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.

CMS RVU26DEffective Oct 1, 2026One payment locality338 Medicare services in 2024

In Nevada, Medicare pays $830.70 for 69502 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$830.70Hospital or facility

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.

We’ll open 69502 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 69502 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 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.

69502 in Nevada vs other payment areas
  1. Nevada · this page$830.70
  2. Los Angeles, CA · California$904.85+$74.15
  3. Washington, DC area · District of Columbia$935.31+$104.61
  4. Miami, FL · Florida$947.51+$116.81
  5. Chicago, IL · Illinois$922.94+$92.24
  6. Manhattan, NY · New York$961.90+$131.20
  7. Alaska · Alaska$1,042.07+$211.37

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

Every other payment area

69502 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
69502 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 69502 in every payment locality

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

Office or facility?

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
Facility calculation for 69502 in Nevada
ComponentRVULocality factorAdjusted
Physician work12.25× 1.00012.2500
Practice expense11.11× 1.00111.1211
Malpractice1.80× 0.8331.4994
Total RVUs24.8705
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

Open 69502 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.07/0.79/0.14Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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).

When to use modifier 50

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.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$830.70RVU26D
2026-07-01Not available in this setting$830.70RVU26C
2026-04-01Not available in this setting$830.70RVU26B
2026-01-01Not available in this setting$830.70RVU26A
2025-10-01Not available in this setting$906.60RVU25D
2025-07-01Not available in this setting$906.60RVU25C
2025-04-01Not available in this setting$906.60RVU25B
2025-01-01Not available in this setting$906.60RVU25A
2024-10-01Not available in this setting$938.86RVU24D
2024-07-01Not available in this setting$938.86RVU24C
2024-04-01Not available in this setting$938.86RVU24B
2024-03-09Not available in this setting$938.86RVU24AR
2024-01-01Not available in this setting$923.53RVU24A
2023-10-01Not available in this setting$972.04RVU23D
2023-07-01Not available in this setting$972.04RVU23C
2023-04-01Not available in this setting$972.04RVU23B
2023-01-01Not available in this setting$972.04RVU23A
2022-10-01Not available in this setting$1,000.04RVU22D
2022-07-01Not available in this setting$1,000.04RVU22C
2022-04-01Not available in this setting$1,000.04RVU22B
2022-01-01Not available in this setting$1,000.04RVU22A
2021-10-01Not available in this setting$1,010.87RVU21D
2021-07-01Not available in this setting$1,010.87RVU21C
2021-04-01Not available in this setting$1,010.87RVU21B
2021-01-01Not available in this setting$1,010.87RVU21A
2020-10-01Not available in this setting$988.27RVU20D
2020-07-01Not available in this setting$988.27RVU20C
2020-04-01Not available in this setting$988.27RVU20B
2020-01-01Not available in this setting$988.27RVU20A
2019-10-01Not available in this setting$989.00RVU19D
2019-07-01Not available in this setting$989.00RVU19C
2019-04-01Not available in this setting$989.00RVU19B
2019-01-01Not available in this setting$989.00RVU19A
2018-10-01Not available in this setting$991.13RVU18D
2018-07-01Not available in this setting$991.13RVU18C
2018-04-01Not available in this setting$991.13RVU18B
2018-01-01Not available in this setting$991.13RVU18AR1
2017-10-01Not available in this setting$1,016.59RVU17D
2017-07-01Not available in this setting$1,016.59RVU17C
2017-04-01Not available in this setting$1,016.59RVU17B
2017-01-01Not available in this setting$1,016.59RVU17A
2016-10-01Not available in this setting$1,032.16RVU16D
2016-07-01Not available in this setting$1,032.16RVU16C
2016-04-01Not available in this setting$1,032.16RVU16B
2016-01-01Not available in this setting$1,032.16RVU16A
2015-10-01Not available in this setting$1,033.14RVU15D
2015-07-01Not available in this setting$1,033.14RVU15C
2015-04-01Not available in this setting$1,028.00RVU15B
2015-01-01Not available in this setting$1,028.00RVU15A
2014-10-01Not available in this setting$1,038.44RVU14D
2014-07-01Not available in this setting$1,038.44RVU14C
2014-04-01Not available in this setting$1,038.44RVU14B
2014-01-01Not available in this setting$1,038.44RVU14A
2013-10-01Not available in this setting$1,047.11RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 69502 for an earlier date of service

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

Browse all communities in Nevada

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
RVUs for 69502PPRRVU2026_Oct_nonQPP.csv, line 7,610 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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