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

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 North Dakota, Medicare pays $459.36 for 69110 in the office and $290.69 when it’s performed in a hospital or facility.

$459.36Office (non-facility)
$290.69Hospital or facility
−2.1%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 North Dakota
  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 North Dakota 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. North Dakota pays $459.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

69110 in North Dakota vs other payment areas
  1. North Dakota · this page$459.36
  2. Los Angeles, CA · California$530.18+$70.82
  3. Washington, DC area · District of Columbia$537.48+$78.12
  4. Miami, FL · Florida$508.66+$49.30
  5. Chicago, IL · Illinois$493.40+$34.04
  6. Manhattan, NY · New York$541.13+$81.77
  7. Alaska · Alaska$541.18+$81.82

Other areas in North Dakota 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.

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 North Dakota 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

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 69110 in North Dakota
ComponentRVULocality factorAdjusted
Physician work3.44× 1.0003.4400
Practice expense10.11× 1.00010.1100
Malpractice0.50× 0.4060.2030
Total RVUs13.7530
Conversion factor× 33.4009

Office rate, North Dakota$459.36

Office: (3.44 × 1 + 10.11 × 1 + 0.5 × 0.406) × $33.4009 = $459.36

Facility: (3.44 × 1 + 5.06 × 1 + 0.5 × 0.406) × $33.4009 = $290.69

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

How 69110 has changed in North Dakota

69110 · Office / nonfacility

$459.36

Effective 2026-10-01

The base rate is $14.79 higher than on 2025-10-01, moving from $444.57 to $459.36 (3.3%).

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

    $444.57changed to$459.36

    • 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
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $463.32changed to$444.57

    • 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

    $455.76changed to$463.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $472.79changed to$455.76

    • 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
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $479.98changed to$472.79

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.12 changed to 10.18
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $480.02changed to$479.98

    • 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

    $465.46changed to$480.02

    • 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 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $459.39changed to$465.46

    • 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 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $458.53changed to$459.39

    • 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

    $458.88changed to$458.53

    • 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
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $460.45changed to$458.88

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.02 changed to 8.95
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $461.36changed to$460.45

    • 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

    $459.06changed to$461.36

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $456.86changed to$459.06

    • 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
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $472.04changed to$456.86

    • 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
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $472.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$459.36$290.69RVU26D
2026-07-01$459.36$290.69RVU26C
2026-04-01$459.36$290.69RVU26B
2026-01-01$459.36$290.69RVU26A
2025-10-01$444.57$311.63RVU25D
2025-07-01$444.57$311.63RVU25C
2025-04-01$444.57$311.63RVU25B
2025-01-01$444.57$311.63RVU25A
2024-10-01$463.32$321.52RVU24D
2024-07-01$463.32$321.52RVU24C
2024-04-01$463.32$321.52RVU24B
2024-03-09$463.32$321.52RVU24AR
2024-01-01$455.76$316.27RVU24A
2023-10-01$472.79$325.71RVU23D
2023-07-01$472.79$325.71RVU23C
2023-04-01$472.79$325.71RVU23B
2023-01-01$472.79$325.71RVU23A
2022-10-01$479.98$328.41RVU22D
2022-07-01$479.98$328.41RVU22C
2022-04-01$479.98$328.41RVU22B
2022-01-01$479.98$328.41RVU22A
2021-10-01$480.02$325.79RVU21D
2021-07-01$480.02$325.79RVU21C
2021-04-01$480.02$325.79RVU21B
2021-01-01$480.02$325.79RVU21A
2020-10-01$465.46$325.43RVU20D
2020-07-01$465.46$325.43RVU20C
2020-04-01$465.46$325.43RVU20B
2020-01-01$465.46$325.43RVU20A
2019-10-01$459.39$322.80RVU19D
2019-07-01$459.39$322.80RVU19C
2019-04-01$459.39$322.80RVU19B
2019-01-01$459.39$322.80RVU19A
2018-10-01$458.53$322.81RVU18D
2018-07-01$458.53$322.81RVU18C
2018-04-01$458.53$322.81RVU18B
2018-01-01$458.53$322.81RVU18AR1
2017-10-01$458.88$323.94RVU17D
2017-07-01$458.88$323.94RVU17C
2017-04-01$458.88$323.94RVU17B
2017-01-01$458.88$323.94RVU17A
2016-10-01$460.45$325.11RVU16D
2016-07-01$460.45$325.11RVU16C
2016-04-01$460.45$325.11RVU16B
2016-01-01$460.45$325.11RVU16A
2015-10-01$461.36$324.81RVU15D
2015-07-01$461.36$324.81RVU15C
2015-04-01$459.06$323.19RVU15B
2015-01-01$459.06$323.19RVU15A
2014-10-01$456.86$322.88RVU14D
2014-07-01$456.86$322.88RVU14C
2014-04-01$456.86$322.88RVU14B
2014-01-01$456.86$322.88RVU14A
2013-10-01$472.04$327.78RVU13D
2013-07-01$472.04$327.78RVU13C
2013-04-01$472.04$327.78RVU13B
2013-01-01$472.04$327.78RVU13AR

Price 69110 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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 North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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