CPT code 69222: Mastoid cleaning, complicated debridement2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $212.11 for 69222 in the office and $121.26 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $212.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69222 rates by state

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

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.

Payment rules and modifiers for 69222

69222 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 69222

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

How 69222 has changed in South Dakota

Price 69222 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