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CPT code 69505: Mastoidectomy, radical procedure2026 Medicare rate & RVUs

Reports radical mastoid surgery to remove extensive disease involving the mastoid and create an open cavity, commonly for advanced chronic ear disease.

CMS RVU26DEffective Oct 1, 2026109 payment localities45 Medicare services in 2024

Medicare pays $1,128.28 for 69505 nationally in a facility.

Medicare rate · 69505

Mastoidectomy, radical procedure

Office or facility?

Work RVUs
12.84
Total RVUs
33.78
Global days
090

National rate · 2026

$1,128.28

Facility setting, before claim adjustments.

See every locality for 69505 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 69505 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 69505 covers

An otolaryngologist performs a radical mastoidectomy in the operating room to remove diseased mastoid and middle-ear structures and create an open cavity. It is generally used for extensive chronic ear disease, including cholesteatoma, when a less extensive mastoid operation is not sufficient. The operative report should describe the disease and the extent of removal so the radical procedure can be distinguished from a simple or complete mastoidectomy.

Report 69505 for the radical mastoidectomy itself; a radical mastoidectomy performed with tympanoplasty is represented by a different code. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with 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.

Where 69505 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

69505 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,021.56
AlaskaUnavailable$1,356.07
ArizonaUnavailable$1,099.54
ArkansasUnavailable$1,008.18
Atlanta, GAUnavailable$1,152.31
Austin, TXUnavailable$1,158.96
Bakersfield, CAUnavailable$1,173.16
Baltimore area, MDUnavailable$1,196.44
Beaumont, TXUnavailable$1,066.52
Brazoria, TXUnavailable$1,112.24

69505 rates by state

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

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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
69505 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

How the 69505 rate is calculated

Each of 69505’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 · 69505

RVUs × geographic indexes × conversion factor

Office or facility?

Work12.84

12.84 RVUs× 1.000 GPCI

Practice expense19.07

19.07 RVUs× 1.000 GPCI

Malpractice1.87

1.87 RVUs× 1.000 GPCI

Adjusted RVUs

33.7800

Conversion factor

$33.4009

Medicare rate

$1,128.28

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

Payment rules and modifiers for 69505

69505 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69505

Mastoidectomy, radical procedure

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 · 69505

Mastoidectomy, radical procedure

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

69505 without 50 · national facility

$1,128.28

Mastoidectomy, radical procedure

69505-50 · Bilateral: 150%

$1,692.42

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

69505 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 69505

    Mastoidectomy, radical procedure12.84 wRVU

    Not priced

  • 69501

    Mastoidectomy, complete, without tympanoplasty8.98 wRVU

    Not priced

  • 69502

    Mastoidectomy, complete mastoid dissection12.25 wRVU

    Not priced

  • 69511

    Mastoid surgery, radical, without tympanoplasty13.36 wRVU

    Not priced

How to choose

69501MastoidectomyComplete, without tympanoplasty
69501 represents a simple mastoidectomy. Use 69505 when the operative work and documented extent support a radical mastoidectomy.
69502MastoidectomyComplete mastoid dissection
69502 represents a complete mastoidectomy, while 69505 is for radical mastoid surgery. Base selection on the procedure actually documented, not the diagnosis alone.
69511Mastoid surgeryRadical, without tympanoplasty
69511 is the combined radical mastoidectomy and tympanoplasty code. Use 69505 for the radical mastoidectomy without that combined tympanoplasty service.

Codes related to 69505

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

Codes related to 69505
CodeHow it relatesNational office range
Same family
69501Mastoidectomy, complete, without tympanoplastyA less extensive mastoidectomy option within the mastoid surgery code family.No office rate
69502Mastoidectomy, complete mastoid dissectionA complete mastoidectomy; distinguish its extent from a radical procedure.No office rate
Used instead
69511Mastoid surgery, radical, without tympanoplastyRepresents radical mastoidectomy performed with tympanoplasty.No office rate

69505 billing questions

How does 69505 differ from a complete mastoidectomy?

Use 69505 when the operative work is a radical mastoidectomy, not simply a complete removal of mastoid air cells. The operative report should support the greater extent and radical nature of the procedure.

Can 69505 be reported with tympanoplasty?

A radical mastoidectomy performed with tympanoplasty is represented by 69511. Do not report 69505 as though it were the combined procedure.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral 69505 reported?

For a bilateral procedure, report modifier 50; Medicare pays the bilateral procedure at 150%.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% 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 69505PPRRVU2026_Oct_nonQPP.csv, line 7,611 (RVU26D)

Open CMS sourceHow we calculate rates

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