CPT code 69205: Ear foreign body removal, with general anesthesia2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $85.13 for 69205 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 69205 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 69205 covers

This service removes a discrete foreign object from the external auditory canal while the patient is under general anesthesia. It may be used for a child who cannot safely tolerate extraction while awake, or when an object is lodged in a way that makes movement during removal unsafe. An otolaryngologist or another qualified clinician performs the extraction, commonly in an operating room or procedure setting equipped for general anesthesia. Examples include an object placed in the canal by a child; impacted cerumen is not a foreign body for this code.

Report 69205 when the documented procedure removes a foreign body under general anesthesia; removal without general anesthesia is reported with 69200. The record should identify the object or foreign material, the ear treated, the extraction performed, and the use of general anesthesia. Medicare includes related postoperative visits during the 10-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 applies to bilateral performance, paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 New Mexico compares for 69205

Across 109 of 109 payment localities, the facility rate for 69205 runs from $78.78 in Arkansas to $107.96 in San Benito County, CA. New Mexico pays $85.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69205 rates by state

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

See 69205 in every payment locality

How the 69205 rate is calculated

Each of 69205’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 69205

69205 has a 10-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 69205

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

How 69205 has changed in New Mexico

Price 69205 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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