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CPT code 69424: Tube removal, requires general anesthesia2026 Medicare rate & RVUs in Dallas, TX

Reports removal of a tympanostomy tube when the procedure requires general anesthesia, such as removal of a retained tube in an operating room.

CMS RVU26DEffective Oct 1, 2026One payment locality523 Medicare services in 2024

In Dallas, TX, Medicare pays $129.69 for 69424 in the office and $55.17 when it’s performed in a hospital or facility.

$129.69Office (non-facility)
$55.17Hospital or facility
−0.4%vs the national office rate ($130.26)

Check a contract rate as a % of Medicare · 69424 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 69424 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Dallas, TX
  2. What 69424 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 69424 covers

This service covers removal of a ventilating tube from the tympanic membrane when general anesthesia is required. An otolaryngologist typically performs it in an operating room, often for a retained tube or when a child cannot tolerate removal while awake. The operative record should identify the ear, the tube removed, and the clinical reason for removal, and should support the need for general anesthesia.

Report the service for the tube removal itself, not for making an opening in the eardrum or placing a new tube. The CMS global period is zero days, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral removal, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; 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 Dallas, TX compares for 69424

Across 109 of 109 payment localities, the office rate for 69424 runs from $114.77 in Arkansas to $175.91 in San Benito County, CA. Dallas, TX pays $129.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

69424 in Dallas, TX vs other payment areas
  1. Dallas, TX · this page$129.69
  2. Austin, TX · Texas$135.75+$6.06
  3. Beaumont, TX · Texas$121.09−$8.60
  4. Brazoria, TX · Texas$128.93−$0.76
  5. Fort Worth, TX · Texas$128.73−$0.96
  6. Galveston, TX · Texas$129.27−$0.42
  7. Houston, TX · Texas$130.92+$1.23

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

Every other payment area

69424 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$124.90$53.89
Los Angeles, CACalifornia$148.60$60.10
Washington, DC areaDistrict of Columbia$149.82$61.68
Miami, FLFlorida$138.94$61.06
Chicago, ILIllinois$134.85$59.66
Manhattan, NYNew York$149.92$62.99
AlaskaAlaska$149.24$69.56
AlabamaAlabama$116.52$51.05

69424 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.

$114.77

$157.41

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

View every state and territory as a table
69424 office rate range by state
State / territoryOffice rate rangeLocalities
AK$149.241
AL$116.521
AR$114.771
AZ$126.751
CA$138.90–$175.9129
CO$136.311
CT$139.111
DC$149.821
DE$128.901
FL$127.40–$138.943
GA$120.09–$132.542
GU$142.631
HI$142.631
IA$119.991
ID$120.721
IL$123.30–$135.474
IN$121.451
KS$119.221
KY$118.961
LA$118.69–$124.802
MA$135.37–$150.382
MD$131.49–$149.823
ME$121.16–$128.262
MI$121.99–$128.842
MN$131.031
MO$116.45–$125.493
MS$115.641
MT$130.261
NC$122.511
ND$128.481
NE$120.731
NH$133.971
NJ$140.82–$148.142
NM$122.611
NV$129.861
NY$124.39–$153.435
OH$121.631
OK$118.941
OR$128.97–$140.992
PA$121.94–$135.422
PR$131.311
RI$133.751
SC$122.251
SD$128.271
TN$119.811
TX$121.09–$135.758
UT$123.981
VA$127.69–$149.822
VI$131.311
VT$127.781
WA$135.18–$153.692
WI$124.001
WV$118.521
WY$129.481

See 69424 in every payment locality

How the 69424 rate is calculated

Each of 69424’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 · 69424

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.83

0.83 RVUs× 1.000 GPCI

Practice expense2.98

2.98 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

3.9000

Conversion factor

$33.4009

Medicare rate

$130.26

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

The exact Dallas, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,604

Code
69424
Physician work
0.83
Practice expense
2.98
Malpractice
0.09

GPCI2026.csv

99

Locality
Dallas, TX
Physician work
1.009
Practice expense
0.996
Malpractice
0.858
Office calculation for 69424 in Dallas, TX
ComponentRVULocality factorAdjusted
Physician work0.83× 1.0090.8375
Practice expense2.98× 0.9962.9681
Malpractice0.09× 0.8580.0772
Total RVUs3.8828
Conversion factor× 33.4009

Office rate, Dallas, TX$129.69

Office: (0.83 × 1.009 + 2.98 × 0.996 + 0.09 × 0.858) × $33.4009 = $129.69

Facility: (0.83 × 1.009 + 0.74 × 0.996 + 0.09 × 0.858) × $33.4009 = $55.17

Open 69424 in the RVU calculator

Payment rules and modifiers for 69424

The CMS indicators that decide how 69424 is paid alongside other services.

CMS payment indicators · 69424

Tube removal, requires general anesthesia

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

69424 without 50 · national office

$130.26

Tube removal, requires general anesthesia

69424-50 · Bilateral: 150%

$195.39

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 69424

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

Codes related to 69424
CodeHow it relatesOffice range, Dallas, TX
Often billed with
69436Tympanostomy, tube insertion, general anesthesiaMay be relevant when a new tube is also placed during the session; document each service and check applicable coding edits.No office rate

How 69424 has changed in Dallas, TX

69424 · Office / nonfacility

$129.69

Effective 2026-10-01

The base rate is $6.22 higher than on 2025-10-01, moving from $123.47 to $129.69 (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

    $123.47changed to$129.69

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.85 changed to 0.83
    • Practice expense RVU 2.85 changed to 2.98
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.996
    • Malpractice GPCI 0.877 changed to 0.858

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $128.40changed to$123.47

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.89 changed to 2.85

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $126.30changed to$128.40

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $131.99changed to$126.30

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.91 changed to 2.89
    • Work GPCI 1.017 changed to 1.011
    • Practice expense GPCI 1.017 changed to 1.007
    • Malpractice GPCI 0.711 changed to 0.877

  5. January 1, 2023

    RVU23A

    $136.01changed to$131.99

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.93 changed to 2.91
    • Work GPCI 1.023 changed to 1.017
    • Practice expense GPCI 1.026 changed to 1.017
    • Malpractice GPCI 0.546 changed to 0.711

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $136.26changed to$136.01

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.90 changed to 2.93
    • Malpractice RVU 0.11 changed to 0.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $131.75changed to$136.26

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.66 changed to 2.90
    • Work GPCI 1.018 changed to 1.023
    • Practice expense GPCI 1.020 changed to 1.026
    • Malpractice GPCI 0.657 changed to 0.546

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $131.53changed to$131.75

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.012 changed to 1.018
    • Practice expense GPCI 1.014 changed to 1.020
    • Malpractice GPCI 0.768 changed to 0.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $130.29changed to$131.53

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.63 changed to 2.66

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $130.16changed to$130.29

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.64 changed to 2.63
    • Work GPCI 1.015 changed to 1.012
    • Practice expense GPCI 1.012 changed to 1.014
    • Malpractice GPCI 0.770 changed to 0.768

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $131.48changed to$130.16

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.69 changed to 2.64
    • Work GPCI 1.018 changed to 1.015
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.772 changed to 0.770

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $131.68changed to$131.48

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $131.02changed to$131.68

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $131.73changed to$131.02

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.70 changed to 2.69
    • Malpractice RVU 0.10 changed to 0.11
    • Work GPCI 1.014 changed to 1.018
    • Practice expense GPCI 1.013 changed to 1.009
    • Malpractice GPCI 0.803 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $136.86changed to$131.73

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.03 changed to 2.70
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.017 changed to 1.013
    • Malpractice GPCI 0.834 changed to 0.803

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $136.86

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$129.69$55.17RVU26D
2026-07-01$129.69$55.17RVU26C
2026-04-01$129.69$55.17RVU26B
2026-01-01$129.69$55.17RVU26A
2025-10-01$123.47$59.95RVU25D
2025-07-01$123.47$59.95RVU25C
2025-04-01$123.47$59.95RVU25B
2025-01-01$123.47$59.95RVU25A
2024-10-01$128.40$60.69RVU24D
2024-07-01$128.40$60.69RVU24C
2024-04-01$128.40$60.69RVU24B
2024-03-09$128.40$60.69RVU24AR
2024-01-01$126.30$59.70RVU24A
2023-10-01$131.99$61.00RVU23D
2023-07-01$131.99$61.00RVU23C
2023-04-01$131.99$61.00RVU23B
2023-01-01$131.99$61.00RVU23A
2022-10-01$136.01$61.10RVU22D
2022-07-01$136.01$61.10RVU22C
2022-04-01$136.01$61.10RVU22B
2022-01-01$136.01$61.10RVU22A
2021-10-01$136.26$61.08RVU21D
2021-07-01$136.26$61.08RVU21C
2021-04-01$136.26$61.08RVU21B
2021-01-01$136.26$61.08RVU21A
2020-10-01$131.75$62.18RVU20D
2020-07-01$131.75$62.18RVU20C
2020-04-01$131.75$62.18RVU20B
2020-01-01$131.75$62.18RVU20A
2019-10-01$131.53$62.83RVU19D
2019-07-01$131.53$62.83RVU19C
2019-04-01$131.53$62.83RVU19B
2019-01-01$131.53$62.83RVU19A
2018-10-01$130.29$62.76RVU18D
2018-07-01$130.29$62.76RVU18C
2018-04-01$130.29$62.76RVU18B
2018-01-01$130.29$62.76RVU18AR1
2017-10-01$130.16$63.70RVU17D
2017-07-01$130.16$63.70RVU17C
2017-04-01$130.16$63.70RVU17B
2017-01-01$130.16$63.70RVU17A
2016-10-01$131.48$64.28RVU16D
2016-07-01$131.48$64.28RVU16C
2016-04-01$131.48$64.28RVU16B
2016-01-01$131.48$64.28RVU16A
2015-10-01$131.68$63.88RVU15D
2015-07-01$131.68$63.88RVU15C
2015-04-01$131.02$63.56RVU15B
2015-01-01$131.02$63.56RVU15A
2014-10-01$131.73$64.23RVU14D
2014-07-01$131.73$64.23RVU14C
2014-04-01$131.73$64.23RVU14B
2014-01-01$131.73$64.23RVU14A
2013-10-01$136.86$64.20RVU13D
2013-07-01$136.86$64.20RVU13C
2013-04-01$136.86$64.20RVU13B
2013-01-01$136.86$64.20RVU13AR

Price 69424 for an earlier date of service

Where the Dallas, TX rate applies

Dallas, TX is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

69424 billing questions

When is 69424 appropriate instead of an insertion code?

Use 69424 for removing an existing ventilating tube when general anesthesia is required. Tube placement codes describe inserting a new tube, not removing one.

Does the code include same-day follow-up care?

Yes. The zero-day global period includes same-day preoperative and postoperative care.

How is bilateral removal reported?

For removal from both ears, report modifier 50. CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 69424. Co-surgeons and team surgery are not permitted.

What documentation supports reporting 69424?

Document the ear treated, the tube removed, the reason for removal, and why general anesthesia was required.

What happens when other procedures are performed in the same session?

CMS pays the highest-valued procedure in full and other procedures at 50% under 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 69424PPRRVU2026_Oct_nonQPP.csv, line 7,604 (RVU26D)
Geographic factors for Dallas, TXGPCI2026.csv, line 99 (RVU26D)

Open CMS sourceHow we calculate rates

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