CPT code 69209: Earwax removal, irrigation or lavage2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $18.39 for 69209 in the office.

Check a contract rate as a % of Medicare · 69209 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 69209 covers

This service uses irrigation or lavage to dislodge and remove impacted cerumen from one external ear canal. It is commonly performed in an office or clinic when wax obstructs the canal; clinical staff may perform the irrigation under physician supervision. It describes wax removal, not routine ear cleaning or extraction of a foreign body. The instrumentation method for impacted cerumen is reported with a different code.

Report one unit for one ear; report bilateral treatment with modifier 50. CMS applies a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. As an incident-to service, this code is billed only when performed under physician supervision. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery billing 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 Connecticut compares for 69209

Across 109 of 109 payment localities, the office rate for 69209 runs from $14.52 in Arkansas to $24.26 in San Benito County, CA. Connecticut pays $18.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69209 rates by state

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

See 69209 in every payment locality

How the 69209 rate is calculated

Each of 69209’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 69209

The CMS indicators that decide how 69209 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 69209

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

How 69209 has changed in Connecticut

Price 69209 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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