CPT code 69105: Ear canal biopsy, external auditory canal2026 Medicare rate & RVUs in Miami, FL
Reports tissue sampling of a suspicious lesion in the external auditory canal when microscopic examination is needed to establish a diagnosis.
In Miami, FL, Medicare pays $154.19 for 69105 in the office and $64.14 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 69105 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
What 69105 covers
An otolaryngologist typically performs this biopsy when tissue from a lesion in the external auditory canal is needed for diagnosis, such as evaluation of a growth or abnormal area in the ear canal. The canal extends inward from the ear opening toward the tympanic membrane; a biopsy of the visible outer ear instead is a different service. The procedure may be performed in an office or facility, depending on the lesion and clinical circumstances.
Choose this code when the service is tissue sampling for diagnosis, rather than definitive removal of the canal lesion. Document the canal site, the abnormal finding, the reason for sampling, and the specimen obtained. A separately performed pathology interpretation may be reported by the responsible pathologist. This is a 0-day global procedure, so same-day preoperative and postoperative care is included. For bilateral reporting with modifier 50, CMS pays 150%. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%. Assistant-at-surgery payment is restricted; 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 Miami, FL compares for 69105
Across 109 of 109 payment localities, the office rate for 69105 runs from $126.30 in Arkansas to $195.05 in San Benito County, CA. Miami, FL pays $154.19. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Miami, FL · this page$154.19
- Fort Lauderdale, FL · Florida$148.39−$5.80
- Rest of Florida · Florida$140.85−$13.34
- Los Angeles, CA · California$164.46+$10.27
- Washington, DC area · District of Columbia$165.91+$11.72
- Chicago, IL · Illinois$149.47−$4.72
- Manhattan, NY · New York$166.12+$11.93
Other areas in Florida first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | $163.49 | $71.35 |
| AlabamaAlabama | $128.29 | $52.60 |
| ArkansasArkansas | $126.30 | $51.99 |
| ArizonaArizona | $139.94 | $56.11 |
| Bakersfield, CACalifornia | $153.85 | $59.04 |
| Chico, CACalifornia | $153.53 | $58.72 |
| El Centro, CACalifornia | $153.55 | $58.74 |
| Fresno, CACalifornia | $153.53 | $58.72 |
| Hanford, CACalifornia | $153.53 | $58.72 |
| Madera, CACalifornia | $153.53 | $58.72 |
| Merced, CACalifornia | $153.53 | $58.72 |
| Modesto, CACalifornia | $153.53 | $58.72 |
| Napa, CACalifornia | $179.69 | $65.67 |
| Oxnard, CACalifornia | $163.84 | $61.58 |
| Redding, CACalifornia | $153.53 | $58.72 |
| Rest of CaliforniaCalifornia | $153.53 | $58.72 |
| Riverside, CACalifornia | $154.72 | $59.91 |
| Sacramento, CACalifornia | $161.60 | $60.99 |
| Salinas, CACalifornia | $161.01 | $60.75 |
| San Diego, CACalifornia | $165.17 | $61.70 |
| Marin County, CACalifornia | $190.75 | $68.78 |
| San Francisco, CACalifornia | $190.63 | $68.65 |
| San Benito County, CACalifornia | $195.05 | $70.31 |
| Santa Clara County, CACalifornia | $194.54 | $69.80 |
| San Luis Obispo, CACalifornia | $158.37 | $59.84 |
| Santa Cruz, CACalifornia | $167.04 | $61.93 |
| Santa Maria, CACalifornia | $161.71 | $60.85 |
| Santa Rosa, CACalifornia | $168.75 | $62.52 |
| Stockton, CACalifornia | $153.53 | $58.72 |
| Vallejo, CACalifornia | $179.51 | $65.49 |
| Visalia, CACalifornia | $153.53 | $58.72 |
| Yuba City, CACalifornia | $153.53 | $58.72 |
| ColoradoColorado | $150.69 | $58.64 |
| ConnecticutConnecticut | $153.95 | $60.78 |
| DelawareDelaware | $142.37 | $56.90 |
| Atlanta, GAGeorgia | $146.58 | $58.69 |
| Rest of GeorgiaGeorgia | $132.51 | $55.34 |
| Hawaii, Guam, HIHawaii | $157.83 | $59.47 |
| IowaIowa | $132.17 | $53.02 |
| IdahoIdaho | $133.02 | $53.43 |
| East St. Louis, ILIllinois | $138.68 | $59.09 |
| Rest of IllinoisIllinois | $136.23 | $57.25 |
| Suburban Chicago, ILIllinois | $150.03 | $61.18 |
| IndianaIndiana | $133.85 | $53.66 |
| KansasKansas | $131.33 | $53.13 |
| KentuckyKentucky | $131.15 | $54.25 |
| New Orleans, LALouisiana | $137.82 | $56.41 |
| Rest of LouisianaLouisiana | $130.86 | $54.30 |
| Metropolitan Boston, MAMassachusetts | $166.53 | $63.24 |
| Rest of MassachusettsMassachusetts | $149.62 | $58.53 |
| Baltimore area, MDMaryland | $153.49 | $60.67 |
| Rest of MarylandMaryland | $145.28 | $57.74 |
| Rest of MaineMaine | $133.56 | $53.98 |
| Southern Maine, MEMaine | $141.59 | $55.86 |
| Detroit, MIMichigan | $142.54 | $59.06 |
| Rest of MichiganMichigan | $134.64 | $55.66 |
| MinnesotaMinnesota | $144.64 | $55.62 |
| Metropolitan Kansas City, MOMissouri | $137.01 | $55.78 |
| Metropolitan St. Louis, MOMissouri | $138.56 | $56.21 |
| Rest of MissouriMissouri | $128.33 | $53.76 |
| MississippiMississippi | $127.35 | $52.87 |
| MontanaMontana | $143.95 | $57.44 |
| North CarolinaNorth Carolina | $135.09 | $54.38 |
| North DakotaNorth Dakota | $141.78 | $55.27 |
| NebraskaNebraska | $133.01 | $53.16 |
| New HampshireNew Hampshire | $148.11 | $58.06 |
| Northern New JerseyNew Jersey | $163.96 | $63.61 |
| Rest of New JerseyNew Jersey | $155.78 | $61.31 |
| New MexicoNew Mexico | $135.35 | $56.03 |
| NevadaNevada | $143.46 | $56.86 |
| NYC suburbs and Long Island, NYNew York | $170.15 | $67.30 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $156.67 | $61.94 |
| Queens, NYNew York | $167.84 | $65.59 |
| Rest of New YorkNew York | $137.24 | $55.06 |
| OhioOhio | $134.19 | $55.21 |
| OklahomaOklahoma | $131.09 | $53.84 |
| Portland, OROregon | $155.96 | $59.84 |
| Rest of OregonOregon | $142.42 | $56.25 |
| Metropolitan Philadelphia, PAPennsylvania | $149.78 | $59.73 |
| Rest of PennsylvaniaPennsylvania | $134.53 | $55.11 |
| Puerto RicoPuerto Rico | $145.14 | $57.68 |
| Rhode IslandRhode Island | $147.80 | $58.44 |
| South CarolinaSouth Carolina | $134.85 | $54.92 |
| South DakotaSouth Dakota | $141.52 | $55.01 |
| TennesseeTennessee | $132.01 | $53.38 |
| Austin, TXTexas | $150.12 | $58.60 |
| Beaumont, TXTexas | $133.57 | $54.84 |
| Brazoria, TXTexas | $142.36 | $56.63 |
| Dallas, TXTexas | $143.24 | $57.07 |
| Fort Worth, TXTexas | $142.16 | $56.86 |
| Galveston, TXTexas | $142.76 | $56.86 |
| Houston, TXTexas | $144.77 | $58.87 |
| Rest of TexasTexas | $137.86 | $55.76 |
| UtahUtah | $136.83 | $55.51 |
| VirginiaVirginia | $140.96 | $55.93 |
| Virgin Islands, VIUnited States Virgin Islands | $145.14 | $57.68 |
| VermontVermont | $141.02 | $55.37 |
| Rest of WashingtonWashington | $149.41 | $58.31 |
| King County, WAWashington | $170.22 | $64.08 |
| WisconsinWisconsin | $136.69 | $53.81 |
| West VirginiaWest Virginia | $130.80 | $55.62 |
| WyomingWyoming | $143.00 | $56.49 |
69105 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$126.30
$174.29
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $163.49 | 1 |
| AL | $128.29 | 1 |
| AR | $126.30 | 1 |
| AZ | $139.94 | 1 |
| CA | $153.53–$195.05 | 29 |
| CO | $150.69 | 1 |
| CT | $153.95 | 1 |
| DC | $165.91 | 1 |
| DE | $142.37 | 1 |
| FL | $140.85–$154.19 | 3 |
| GA | $132.51–$146.58 | 2 |
| GU | $157.83 | 1 |
| HI | $157.83 | 1 |
| IA | $132.17 | 1 |
| ID | $133.02 | 1 |
| IL | $136.23–$150.03 | 4 |
| IN | $133.85 | 1 |
| KS | $131.33 | 1 |
| KY | $131.15 | 1 |
| LA | $130.86–$137.82 | 2 |
| MA | $149.62–$166.53 | 2 |
| MD | $145.28–$165.91 | 3 |
| ME | $133.56–$141.59 | 2 |
| MI | $134.64–$142.54 | 2 |
| MN | $144.64 | 1 |
| MO | $128.33–$138.56 | 3 |
| MS | $127.35 | 1 |
| MT | $143.95 | 1 |
| NC | $135.09 | 1 |
| ND | $141.78 | 1 |
| NE | $133.01 | 1 |
| NH | $148.11 | 1 |
| NJ | $155.78–$163.96 | 2 |
| NM | $135.35 | 1 |
| NV | $143.46 | 1 |
| NY | $137.24–$170.15 | 5 |
| OH | $134.19 | 1 |
| OK | $131.09 | 1 |
| OR | $142.42–$155.96 | 2 |
| PA | $134.53–$149.78 | 2 |
| PR | $145.14 | 1 |
| RI | $147.80 | 1 |
| SC | $134.85 | 1 |
| SD | $141.52 | 1 |
| TN | $132.01 | 1 |
| TX | $133.57–$150.12 | 8 |
| UT | $136.83 | 1 |
| VA | $140.96–$165.91 | 2 |
| VI | $145.14 | 1 |
| VT | $141.02 | 1 |
| WA | $149.41–$170.22 | 2 |
| WI | $136.69 | 1 |
| WV | $130.80 | 1 |
| WY | $143.00 | 1 |
How the 69105 rate is calculated
Each of 69105’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 · 69105
RVUs × geographic indexes × conversion factor
Work0.83
0.83 RVUs× 1.000 GPCI
Practice expense3.37
3.37 RVUs× 1.000 GPCI
Malpractice0.11
0.11 RVUs× 1.000 GPCI
Adjusted RVUs
4.3100
Conversion factor
$33.4009
Medicare rate
$143.96
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Miami, FL inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,585
- Code
- 69105
- Physician work
- 0.83
- Practice expense
- 3.37
- Malpractice
- 0.11
GPCI2026.csv
42
- Locality
- Miami, FL
- Physician work
- 1.000
- Practice expense
- 1.041
- Malpractice
- 2.529
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.83 | × 1.000 | 0.8300 |
| Practice expense | 3.37 | × 1.041 | 3.5082 |
| Malpractice | 0.11 | × 2.529 | 0.2782 |
| Total RVUs | 4.6164 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Miami, FL$154.19
Office: (0.83 × 1 + 3.37 × 1.041 + 0.11 × 2.529) × $33.4009 = $154.19
Facility: (0.83 × 1 + 0.78 × 1.041 + 0.11 × 2.529) × $33.4009 = $64.14
Payment rules and modifiers for 69105
The CMS indicators that decide how 69105 is paid alongside other services.
CMS payment indicators · 69105
Ear canal biopsy, external auditory 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 50 · payment effect
With and without the modifier
69105 without 50 · national office
$143.96
Ear canal biopsy, external auditory canal
69105-50 · Bilateral: 150%
$215.94
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 69105 has changed in Miami, FL
69105 · Office / nonfacility
$154.19
Effective 2026-10-01
The base rate is $7.22 higher than on 2025-10-01, moving from $146.97 to $154.19 (4.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
$146.97changed to$154.19
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.85 changed to 0.83
- Practice expense RVU 3.28 changed to 3.37
- Malpractice RVU 0.13 changed to 0.11
- Practice expense GPCI 1.027 changed to 1.041
- Malpractice GPCI 2.500 changed to 2.529
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$153.83changed to$146.97
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.38 changed to 3.28
- Malpractice RVU 0.12 changed to 0.13
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$151.32changed to$153.83
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$158.02changed to$151.32
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.42 changed to 3.38
- Practice expense GPCI 1.025 changed to 1.027
- Malpractice GPCI 2.564 changed to 2.500
January 1, 2023
RVU23A
$160.85changed to$158.02
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.43 changed to 3.42
- Malpractice RVU 0.11 changed to 0.12
- Practice expense GPCI 1.023 changed to 1.025
- Malpractice GPCI 2.629 changed to 2.564
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$161.52changed to$160.85
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.36 changed to 3.43
- Malpractice RVU 0.13 changed to 0.11
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$153.55changed to$161.52
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.04 changed to 3.36
- Malpractice RVU 0.11 changed to 0.13
- Practice expense GPCI 1.026 changed to 1.023
- Malpractice GPCI 2.598 changed to 2.629
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$153.72changed to$153.55
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 3.02 changed to 3.04
- Malpractice RVU 0.12 changed to 0.11
- Practice expense GPCI 1.029 changed to 1.026
- Malpractice GPCI 2.566 changed to 2.598
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$151.33changed to$153.72
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.96 changed to 3.02
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$152.40changed to$151.33
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.00 changed to 2.96
- Practice expense GPCI 1.031 changed to 1.029
- Malpractice GPCI 2.528 changed to 2.566
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$153.94changed to$152.40
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.05 changed to 3.00
- Practice expense GPCI 1.033 changed to 1.031
- Malpractice GPCI 2.490 changed to 2.528
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$154.12changed to$153.94
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.04 changed to 3.05
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$153.36changed to$154.12
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$154.39changed to$153.36
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.06 changed to 3.04
- Malpractice RVU 0.10 changed to 0.12
- Practice expense GPCI 1.044 changed to 1.033
- Malpractice GPCI 2.653 changed to 2.490
Held through RVU15B.
January 1, 2014
RVU14A
$161.14changed to$154.39
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.42 changed to 3.06
- Practice expense GPCI 1.054 changed to 1.044
- Malpractice GPCI 2.815 changed to 2.653
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $161.14
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $154.19 | $64.14 | RVU26D |
| 2026-07-01 | $154.19 | $64.14 | RVU26C |
| 2026-04-01 | $154.19 | $64.14 | RVU26B |
| 2026-01-01 | $154.19 | $64.14 | RVU26A |
| 2025-10-01 | $146.97 | $70.56 | RVU25D |
| 2025-07-01 | $146.97 | $70.56 | RVU25C |
| 2025-04-01 | $146.97 | $70.56 | RVU25B |
| 2025-01-01 | $146.97 | $70.56 | RVU25A |
| 2024-10-01 | $153.83 | $70.76 | RVU24D |
| 2024-07-01 | $153.83 | $70.76 | RVU24C |
| 2024-04-01 | $153.83 | $70.76 | RVU24B |
| 2024-03-09 | $153.83 | $70.76 | RVU24AR |
| 2024-01-01 | $151.32 | $69.60 | RVU24A |
| 2023-10-01 | $158.02 | $71.53 | RVU23D |
| 2023-07-01 | $158.02 | $71.53 | RVU23C |
| 2023-04-01 | $158.02 | $71.53 | RVU23B |
| 2023-01-01 | $158.02 | $71.53 | RVU23A |
| 2022-10-01 | $160.85 | $70.58 | RVU22D |
| 2022-07-01 | $160.85 | $70.58 | RVU22C |
| 2022-04-01 | $160.85 | $70.58 | RVU22B |
| 2022-01-01 | $160.85 | $70.58 | RVU22A |
| 2021-10-01 | $161.52 | $71.57 | RVU21D |
| 2021-07-01 | $161.52 | $71.57 | RVU21C |
| 2021-04-01 | $161.52 | $71.57 | RVU21B |
| 2021-01-01 | $161.52 | $71.57 | RVU21A |
| 2020-10-01 | $153.55 | $71.35 | RVU20D |
| 2020-07-01 | $153.55 | $71.35 | RVU20C |
| 2020-04-01 | $153.55 | $71.35 | RVU20B |
| 2020-01-01 | $153.55 | $71.35 | RVU20A |
| 2019-10-01 | $153.72 | $72.14 | RVU19D |
| 2019-07-01 | $153.72 | $72.14 | RVU19C |
| 2019-04-01 | $153.72 | $72.14 | RVU19B |
| 2019-01-01 | $153.72 | $72.14 | RVU19A |
| 2018-10-01 | $151.33 | $72.43 | RVU18D |
| 2018-07-01 | $151.33 | $72.43 | RVU18C |
| 2018-04-01 | $151.33 | $72.43 | RVU18B |
| 2018-01-01 | $151.33 | $72.43 | RVU18AR1 |
| 2017-10-01 | $152.40 | $72.84 | RVU17D |
| 2017-07-01 | $152.40 | $72.84 | RVU17C |
| 2017-04-01 | $152.40 | $72.84 | RVU17B |
| 2017-01-01 | $152.40 | $72.84 | RVU17A |
| 2016-10-01 | $153.94 | $73.31 | RVU16D |
| 2016-07-01 | $153.94 | $73.31 | RVU16C |
| 2016-04-01 | $153.94 | $73.31 | RVU16B |
| 2016-01-01 | $153.94 | $73.31 | RVU16A |
| 2015-10-01 | $154.12 | $73.20 | RVU15D |
| 2015-07-01 | $154.12 | $73.20 | RVU15C |
| 2015-04-01 | $153.36 | $72.84 | RVU15B |
| 2015-01-01 | $153.36 | $72.84 | RVU15A |
| 2014-10-01 | $154.39 | $72.86 | RVU14D |
| 2014-07-01 | $154.39 | $72.86 | RVU14C |
| 2014-04-01 | $154.39 | $72.86 | RVU14B |
| 2014-01-01 | $154.39 | $72.86 | RVU14A |
| 2013-10-01 | $161.14 | $73.28 | RVU13D |
| 2013-07-01 | $161.14 | $73.28 | RVU13C |
| 2013-04-01 | $161.14 | $73.28 | RVU13B |
| 2013-01-01 | $161.14 | $73.28 | RVU13AR |
Where the Miami, FL rate applies
Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.
- Miami
- Aventura
- Bal Harbour
- Bay Harbor Islands
- Big Coppitt Key
- Big Pine Key
- Biscayne Gardens
- Biscayne Park
69105 billing questions
How is this different from 69100?
This code is for a biopsy in the external auditory canal. Code 69100 is for a biopsy of the external ear, such as the pinna.
When should an excision code be considered instead?
Use a canal lesion excision code when the service is removal rather than diagnostic tissue sampling. Codes 69140 and 69145 are the nearby canal-lesion excision choices.
Is the pathology examination included?
This code describes obtaining the tissue specimen. A separately performed pathology interpretation may be reported by the responsible pathologist.
How is bilateral biopsy paid?
For a bilateral procedure reported with modifier 50, CMS pays 150%.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others are paid at 50%. Same-day preoperative and postoperative care for this biopsy is included in its 0-day global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. 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
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