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

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 Virginia, Medicare pays $458.63 for 69110 in the office and $292.83 when it’s performed in a hospital or facility.

$458.63Office (non-facility)
$292.83Hospital or facility
−2.3%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 Virginia
  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 Virginia 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. Virginia pays $458.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

69110 in Virginia vs other payment areas
  1. Virginia · this page$458.63
  2. Los Angeles, CA · California$530.18+$71.55
  3. Washington, DC area · District of Columbia$537.48+$78.85
  4. Miami, FL · Florida$508.66+$50.03
  5. Chicago, IL · Illinois$493.40+$34.77
  6. Manhattan, NY · New York$541.13+$82.50
  7. Alaska · Alaska$541.18+$82.55

Other areas in Virginia 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 69110 in Virginia
ComponentRVULocality factorAdjusted
Physician work3.44× 1.0003.4400
Practice expense10.11× 0.9839.9381
Malpractice0.50× 0.7060.3530
Total RVUs13.7311
Conversion factor× 33.4009

Office rate, Virginia$458.63

Office: (3.44 × 1 + 10.11 × 0.983 + 0.5 × 0.706) × $33.4009 = $458.63

Facility: (3.44 × 1 + 5.06 × 0.983 + 0.5 × 0.706) × $33.4009 = $292.83

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, Virginia
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.$90.75
69140Ear canal excision, lesion removalExcision of an external auditory canal lesion, not the auricle.No office rate

How 69110 has changed in Virginia

69110 · Office / nonfacility

$458.63

Effective 2026-10-01

The base rate is $14.90 higher than on 2025-10-01, moving from $443.73 to $458.63 (3.4%).

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

    $443.73changed to$458.63

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $462.29changed to$443.73

    • 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

    $454.74changed to$462.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $475.42changed to$454.74

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $486.45changed to$475.42

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.12 changed to 10.18
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $486.08changed to$486.45

    • 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

    $470.19changed to$486.08

    • 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
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $462.18changed to$470.19

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $461.32changed to$462.18

    • 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

    $460.48changed to$461.32

    • 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 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $460.38changed to$460.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.02 changed to 8.95
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $461.09changed to$460.38

    • 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

    $458.80changed to$461.09

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $454.87changed to$458.80

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $468.01changed to$454.87

    • 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 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $468.01

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$458.63$292.83RVU26D
2026-07-01$458.63$292.83RVU26C
2026-04-01$458.63$292.83RVU26B
2026-01-01$458.63$292.83RVU26A
2025-10-01$443.73$312.92RVU25D
2025-07-01$443.73$312.92RVU25C
2025-04-01$443.73$312.92RVU25B
2025-01-01$443.73$312.92RVU25A
2024-10-01$462.29$322.75RVU24D
2024-07-01$462.29$322.75RVU24C
2024-04-01$462.29$322.75RVU24B
2024-03-09$462.29$322.75RVU24AR
2024-01-01$454.74$317.48RVU24A
2023-10-01$475.42$329.82RVU23D
2023-07-01$475.42$329.82RVU23C
2023-04-01$475.42$329.82RVU23B
2023-01-01$475.42$329.82RVU23A
2022-10-01$486.45$335.64RVU22D
2022-07-01$486.45$335.64RVU22C
2022-04-01$486.45$335.64RVU22B
2022-01-01$486.45$335.64RVU22A
2021-10-01$486.08$332.62RVU21D
2021-07-01$486.08$332.62RVU21C
2021-04-01$486.08$332.62RVU21B
2021-01-01$486.08$332.62RVU21A
2020-10-01$470.19$331.42RVU20D
2020-07-01$470.19$331.42RVU20C
2020-04-01$470.19$331.42RVU20B
2020-01-01$470.19$331.42RVU20A
2019-10-01$462.18$327.51RVU19D
2019-07-01$462.18$327.51RVU19C
2019-04-01$462.18$327.51RVU19B
2019-01-01$462.18$327.51RVU19A
2018-10-01$461.32$327.50RVU18D
2018-07-01$461.32$327.50RVU18C
2018-04-01$461.32$327.50RVU18B
2018-01-01$461.32$327.50RVU18AR1
2017-10-01$460.48$327.56RVU17D
2017-07-01$460.48$327.56RVU17C
2017-04-01$460.48$327.56RVU17B
2017-01-01$460.48$327.56RVU17A
2016-10-01$460.38$327.34RVU16D
2016-07-01$460.38$327.34RVU16C
2016-04-01$460.38$327.34RVU16B
2016-01-01$460.38$327.34RVU16A
2015-10-01$461.09$326.87RVU15D
2015-07-01$461.09$326.87RVU15C
2015-04-01$458.80$325.24RVU15B
2015-01-01$458.80$325.24RVU15A
2014-10-01$454.87$323.57RVU14D
2014-07-01$454.87$323.57RVU14C
2014-04-01$454.87$323.57RVU14B
2014-01-01$454.87$323.57RVU14A
2013-10-01$468.01$327.07RVU13D
2013-07-01$468.01$327.07RVU13C
2013-04-01$468.01$327.07RVU13B
2013-01-01$468.01$327.07RVU13AR

Price 69110 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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