.72	RVU21C
2021-04-01	$102.99	$47.72	RVU21B
2021-01-01	$102.99	$47.72	RVU21A
2020-10-01	$102.37	$50.05	RVU20D
2020-07-01	$102.37	$50.05	RVU20C
2020-04-01	$102.37	$50.05	RVU20B
2020-01-01	$102.37	$50.05	RVU20A
2019-10-01	$102.51	$51.46	RVU19D
2019-07-01	$102.51	$51.46	RVU19C
2019-04-01	$102.51	$51.46	RVU19B
2019-01-01	$102.51	$51.46	RVU19A
2018-10-01	$105.33	$51.77	RVU18D
2018-07-01	$105.33	$51.77	RVU18C
2018-04-01	$105.33	$51.77	RVU18B
2018-01-01	$105.33	$51.77	RVU18AR1
2017-10-01	$105.07	$51.73	RVU17D
2017-07-01	$105.07	$51.73	RVU17C
2017-04-01	$105.07	$51.73	RVU17B
2017-01-01	$105.07	$51.73	RVU17A
2016-10-01	$104.86	$51.70	RVU16D
2016-07-01	$104.86	$51.70	RVU16C
2016-04-01	$104.86	$51.70	RVU16B
2016-01-01	$104.86	$51.70	RVU16A
2015-10-01	$105.22	$51.50	RVU15D
2015-07-01	$105.22	$51.50	RVU15C
2015-04-01	$104.70	$51.24	RVU15B
2015-01-01	$104.70	$51.24	RVU15A
2014-10-01	$102.36	$50.67	RVU14D
2014-07-01	$102.36	$50.67	RVU14C
2014-04-01	$102.36	$50.67	RVU14B
2014-01-01	$102.36	$50.67	RVU14A
2013-10-01	$106.06	$49.23	RVU13D
2013-07-01	$106.06	$49.23	RVU13C
2013-04-01	$106.06	$49.23	RVU13B
2013-01-01	$106.06	$49.23	RVU13AR

Price 69100 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

Arden
Ardencroft
Ardentown
Bear
Bellefonte
Bethany Beach
Bethel
Blades

Browse all communities in Delaware

69100 billing questions

How is this different from 69105?

69100 is for tissue sampled from the visible external ear, such as the pinna. Use 69105 when the biopsy site is in the external auditory canal.

Can the pathology examination be billed separately?

The biopsy code represents tissue acquisition. A separately performed pathology examination may be reported by the responsible laboratory.

Should modifier 50 be used when both ears are biopsied?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in the 0-day global period.

What documentation supports reporting this code?

Record the lesion, the precise external-ear site sampled, the reason for tissue diagnosis, and the biopsy performed. The documented site should distinguish the auricle or pinna from the ear canal.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate

RVUs for 69100PPRRVU2026_Oct_nonQPP.csv, line 7,584 (RVU26D)

7,58169005,,[CPT descriptor omitted],A,,2.11,4.22,,1.94,,0.33,6.66,4.38,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,58269020,,[CPT descriptor omitted],A,,1.49,5.27,,2.28,,0.21,6.97,3.98,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,58369090,,[CPT descriptor omitted],N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00

7,58469100,,[CPT descriptor omitted],A,,0.79,1.91,,0.26,,0.07,2.77,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,58569105,,[CPT descriptor omitted],A,,0.83,3.37,,0.78,,0.11,4.31,1.72,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,58669110,,[CPT descriptor omitted],A,,3.44,10.11,,5.06,,0.50,14.05,9.00,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,58769120,,[CPT descriptor omitted],A,,4.04,6.19,NA,6.19,,0.57,10.80,10.80,0,090,0.07,0.79,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

3704112,CO,01,COLORADO,1.012,1.064,0.781

3813102,CT,00,CONNECTICUT,1.020,1.077,1.210

3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113

4012102,DE,01,DELAWARE,1.005,0.988,0.899

4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808

4209102,FL,04,MIAMI,1.000,1.041,2.529

4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503

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What 69100 covers

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Every other payment area

69100 rates by state

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Payment rules and modifiers for 69100

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Codes related to 69100

How 69100 has changed in Delaware

Where the Delaware rate applies

69100 billing questions

How is this different from 69105?

Can the pathology examination be billed separately?

Should modifier 50 be used when both ears are biopsied?

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