CPT code 69145: Ear canal excision, with or without tympanic membrane2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $396.17 for 69145 in the office and $228.50 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 69145 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 69145 covers

This service removes a lesion from the external auditory canal rather than sampling it solely for diagnosis. An otolaryngologist typically performs the excision in an operating room or, when clinically appropriate, another procedural setting. The operative record should identify the lesion’s canal location and describe its extent, the tissues removed, and any tympanic membrane involvement. A lesion such as a canal mass may require excision when removal, rather than biopsy alone, is the planned treatment.

Select this code for the documented canal lesion excision; use a simple-excision or extensive-excision sibling when the operative service matches that distinct level. The record should support the scope of surgery and whether the tympanic membrane was involved. Medicare 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%. 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 South Dakota compares for 69145

Across 109 of 109 payment localities, the office rate for 69145 runs from $355.64 in Arkansas to $542.78 in San Benito County, CA. South Dakota pays $396.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69145 rates by state

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

See 69145 in every payment locality

How the 69145 rate is calculated

Each of 69145’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 69145

69145 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 69145

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

How 69145 has changed in South Dakota

Price 69145 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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