CPT code 69140: Ear canal excision, lesion removal2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $842.63 for 69140 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 69140 nationwide

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

What 69140 covers

This code covers surgical removal of a lesion located in the external auditory canal. Otolaryngologists typically perform the procedure when a canal lesion needs to be excised, rather than sampled for diagnosis alone. The operative setting depends on the lesion and the planned procedure; Medicare service data show use in both office and facility settings.

Report the code for the documented excision, distinguishing removal from a biopsy that obtains tissue for diagnosis. The operative note should identify the canal site, lesion, and work performed, including laterality when relevant. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; 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 Montana compares for 69140

Across 109 of 109 payment localities, the facility rate for 69140 runs from $747.95 in Arkansas to $1,092.03 in San Benito County, CA. Montana pays $842.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69140 rates by state

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

See 69140 in every payment locality

How the 69140 rate is calculated

Each of 69140’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.

Payment rules and modifiers for 69140

69140 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 69140

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

How 69140 has changed in Montana

Price 69140 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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

Open CMS sourceHow we calculate rates