CPT code 69535: Temporal bone surgery, radical resection2026 Medicare rate & RVUs in Florida
Reports extensive temporal bone removal, generally for disease requiring resection beyond a mastoidectomy, performed by an otologic or skull-base surgeon.
CMS doesn’t publish an office rate for 69535 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 69535 covers
This operation removes temporal bone as part of an extensive ear or skull-base resection. The operative field may include the external auditory canal, middle ear, and mastoid, depending on the disease and planned extent. Otologists, neurotologists, and other surgeons experienced in skull-base procedures typically perform it in an operating room, often for destructive or malignant disease involving these structures. The operative report should identify the involved anatomy and describe the resection performed.
Select this code for the temporal bone resection itself, not simply because a mastoid operation is extensive. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery under the statutory restriction; co-surgeons require supporting documentation, and team surgery is 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 69535 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $2,519.67 |
| Miami, FL | Unavailable | $2,674.65 |
| Rest of Florida | Unavailable | $2,410.40 |
How the 69535 rate is calculated
Each of 69535’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 · 69535
RVUs × geographic indexes × conversion factor
Work36.48
36.48 RVUs× 1.000 GPCI
Practice expense28.98
28.98 RVUs× 1.000 GPCI
Malpractice5.31
5.31 RVUs× 1.000 GPCI
Adjusted RVUs
70.7700
Conversion factor
$33.4009
Medicare rate
$2,363.78
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 69535
69535 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69535
Temporal bone surgery, radical resection
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 69535
Temporal bone surgery, radical resection
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
69535 without 50 · national facility
$2,363.78
Temporal bone surgery, radical resection
69535-50 · Bilateral: 150%
$3,545.67
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).
69535 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 69511Mastoid surgeryRadical, without tympanoplasty
- Use 69511 for radical mastoid surgery when the operative report supports that procedure. Use 69535 when the documented work is temporal bone resection.
- 69530Mastoid surgeryExtensive procedure
- 69530 describes an extensive mastoid operation; 69535 is for temporal bone removal. The operative anatomy and extent, not a general label of extensive surgery, distinguish them.
- 69552Aural tumor excisionTransmastoid approach
- 69552 identifies transmastoid excision of an aural glomus tumor. 69535 describes temporal bone resection rather than that tumor- and approach-specific procedure.
69535 billing questions
How is this different from a mastoidectomy code?
This code describes resection of temporal bone, potentially involving more than the mastoid. Choose a mastoidectomy code when the documented operation is a mastoid procedure rather than temporal bone resection.
What documentation supports reporting this code?
The operative report should establish the disease being treated and specify the temporal bone structures removed. It should make clear why the operation was a temporal bone resection rather than a mastoidectomy alone.
Is related postoperative care included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery under the statutory restriction. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
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
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