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CPT code 69222: Mastoid cleaning, complicated debridement2026 Medicare rate & RVUs in Fort Worth, TX

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 Fort Worth, TX, Medicare pays $214.01 for 69222 in the office and $124.44 when it’s performed in a hospital or facility.

$214.01Office (non-facility)
$124.44Hospital or facility
−1.3%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 Fort Worth, TX
  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 Fort Worth, TX 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. Fort Worth, TX pays $214.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

69222 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$214.01
  2. Austin, TX · Texas$225.50+$11.49
  3. Beaumont, TX · Texas$201.63−$12.38
  4. Brazoria, TX · Texas$214.14+$0.13
  5. Dallas, TX · Texas$215.55+$1.54
  6. Galveston, TX · Texas$214.80+$0.79
  7. Houston, TX · Texas$218.65+$4.64

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

Every other payment area

69222 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$207.80$121.58
Los Angeles, CACalifornia$246.11$138.64
Washington, DC areaDistrict of Columbia$249.06$142.04
Miami, FLFlorida$234.17$139.59
Chicago, ILIllinois$227.00$135.69
Manhattan, NYNew York$250.25$144.68
AlaskaAlaska$247.74$150.99
AlabamaAlabama$193.39$113.90

69222 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 Fort Worth, TX 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 69222 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work1.41× 1.0091.4227
Practice expense4.87× 0.9864.8018
Malpractice0.21× 0.8710.1829
Total RVUs6.4074
Conversion factor× 33.4009

Office rate, Fort Worth, TX$214.01

Office: (1.41 × 1.009 + 4.87 × 0.986 + 0.21 × 0.871) × $33.4009 = $214.01

Facility: (1.41 × 1.009 + 2.15 × 0.986 + 0.21 × 0.871) × $33.4009 = $124.44

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

Codes related to 69222

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

Codes related to 69222
CodeHow it relatesOffice range, Fort Worth, TX
Same family
69220Mastoid cleaning, simple cavity cleaningSimple mastoidectomy-cavity debridement; distinguish it from the complicated service.$77.55

How 69222 has changed in Fort Worth, TX

69222 · Office / nonfacility

$214.01

Effective 2026-10-01

The base rate is $6.48 higher than on 2025-10-01, moving from $207.53 to $214.01 (3.1%).

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

    $207.53changed to$214.01

    • 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 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $216.89changed to$207.53

    • 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

    $213.35changed to$216.89

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $219.71changed to$213.35

    • 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 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902

  5. January 1, 2023

    RVU23A

    $221.56changed to$219.71

    • 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 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $220.27changed to$221.56

    • 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

    $213.71changed to$220.27

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.36 changed to 4.75
    • Work GPCI 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $216.76changed to$213.71

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.46 changed to 4.36
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $216.88changed to$216.76

    • 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

    $220.26changed to$216.88

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.56 changed to 4.47
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $223.28changed to$220.26

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.64 changed to 4.56
    • Work GPCI 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $222.93changed to$223.28

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.60 changed to 4.64
    • Malpractice RVU 0.22 changed to 0.21

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $221.83changed to$222.93

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $222.38changed to$221.83

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.68 changed to 4.60
    • Malpractice RVU 0.17 changed to 0.22
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $227.93changed to$222.38

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.21 changed to 4.68
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $227.93

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$214.01$124.44RVU26D
2026-07-01$214.01$124.44RVU26C
2026-04-01$214.01$124.44RVU26B
2026-01-01$214.01$124.44RVU26A
2025-10-01$207.53$133.28RVU25D
2025-07-01$207.53$133.28RVU25C
2025-04-01$207.53$133.28RVU25B
2025-01-01$207.53$133.28RVU25A
2024-10-01$216.89$137.49RVU24D
2024-07-01$216.89$137.49RVU24C
2024-04-01$216.89$137.49RVU24B
2024-03-09$216.89$137.49RVU24AR
2024-01-01$213.35$135.25RVU24A
2023-10-01$219.71$137.69RVU23D
2023-07-01$219.71$137.69RVU23C
2023-04-01$219.71$137.69RVU23B
2023-01-01$219.71$137.69RVU23A
2022-10-01$221.56$137.19RVU22D
2022-07-01$221.56$137.19RVU22C
2022-04-01$221.56$137.19RVU22B
2022-01-01$221.56$137.19RVU22A
2021-10-01$220.27$135.21RVU21D
2021-07-01$220.27$135.21RVU21C
2021-04-01$220.27$135.21RVU21B
2021-01-01$220.27$135.21RVU21A
2020-10-01$213.71$134.67RVU20D
2020-07-01$213.71$134.67RVU20C
2020-04-01$213.71$134.67RVU20B
2020-01-01$213.71$134.67RVU20A
2019-10-01$216.76$135.74RVU19D
2019-07-01$216.76$135.74RVU19C
2019-04-01$216.76$135.74RVU19B
2019-01-01$216.76$135.74RVU19A
2018-10-01$216.88$135.95RVU18D
2018-07-01$216.88$135.95RVU18C
2018-04-01$216.88$135.95RVU18B
2018-01-01$216.88$135.95RVU18AR1
2017-10-01$220.26$137.75RVU17D
2017-07-01$220.26$137.75RVU17C
2017-04-01$220.26$137.75RVU17B
2017-01-01$220.26$137.75RVU17A
2016-10-01$223.28$139.56RVU16D
2016-07-01$223.28$139.56RVU16C
2016-04-01$223.28$139.56RVU16B
2016-01-01$223.28$139.56RVU16A
2015-10-01$222.93$139.63RVU15D
2015-07-01$222.93$139.63RVU15C
2015-04-01$221.83$138.93RVU15B
2015-01-01$221.83$138.93RVU15A
2014-10-01$222.38$138.59RVU14D
2014-07-01$222.38$138.59RVU14C
2014-04-01$222.38$138.59RVU14B
2014-01-01$222.38$138.59RVU14A
2013-10-01$227.93$139.66RVU13D
2013-07-01$227.93$139.66RVU13C
2013-04-01$227.93$139.66RVU13B
2013-01-01$227.93$139.66RVU13AR

Price 69222 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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