CPT code 69554: Glomus tumor excision, extended resection2026 Medicare rate & RVUs in Connecticut

Reports extended surgical removal of an aural glomus tumor when the operative work exceeds the limited transcanal or transmastoid approaches.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Connecticut, Medicare pays $2,363.23 for 69554 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,363.23Hospital or facility

Check a contract rate as a % of Medicare · 69554 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 69554 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 69554 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 69554 covers

An otologist or neurotologist performs an extended operation to remove an aural glomus tumor, a vascular tumor arising in the ear region. These operations take place in the operating room and may involve broader exposure than removal through the ear canal or a transmastoid approach. The operative report should describe the tumor site, surgical approach, exposure, and extent of removal so the extended service is distinguishable from the more limited procedures in this code family.

Report this code for the extended operation, not simply because a tumor is large or difficult; the documented surgical work and approach support the code choice. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery reported with modifier 50, CMS pays 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires 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 Connecticut compares for 69554

Across 109 of 109 payment localities, the facility rate for 69554 runs from $2,026.48 in Arkansas to $2,802.29 in Alaska. Connecticut pays $2,363.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

69554 in Connecticut vs other payment areas
  1. Connecticut · this page$2,363.23
  2. Los Angeles, CA · California$2,389.31+$26.08
  3. Washington, DC area · District of Columbia$2,476.71+$113.48
  4. Miami, FL · Florida$2,532.77+$169.54
  5. Chicago, IL · Illinois$2,468.88+$105.65
  6. Manhattan, NY · New York$2,554.86+$191.63
  7. Alaska · Alaska$2,802.29+$439.06

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

Every other payment area

69554 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$2,049.47
ArkansasArkansas—$2,026.48
ArizonaArizona—$2,182.92
Bakersfield, CACalifornia—$2,276.45
Chico, CACalifornia—$2,261.65
El Centro, CACalifornia—$2,262.50
Fresno, CACalifornia—$2,261.65
Hanford, CACalifornia—$2,261.65

69554 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
69554 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 69554 in every payment locality

How the 69554 rate is calculated

Each of 69554’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 · 69554

RVUs × geographic indexes × conversion factor

Office or facility?

Work35.07

35.07 RVUs× 1.000 GPCI

Practice expense26.74

26.74 RVUs× 1.000 GPCI

Malpractice5.11

5.11 RVUs× 1.000 GPCI

Adjusted RVUs

66.9200

Conversion factor

$33.4009

Medicare rate

$2,235.19

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,618

Code
69554
Physician work
35.07
Practice expense
26.74
Malpractice
5.11

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 69554 in Connecticut
ComponentRVULocality factorAdjusted
Physician work35.07× 1.02035.7714
Practice expense26.74× 1.07728.7990
Malpractice5.11× 1.2106.1831
Total RVUs70.7535
Conversion factor× 33.4009

Facility rate, Connecticut$2363.23

Facility: (35.07 × 1.02 + 26.74 × 1.077 + 5.11 × 1.21) × $33.4009 = $2363.23

Open 69554 in the RVU calculator

Payment rules and modifiers for 69554

69554 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69554

Glomus tumor excision, extended resection

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 69554

Glomus tumor excision, extended 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.

  • 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

69554 without 50 · national facility

$2,235.19

Glomus tumor excision, extended resection

69554-50 · Bilateral: 150%

$3,352.79

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 69554 has changed in Connecticut

69554 · 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$2,363.23RVU26D
2026-07-01Not available in this setting$2,363.23RVU26C
2026-04-01Not available in this setting$2,363.23RVU26B
2026-01-01Not available in this setting$2,363.23RVU26A
2025-10-01Not available in this setting$2,620.53RVU25D
2025-07-01Not available in this setting$2,620.53RVU25C
2025-04-01Not available in this setting$2,620.53RVU25B
2025-01-01Not available in this setting$2,620.53RVU25A
2024-10-01Not available in this setting$2,698.05RVU24D
2024-07-01Not available in this setting$2,698.05RVU24C
2024-04-01Not available in this setting$2,698.05RVU24B
2024-03-09Not available in this setting$2,698.05RVU24AR
2024-01-01Not available in this setting$2,654.01RVU24A
2023-10-01Not available in this setting$2,750.78RVU23D
2023-07-01Not available in this setting$2,750.78RVU23C
2023-04-01Not available in this setting$2,750.78RVU23B
2023-01-01Not available in this setting$2,750.78RVU23A
2022-10-01Not available in this setting$2,785.32RVU22D
2022-07-01Not available in this setting$2,785.32RVU22C
2022-04-01Not available in this setting$2,785.32RVU22B
2022-01-01Not available in this setting$2,785.32RVU22A
2021-10-01Not available in this setting$2,763.16RVU21D
2021-07-01Not available in this setting$2,763.16RVU21C
2021-04-01Not available in this setting$2,763.16RVU21B
2021-01-01Not available in this setting$2,763.16RVU21A
2020-10-01Not available in this setting$2,763.20RVU20D
2020-07-01Not available in this setting$2,763.20RVU20C
2020-04-01Not available in this setting$2,763.20RVU20B
2020-01-01Not available in this setting$2,763.20RVU20A
2019-10-01Not available in this setting$2,788.05RVU19D
2019-07-01Not available in this setting$2,788.05RVU19C
2019-04-01Not available in this setting$2,788.05RVU19B
2019-01-01Not available in this setting$2,788.05RVU19A
2018-10-01Not available in this setting$2,760.77RVU18D
2018-07-01Not available in this setting$2,760.77RVU18C
2018-04-01Not available in this setting$2,760.77RVU18B
2018-01-01Not available in this setting$2,760.77RVU18AR1
2017-10-01Not available in this setting$2,794.85RVU17D
2017-07-01Not available in this setting$2,794.85RVU17C
2017-04-01Not available in this setting$2,794.85RVU17B
2017-01-01Not available in this setting$2,794.85RVU17A
2016-10-01Not available in this setting$2,720.64RVU16D
2016-07-01Not available in this setting$2,720.64RVU16C
2016-04-01Not available in this setting$2,720.64RVU16B
2016-01-01Not available in this setting$2,720.64RVU16A
2015-10-01Not available in this setting$2,822.13RVU15D
2015-07-01Not available in this setting$2,822.13RVU15C
2015-04-01Not available in this setting$2,808.09RVU15B
2015-01-01Not available in this setting$2,808.09RVU15A
2014-10-01Not available in this setting$2,796.92RVU14D
2014-07-01Not available in this setting$2,796.92RVU14C
2014-04-01Not available in this setting$2,796.92RVU14B
2014-01-01Not available in this setting$2,796.92RVU14A
2013-10-01Not available in this setting$2,773.96RVU13D
2013-07-01Not available in this setting$2,773.96RVU13C
2013-04-01Not available in this setting$2,773.96RVU13B
2013-01-01Not available in this setting$2,773.96RVU13AR

Price 69554 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

69554 billing questions

How does this differ from codes 69550 and 69552?

Those codes describe more limited transcanal and transmastoid approaches, respectively. Use 69554 when the operative report supports an extended operation rather than either limited approach.

Does the 90-day global period include related postoperative visits?

Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can modifier 50 be used for bilateral surgery?

CMS identifies this as a bilateral procedure. When modifier 50 is reported for bilateral surgery, payment is 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What documentation supports choosing the extended procedure?

The operative report should identify the tumor site and describe the approach, exposure, and extent of the removal, showing why the work was extended rather than transcanal or transmastoid.

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 69554PPRRVU2026_Oct_nonQPP.csv, line 7,618 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 69554 pays in Connecticut?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 69554 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist