CPT code 69535: Temporal bone surgery, radical resection2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $2,234.90 for 69535 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 69535 nationwide

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

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.

How North Carolina compares for 69535

Across 109 of 109 payment localities, the facility rate for 69535 runs from $2,141.28 in Arkansas to $2,956.30 in Alaska. North Carolina pays $2,234.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69535 rates by state

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

See 69535 in every payment locality

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.

Payment rules and modifiers for 69535

69535 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 69535

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

How 69535 has changed in North Carolina

Price 69535 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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

Open CMS sourceHow we calculate rates