CPT code 69222: Mastoid cleaning, complicated debridement2026 Medicare rate & RVUs in Napa, CA

Reports complicated debridement of a mastoidectomy cavity, such as an established mastoid bowl requiring more involved removal of accumulated debris.

CMS RVU26DEffective Oct 1, 2026One payment locality6.7K Medicare services in 2024

In Napa, CA, Medicare pays $268.01 for 69222 in the office and $148.27 when it’s performed in a hospital or facility.

$268.01Office (non-facility)
$148.27Hospital or facility
+23.6%vs the national office rate ($216.77)

Check a contract rate as a % of Medicare · 69222 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 69222 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Napa, CA
  2. What 69222 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 69222 covers

An otolaryngologist typically performs this service to clear accumulated material from a mastoidectomy cavity, often called a mastoid bowl, during an office visit. The work may involve removing keratin, crusting, or other debris from the surgically altered cavity. This is distinct from clearing wax or a foreign body from the external ear canal. The code is for complicated cavity debridement; a routine or simple cleaning belongs to the related lower-level service.

Select the code based on the documented complexity of the cavity debridement, not solely on the fact that the patient previously had mastoid surgery. Record the cavity findings, material removed, and work performed to support the service level. It has a 10-day global period, so related postoperative visits during that period are included. When performed with other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. For bilateral work, modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily 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 Napa, CA compares for 69222

Across 109 of 109 payment localities, the office rate for 69222 runs from $190.43 in Arkansas to $290.59 in San Benito County, CA. Napa, CA pays $268.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

69222 in Napa, CA vs other payment areas
  1. Napa, CA · this page$268.01
  2. Bakersfield, CA · California$230.54−$37.47
  3. Chico, CA · California$229.93−$38.08
  4. El Centro, CA · California$229.97−$38.04
  5. Fresno, CA · California$229.93−$38.08
  6. Hanford, CA · California$229.93−$38.08
  7. Los Angeles, CA · California$246.11−$21.90

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

69222 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$229.93$130.36
Merced, CACalifornia$229.93$130.36
Modesto, CACalifornia$229.93$130.36
Oxnard, CACalifornia$245.05$137.67
Redding, CACalifornia$229.93$130.36
Rest of CaliforniaCalifornia$229.93$130.36
Riverside, CACalifornia$232.20$132.63
Sacramento, CACalifornia$241.73$136.07

69222 rates by state

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

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.

$190.43

$260.26

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
69222 office rate range by state
State / territoryOffice rate rangeLocalities
AK$247.741
AL$193.391
AR$190.431
AZ$210.721
CA$229.93–$290.5929
CO$226.211
CT$231.711
DC$249.061
DE$214.351
FL$213.14–$234.173
GA$200.55–$220.932
GU$236.101
HI$236.101
IA$198.721
ID$200.061
IL$206.57–$227.004
IN$201.291
KS$197.681
KY$198.121
LA$197.77–$208.132
MA$224.72–$249.492
MD$218.62–$249.063
ME$201.11–$212.722
MI$203.53–$215.892
MN$216.551
MO$194.14–$208.983
MS$192.331
MT$216.761
NC$203.341
ND$212.611
NE$199.881
NH$222.561
NJ$234.30–$246.242
NM$204.681
NV$215.761
NY$206.56–$256.545
OH$202.681
OK$197.801
OR$214.04–$233.792
PA$203.05–$225.642
PR$218.461
RI$222.281
SC$203.361
SD$212.111
TN$198.721
TX$201.63–$225.508
UT$206.301
VA$211.94–$249.062
VI$218.461
VT$211.681
WA$224.33–$254.772
WI$205.091
WV$198.491
WY$214.951

See 69222 in every payment locality

How the 69222 rate is calculated

Each of 69222’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 · 69222

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.41

1.41 RVUs× 1.000 GPCI

Practice expense4.87

4.87 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

6.4900

Conversion factor

$33.4009

Medicare rate

$216.77

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Napa, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,597

Code
69222
Physician work
1.41
Practice expense
4.87
Malpractice
0.21

GPCI2026.csv

17

Locality
Napa, CA
Physician work
1.063
Practice expense
1.318
Malpractice
0.508
Office calculation for 69222 in Napa, CA
ComponentRVULocality factorAdjusted
Physician work1.41× 1.0631.4988
Practice expense4.87× 1.3186.4187
Malpractice0.21× 0.5080.1067
Total RVUs8.0242
Conversion factor× 33.4009

Office rate, Napa, CA$268.01

Office: (1.41 × 1.063 + 4.87 × 1.318 + 0.21 × 0.508) × $33.4009 = $268.01

Facility: (1.41 × 1.063 + 2.15 × 1.318 + 0.21 × 0.508) × $33.4009 = $148.27

Open 69222 in the RVU calculator

Payment rules and modifiers for 69222

69222 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69222

Mastoid cleaning, complicated debridement

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 69222

Mastoid cleaning, complicated debridement

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

69222 without 50 · national office

$216.77

Mastoid cleaning, complicated debridement

69222-50 · Bilateral: 150%

$325.16

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

How 69222 has changed in Napa, CA

69222 · Office / nonfacility

$268.01

Effective 2026-10-01

The base rate is $12.72 higher than on 2025-10-01, moving from $255.29 to $268.01 (5.0%).

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

    $255.29changed to$268.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.45 changed to 1.41
    • Practice expense RVU 4.77 changed to 4.87
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.521 changed to 0.508

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $267.07changed to$255.29

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.87 changed to 4.77

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $262.71changed to$267.07

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $264.74changed to$262.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.89 changed to 4.87
    • Malpractice RVU 0.20 changed to 0.21
    • Work GPCI 1.051 changed to 1.058
    • Practice expense GPCI 1.265 changed to 1.310
    • Malpractice GPCI 0.513 changed to 0.521
  5. January 1, 2023

    RVU23A

    $260.39changed to$264.74

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.84 changed to 4.89
    • Malpractice RVU 0.21 changed to 0.20
    • Work GPCI 1.044 changed to 1.051
    • Practice expense GPCI 1.220 changed to 1.265
    • Malpractice GPCI 0.504 changed to 0.513

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $258.72changed to$260.39

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.75 changed to 4.84

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $253.45changed to$258.72

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.36 changed to 4.75
    • Work GPCI 1.049 changed to 1.044
    • Practice expense GPCI 1.238 changed to 1.220
    • Malpractice GPCI 0.496 changed to 0.504

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $260.48changed to$253.45

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.46 changed to 4.36
    • Work GPCI 1.055 changed to 1.049
    • Practice expense GPCI 1.256 changed to 1.238
    • Malpractice GPCI 0.458 changed to 0.496

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $260.65changed to$260.48

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.47 changed to 4.46

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $266.60changed to$260.65

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.56 changed to 4.47
    • Work GPCI 1.057 changed to 1.055
    • Practice expense GPCI 1.271 changed to 1.256
    • Malpractice GPCI 0.477 changed to 0.458

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$266.60

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$268.01$148.27RVU26D
2026-07-01$268.01$148.27RVU26C
2026-04-01$268.01$148.27RVU26B
2026-01-01$268.01$148.27RVU26A
2025-10-01$255.29$157.83RVU25D
2025-07-01$255.29$157.83RVU25C
2025-04-01$255.29$157.83RVU25B
2025-01-01$255.29$157.83RVU25A
2024-10-01$267.07$162.85RVU24D
2024-07-01$267.07$162.85RVU24C
2024-04-01$267.07$162.85RVU24B
2024-03-09$267.07$162.85RVU24AR
2024-01-01$262.71$160.19RVU24A
2023-10-01$264.74$160.57RVU23D
2023-07-01$264.74$160.57RVU23C
2023-04-01$264.74$160.57RVU23B
2023-01-01$264.74$160.57RVU23A
2022-10-01$260.39$156.95RVU22D
2022-07-01$260.39$156.95RVU22C
2022-04-01$260.39$156.95RVU22B
2022-01-01$260.39$156.95RVU22A
2021-10-01$258.72$154.42RVU21D
2021-07-01$258.72$154.42RVU21C
2021-04-01$258.72$154.42RVU21B
2021-01-01$258.72$154.42RVU21A
2020-10-01$253.45$154.71RVU20D
2020-07-01$253.45$154.71RVU20C
2020-04-01$253.45$154.71RVU20B
2020-01-01$253.45$154.71RVU20A
2019-10-01$260.48$157.27RVU19D
2019-07-01$260.48$157.27RVU19C
2019-04-01$260.48$157.27RVU19B
2019-01-01$260.48$157.27RVU19A
2018-10-01$260.65$157.55RVU18D
2018-07-01$260.65$157.55RVU18C
2018-04-01$260.65$157.55RVU18B
2018-01-01$260.65$157.55RVU18AR1
2017-10-01$266.60$160.78RVU17D
2017-07-01$266.60$160.78RVU17C
2017-04-01$266.60$160.78RVU17B
2017-01-01$266.60$160.78RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 69222 for an earlier date of service

Where the Napa, CA rate applies

Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Napa
  • American Canyon
  • Angwin
  • Calistoga
  • Deer Park
  • Moskowite Corner
  • Oakville
  • Rutherford

Browse all communities in California

69222 billing questions

How do I choose between 69222 and 69220?

Use 69222 for complicated mastoidectomy-cavity debridement and 69220 for simple debridement. Document the cavity findings and work that support the selected level.

Is cleaning wax from the ear canal reported with 69222?

No. 69222 concerns a mastoidectomy cavity; cerumen removal from the external auditory canal is a different service and may be coded with 69209 or 69210, depending on the method.

Does 69222 have a postoperative global period?

Yes. It has a 10-day global period, which includes related postoperative visits during those 10 days.

How is bilateral mastoid cavity debridement reported?

For bilateral work, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be paid for this service?

Assistant-at-surgery payment is statutorily restricted. Co-surgeon and team-surgery payment are not permitted.

What happens if another procedure is performed in the same session?

The highest-valued procedure is paid in full, and the other procedures are subject to the standard multiple-procedure reduction.

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 69222PPRRVU2026_Oct_nonQPP.csv, line 7,597 (RVU26D)
Geographic factors for Napa, CAGPCI2026.csv, line 17 (RVU26D)

Open CMS sourceHow we calculate rates

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