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CPT code 69110: Auricular excision, partial auricle2026 Medicare rate & RVUs in Iowa

Reports surgical removal of part of the external ear, such as when a localized auricular lesion requires excision rather than diagnostic sampling.

CMS RVU26DEffective Oct 1, 2026One payment locality1.6K Medicare services in 2024

In Iowa, Medicare pays $430.51 for 69110 in the office and $276.17 when it’s performed in a hospital or facility.

$430.51Office (non-facility)
$276.17Hospital or facility
−8.3%vs the national office rate ($469.28)

Check a contract rate as a % of Medicare · 69110 nationwide

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

We’ll open 69110 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 69110 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 69110 covers

This service removes a portion of the auricle, the visible external ear, when the affected area cannot be treated by a small diagnostic sample alone. An otolaryngologist, plastic surgeon, or other qualified surgeon may perform it in an office procedure room, ambulatory surgery center, or hospital. A typical clinical situation is a localized pinna lesion for which definitive treatment requires removal of part of the ear.

Choose this code for partial removal of the external ear, not a biopsy alone or removal of the entire auricle. The operative report should identify the affected ear and site, the extent of tissue removed, and the reason for excision. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; 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 Iowa compares for 69110

Across 109 of 109 payment localities, the office rate for 69110 runs from $413.57 in Arkansas to $623.43 in San Benito County, CA. Iowa pays $430.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

69110 in Iowa vs other payment areas
  1. Iowa · this page$430.51
  2. Los Angeles, CA · California$530.18+$99.67
  3. Washington, DC area · District of Columbia$537.48+$106.97
  4. Miami, FL · Florida$508.66+$78.15
  5. Chicago, IL · Illinois$493.40+$62.89
  6. Manhattan, NY · New York$541.13+$110.62
  7. Alaska · Alaska$541.18+$110.67

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

Every other payment area

69110 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$419.82$272.23
ArkansasArkansas$413.57$268.68
ArizonaArizona$456.41$292.96
Bakersfield, CACalifornia$497.35$312.49
Chico, CACalifornia$495.90$311.04
El Centro, CACalifornia$495.99$311.12
Fresno, CACalifornia$495.90$311.04
Hanford, CACalifornia$495.90$311.04

69110 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$413.57

$559.67

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

View every state and territory as a table
69110 office rate range by state
State / territoryOffice rate rangeLocalities
AK$541.181
AL$419.821
AR$413.571
AZ$456.411
CA$495.90–$623.4329
CO$488.621
CT$501.091
DC$537.481
DE$464.121
FL$462.82–$508.663
GA$436.02–$478.392
GU$508.511
HI$508.511
IA$430.511
ID$433.471
IL$449.31–$493.404
IN$436.051
KS$428.581
KY$430.381
LA$429.75–$451.632
MA$485.63–$537.672
MD$473.11–$537.483
ME$435.96–$460.082
MI$442.06–$468.922
MN$467.321
MO$422.25–$453.113
MS$417.991
MT$469.251
NC$440.631
ND$459.361
NE$432.891
NH$481.041
NJ$506.57–$531.692
NM$444.611
NV$466.831
NY$447.44–$554.775
OH$440.041
OK$429.431
OR$462.97–$504.332
PA$440.67–$488.422
PR$472.751
RI$480.811
SC$441.111
SD$458.191
TN$430.821
TX$437.71–$487.198
UT$447.321
VA$458.63–$537.482
VI$472.751
VT$457.661
WA$484.68–$548.632
WI$443.541
WV$432.241
WY$464.941

See 69110 in every payment locality

How the 69110 rate is calculated

Each of 69110’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 · 69110

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.44

3.44 RVUs× 1.000 GPCI

Practice expense10.11

10.11 RVUs× 1.000 GPCI

Malpractice0.50

0.50 RVUs× 1.000 GPCI

Adjusted RVUs

14.0500

Conversion factor

$33.4009

Medicare rate

$469.28

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,586

Code
69110
Physician work
3.44
Practice expense
10.11
Malpractice
0.50

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 69110 in Iowa
ComponentRVULocality factorAdjusted
Physician work3.44× 1.0003.4400
Practice expense10.11× 0.9159.2507
Malpractice0.50× 0.3970.1985
Total RVUs12.8891
Conversion factor× 33.4009

Office rate, Iowa$430.51

Office: (3.44 × 1 + 10.11 × 0.915 + 0.5 × 0.397) × $33.4009 = $430.51

Facility: (3.44 × 1 + 5.06 × 0.915 + 0.5 × 0.397) × $33.4009 = $276.17

Open 69110 in the RVU calculator

Payment rules and modifiers for 69110

69110 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69110

Auricular excision, partial auricle

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.07/0.79/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 69110

Auricular excision, partial auricle

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

69110 without 50 · national office

$469.28

Auricular excision, partial auricle

69110-50 · Bilateral: 150%

$703.92

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).

When to use modifier 50

Codes related to 69110

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

Codes related to 69110
CodeHow it relatesOffice range, Iowa
Same family
69120External ear excision, complete removalRelated external-ear excision code for complete rather than partial removal.No office rate
Used instead
69100Ear biopsy, auricle, not ear canalDiagnostic sampling of the external ear rather than partial surgical removal.$85.69
69140Ear canal excision, lesion removalExcision of an external auditory canal lesion, not the auricle.No office rate

How 69110 has changed in Iowa

69110 · Office / nonfacility

$430.51

Effective 2026-10-01

The base rate is $14.94 higher than on 2025-10-01, moving from $415.57 to $430.51 (3.6%).

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

  1. January 1, 2026

    RVU26A

    $415.57changed to$430.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.53 changed to 3.44
    • Practice expense RVU 9.94 changed to 10.11
    • Malpractice RVU 0.53 changed to 0.50
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $432.98changed to$415.57

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.12 changed to 9.94
    • Malpractice RVU 0.52 changed to 0.53

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $425.91changed to$432.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $441.17changed to$425.91

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.18 changed to 10.12
    • Malpractice RVU 0.51 changed to 0.52
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $447.31changed to$441.17

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.12 changed to 10.18
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $447.40changed to$447.31

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.02 changed to 10.12
    • Malpractice RVU 0.48 changed to 0.51

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $433.73changed to$447.40

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.12 changed to 10.02
    • Malpractice RVU 0.51 changed to 0.48
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $427.17changed to$433.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.92 changed to 9.12
    • Malpractice RVU 0.55 changed to 0.51
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $426.38changed to$427.17

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.91 changed to 8.92

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $425.62changed to$426.38

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.95 changed to 8.91
    • Malpractice RVU 0.56 changed to 0.55
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $425.64changed to$425.62

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.02 changed to 8.95
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $426.50changed to$425.64

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.01 changed to 9.02
    • Malpractice RVU 0.54 changed to 0.56

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $424.38changed to$426.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $421.12changed to$424.38

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.95 changed to 9.01
    • Malpractice RVU 0.51 changed to 0.54
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $432.22changed to$421.12

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.07 changed to 8.95
    • Malpractice RVU 0.53 changed to 0.51
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $432.22

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$430.51$276.17RVU26D
2026-07-01$430.51$276.17RVU26C
2026-04-01$430.51$276.17RVU26B
2026-01-01$430.51$276.17RVU26A
2025-10-01$415.57$294.19RVU25D
2025-07-01$415.57$294.19RVU25C
2025-04-01$415.57$294.19RVU25B
2025-01-01$415.57$294.19RVU25A
2024-10-01$432.98$303.51RVU24D
2024-07-01$432.98$303.51RVU24C
2024-04-01$432.98$303.51RVU24B
2024-03-09$432.98$303.51RVU24AR
2024-01-01$425.91$298.56RVU24A
2023-10-01$441.17$307.33RVU23D
2023-07-01$441.17$307.33RVU23C
2023-04-01$441.17$307.33RVU23B
2023-01-01$441.17$307.33RVU23A
2022-10-01$447.31$309.83RVU22D
2022-07-01$447.31$309.83RVU22C
2022-04-01$447.31$309.83RVU22B
2022-01-01$447.31$309.83RVU22A
2021-10-01$447.40$307.52RVU21D
2021-07-01$447.40$307.52RVU21C
2021-04-01$447.40$307.52RVU21B
2021-01-01$447.40$307.52RVU21A
2020-10-01$433.73$306.72RVU20D
2020-07-01$433.73$306.72RVU20C
2020-04-01$433.73$306.72RVU20B
2020-01-01$433.73$306.72RVU20A
2019-10-01$427.17$303.29RVU19D
2019-07-01$427.17$303.29RVU19C
2019-04-01$427.17$303.29RVU19B
2019-01-01$427.17$303.29RVU19A
2018-10-01$426.38$303.28RVU18D
2018-07-01$426.38$303.28RVU18C
2018-04-01$426.38$303.28RVU18B
2018-01-01$426.38$303.28RVU18AR1
2017-10-01$425.62$303.90RVU17D
2017-07-01$425.62$303.90RVU17C
2017-04-01$425.62$303.90RVU17B
2017-01-01$425.62$303.90RVU17A
2016-10-01$425.64$304.38RVU16D
2016-07-01$425.64$304.38RVU16C
2016-04-01$425.64$304.38RVU16B
2016-01-01$425.64$304.38RVU16A
2015-10-01$426.50$304.15RVU15D
2015-07-01$426.50$304.15RVU15C
2015-04-01$424.38$302.64RVU15B
2015-01-01$424.38$302.64RVU15A
2014-10-01$421.12$301.61RVU14D
2014-07-01$421.12$301.61RVU14C
2014-04-01$421.12$301.61RVU14B
2014-01-01$421.12$301.61RVU14A
2013-10-01$432.22$304.26RVU13D
2013-07-01$432.22$304.26RVU13C
2013-04-01$432.22$304.26RVU13B
2013-01-01$432.22$304.26RVU13AR

Price 69110 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

69110 billing questions

When is this code appropriate instead of an external ear biopsy?

Use this code when the surgeon removes part of the auricle as treatment, rather than taking tissue primarily for diagnostic examination. A limited diagnostic sample is reported with 69100.

How does this differ from complete external ear removal?

This code represents partial removal of the auricle. Code 69120 is the related code for complete removal.

Does the 90-day global period include related postoperative visits?

Yes. The CMS global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral surgery reported?

For bilateral procedures, modifier 50 is paid at 150% under the CMS rule for this code.

Can an assistant or co-surgeon be billed for this procedure?

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

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 other procedures are paid at 50%.

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 69110PPRRVU2026_Oct_nonQPP.csv, line 7,586 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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