CPT code 69502: Mastoidectomy, complete mastoid dissection2026 Medicare rate & RVUs in Nevada
Reports complete surgical removal of diseased mastoid air cells, typically for chronic ear disease, when the operative extent supports this level of mastoid surgery.
In Nevada, Medicare pays $830.70 for 69502 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 69502 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 69502 covers
An otolaryngologist performs this operation to open the mastoid behind the ear and remove diseased air cells. Typical indications include chronic mastoid infection or cholesteatoma involving the mastoid. The operative report should make clear the extent of the dissection and distinguish it from a more limited mastoid operation or a more extensive procedure. This service is generally performed in a hospital or other surgical facility.
Select the code from the documented operative work, not the diagnosis alone. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; 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 Nevada compares for 69502
Across 109 of 109 payment localities, the facility rate for 69502 runs from $758.88 in Arkansas to $1,042.07 in Alaska. Nevada pays $830.70. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada · this page$830.70
- Los Angeles, CA · California$904.85+$74.15
- Washington, DC area · District of Columbia$935.31+$104.61
- Miami, FL · Florida$947.51+$116.81
- Chicago, IL · Illinois$922.94+$92.24
- Manhattan, NY · New York$961.90+$131.20
- Alaska · Alaska$1,042.07+$211.37
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $767.89 |
| ArkansasArkansas | — | $758.88 |
| ArizonaArizona | — | $820.21 |
| Bakersfield, CACalifornia | — | $860.26 |
| Chico, CACalifornia | — | $855.05 |
| El Centro, CACalifornia | — | $855.35 |
| Fresno, CACalifornia | — | $855.05 |
| Hanford, CACalifornia | — | $855.05 |
| Madera, CACalifornia | — | $855.05 |
| Merced, CACalifornia | — | $855.05 |
| Modesto, CACalifornia | — | $855.05 |
| Napa, CACalifornia | — | $954.57 |
| Oxnard, CACalifornia | — | $896.69 |
| Redding, CACalifornia | — | $855.05 |
| Rest of CaliforniaCalifornia | — | $855.05 |
| Riverside, CACalifornia | — | $874.52 |
| Sacramento, CACalifornia | — | $887.69 |
| Salinas, CACalifornia | — | $884.16 |
| San Diego, CACalifornia | — | $897.84 |
| Marin County, CACalifornia | — | $998.86 |
| San Francisco, CACalifornia | — | $996.81 |
| San Benito County, CACalifornia | — | $1,021.50 |
| Santa Clara County, CACalifornia | — | $1,013.14 |
| San Luis Obispo, CACalifornia | — | $871.01 |
| Santa Cruz, CACalifornia | — | $900.85 |
| Santa Maria, CACalifornia | — | $885.53 |
| Santa Rosa, CACalifornia | — | $909.35 |
| Stockton, CACalifornia | — | $855.05 |
| Vallejo, CACalifornia | — | $951.62 |
| Visalia, CACalifornia | — | $855.05 |
| Yuba City, CACalifornia | — | $855.05 |
| ColoradoColorado | — | $855.86 |
| ConnecticutConnecticut | — | $889.75 |
| DelawareDelaware | — | $831.89 |
| Fort Lauderdale, FLFlorida | — | $893.77 |
| Rest of FloridaFlorida | — | $854.28 |
| Atlanta, GAGeorgia | — | $859.62 |
| Rest of GeorgiaGeorgia | — | $811.83 |
| Hawaii, Guam, HIHawaii | — | $865.89 |
| IowaIowa | — | $772.57 |
| IdahoIdaho | — | $779.00 |
| East St. Louis, ILIllinois | — | $871.64 |
| Rest of IllinoisIllinois | — | $841.93 |
| Suburban Chicago, ILIllinois | — | $899.66 |
| IndianaIndiana | — | $782.37 |
| KansasKansas | — | $774.92 |
| KentuckyKentucky | — | $794.07 |
| New Orleans, LALouisiana | — | $826.65 |
| Rest of LouisianaLouisiana | — | $795.17 |
| Metropolitan Boston, MAMassachusetts | — | $922.52 |
| Rest of MassachusettsMassachusetts | — | $854.38 |
| Baltimore area, MDMaryland | — | $888.25 |
| Rest of MarylandMaryland | — | $843.98 |
| Rest of MaineMaine | — | $787.95 |
| Southern Maine, MEMaine | — | $814.84 |
| Detroit, MIMichigan | — | $868.62 |
| Rest of MichiganMichigan | — | $815.84 |
| MinnesotaMinnesota | — | $808.80 |
| Metropolitan Kansas City, MOMissouri | — | $816.35 |
| Metropolitan St. Louis, MOMissouri | — | $822.67 |
| Rest of MissouriMissouri | — | $787.59 |
| MississippiMississippi | — | $773.09 |
| MontanaMontana | — | $840.25 |
| North CarolinaNorth Carolina | — | $793.80 |
| North DakotaNorth Dakota | — | $804.65 |
| NebraskaNebraska | — | $774.40 |
| New HampshireNew Hampshire | — | $848.07 |
| Northern New JerseyNew Jersey | — | $929.61 |
| Rest of New JerseyNew Jersey | — | $896.70 |
| New MexicoNew Mexico | — | $821.65 |
| NYC suburbs and Long Island, NYNew York | — | $988.21 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $906.66 |
| Queens, NYNew York | — | $960.66 |
| Rest of New YorkNew York | — | $803.96 |
| OhioOhio | — | $808.56 |
| OklahomaOklahoma | — | $787.25 |
| Portland, OROregon | — | $872.71 |
| Rest of OregonOregon | — | $821.03 |
| Metropolitan Philadelphia, PAPennsylvania | — | $874.55 |
| Rest of PennsylvaniaPennsylvania | — | $806.63 |
| Puerto RicoPuerto Rico | — | $843.55 |
| Rhode IslandRhode Island | — | $853.89 |
| South CarolinaSouth Carolina | — | $803.15 |
| South DakotaSouth Dakota | — | $800.45 |
| TennesseeTennessee | — | $778.76 |
| Austin, TXTexas | — | $855.85 |
| Beaumont, TXTexas | — | $802.70 |
| Brazoria, TXTexas | — | $827.07 |
| Dallas, TXTexas | — | $834.03 |
| Fort Worth, TXTexas | — | $831.10 |
| Galveston, TXTexas | — | $830.70 |
| Houston, TXTexas | — | $863.65 |
| Rest of TexasTexas | — | $815.61 |
| UtahUtah | — | $811.97 |
| VirginiaVirginia | — | $816.38 |
| Virgin Islands, VIUnited States Virgin Islands | — | $843.55 |
| VermontVermont | — | $806.96 |
| Rest of WashingtonWashington | — | $850.98 |
| King County, WAWashington | — | $934.06 |
| WisconsinWisconsin | — | $783.18 |
| West VirginiaWest Virginia | — | $817.67 |
| WyomingWyoming | — | $824.74 |
69502 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 69502 rate is calculated
Each of 69502’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 · 69502
RVUs × geographic indexes × conversion factor
Work12.25
12.25 RVUs× 1.000 GPCI
Practice expense11.11
11.11 RVUs× 1.000 GPCI
Malpractice1.80
1.80 RVUs× 1.000 GPCI
Adjusted RVUs
25.1600
Conversion factor
$33.4009
Medicare rate
$840.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nevada inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,610
- Code
- 69502
- Physician work
- 12.25
- Practice expense
- 11.11
- Malpractice
- 1.80
GPCI2026.csv
73
- Locality
- Nevada
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.25 | × 1.000 | 12.2500 |
| Practice expense | 11.11 | × 1.001 | 11.1211 |
| Malpractice | 1.80 | × 0.833 | 1.4994 |
| Total RVUs | 24.8705 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada$830.70
Facility: (12.25 × 1 + 11.11 × 1.001 + 1.8 × 0.833) × $33.4009 = $830.70
Payment rules and modifiers for 69502
69502 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69502
Mastoidectomy, complete mastoid dissection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.07/0.79/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 69502
Mastoidectomy, complete mastoid dissection
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
69502 without 50 · national facility
$840.37
Mastoidectomy, complete mastoid dissection
69502-50 · Bilateral: 150%
$1,260.56
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).
How 69502 has changed in Nevada
69502 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $830.70 | RVU26D |
| 2026-07-01 | Not available in this setting | $830.70 | RVU26C |
| 2026-04-01 | Not available in this setting | $830.70 | RVU26B |
| 2026-01-01 | Not available in this setting | $830.70 | RVU26A |
| 2025-10-01 | Not available in this setting | $906.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $906.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $906.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $906.60 | RVU25A |
| 2024-10-01 | Not available in this setting | $938.86 | RVU24D |
| 2024-07-01 | Not available in this setting | $938.86 | RVU24C |
| 2024-04-01 | Not available in this setting | $938.86 | RVU24B |
| 2024-03-09 | Not available in this setting | $938.86 | RVU24AR |
| 2024-01-01 | Not available in this setting | $923.53 | RVU24A |
| 2023-10-01 | Not available in this setting | $972.04 | RVU23D |
| 2023-07-01 | Not available in this setting | $972.04 | RVU23C |
| 2023-04-01 | Not available in this setting | $972.04 | RVU23B |
| 2023-01-01 | Not available in this setting | $972.04 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,000.04 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,000.04 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,000.04 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,000.04 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,010.87 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,010.87 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,010.87 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,010.87 | RVU21A |
| 2020-10-01 | Not available in this setting | $988.27 | RVU20D |
| 2020-07-01 | Not available in this setting | $988.27 | RVU20C |
| 2020-04-01 | Not available in this setting | $988.27 | RVU20B |
| 2020-01-01 | Not available in this setting | $988.27 | RVU20A |
| 2019-10-01 | Not available in this setting | $989.00 | RVU19D |
| 2019-07-01 | Not available in this setting | $989.00 | RVU19C |
| 2019-04-01 | Not available in this setting | $989.00 | RVU19B |
| 2019-01-01 | Not available in this setting | $989.00 | RVU19A |
| 2018-10-01 | Not available in this setting | $991.13 | RVU18D |
| 2018-07-01 | Not available in this setting | $991.13 | RVU18C |
| 2018-04-01 | Not available in this setting | $991.13 | RVU18B |
| 2018-01-01 | Not available in this setting | $991.13 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,016.59 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,016.59 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,016.59 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,016.59 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,032.16 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,032.16 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,032.16 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,032.16 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,033.14 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,033.14 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,028.00 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,028.00 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,038.44 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,038.44 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,038.44 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,038.44 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,047.11 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Nevada rate applies
Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
- Alamo
- Amargosa Valley
- Austin
- Baker
- Battle Mountain
- Beatty
- Beaverdam
- Bennett Springs
69502 billing questions
How is this different from 69501?
The distinction is the extent of the mastoid operation. Use the operative report to determine whether the work is the complete dissection represented by 69502 or the more limited operation represented by 69501.
When should 69505 be considered instead?
69505 represents a modified radical mastoid operation. Choose between it and 69502 based on the operative extent and technique documented, rather than the diagnosis by itself.
How should bilateral surgery be reported?
Report bilateral surgery with modifier 50. CMS pays the bilateral procedure at 150%.
Can an assistant-at-surgery claim be submitted?
Yes, when the record documents medical necessity for the assistant. CMS does not permit co-surgeon or team-surgery reporting for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in that session are paid 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
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