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

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 Delaware, Medicare pays $2,213.09 for 69554 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,213.09Hospital 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 Delaware
  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 Delaware 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. Delaware pays $2,213.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

69554 in Delaware vs other payment areas
  1. Delaware · this page$2,213.09
  2. Los Angeles, CA · California$2,389.31+$176.22
  3. Washington, DC area · District of Columbia$2,476.71+$263.62
  4. Miami, FL · Florida$2,532.77+$319.68
  5. Chicago, IL · Illinois$2,468.88+$255.79
  6. Manhattan, NY · New York$2,554.86+$341.77
  7. Alaska · Alaska$2,802.29+$589.20

Other areas in Delaware 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 Delaware 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

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 69554 in Delaware
ComponentRVULocality factorAdjusted
Physician work35.07× 1.00535.2453
Practice expense26.74× 0.98826.4191
Malpractice5.11× 0.8994.5939
Total RVUs66.2584
Conversion factor× 33.4009

Facility rate, Delaware$2213.09

Facility: (35.07 × 1.005 + 26.74 × 0.988 + 5.11 × 0.899) × $33.4009 = $2213.09

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 Delaware

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$2,213.09RVU26D
2026-07-01Not available in this setting$2,213.09RVU26C
2026-04-01Not available in this setting$2,213.09RVU26B
2026-01-01Not available in this setting$2,213.09RVU26A
2025-10-01Not available in this setting$2,450.59RVU25D
2025-07-01Not available in this setting$2,450.59RVU25C
2025-04-01Not available in this setting$2,450.59RVU25B
2025-01-01Not available in this setting$2,450.59RVU25A
2024-10-01Not available in this setting$2,522.80RVU24D
2024-07-01Not available in this setting$2,522.80RVU24C
2024-04-01Not available in this setting$2,522.80RVU24B
2024-03-09Not available in this setting$2,522.80RVU24AR
2024-01-01Not available in this setting$2,481.62RVU24A
2023-10-01Not available in this setting$2,586.94RVU23D
2023-07-01Not available in this setting$2,586.94RVU23C
2023-04-01Not available in this setting$2,586.94RVU23B
2023-01-01Not available in this setting$2,586.94RVU23A
2022-10-01Not available in this setting$2,634.44RVU22D
2022-07-01Not available in this setting$2,634.44RVU22C
2022-04-01Not available in this setting$2,634.44RVU22B
2022-01-01Not available in this setting$2,634.44RVU22A
2021-10-01Not available in this setting$2,614.38RVU21D
2021-07-01Not available in this setting$2,614.38RVU21C
2021-04-01Not available in this setting$2,614.38RVU21B
2021-01-01Not available in this setting$2,614.38RVU21A
2020-10-01Not available in this setting$2,618.79RVU20D
2020-07-01Not available in this setting$2,618.79RVU20C
2020-04-01Not available in this setting$2,618.79RVU20B
2020-01-01Not available in this setting$2,618.79RVU20A
2019-10-01Not available in this setting$2,641.65RVU19D
2019-07-01Not available in this setting$2,641.65RVU19C
2019-04-01Not available in this setting$2,641.65RVU19B
2019-01-01Not available in this setting$2,641.65RVU19A
2018-10-01Not available in this setting$2,616.60RVU18D
2018-07-01Not available in this setting$2,616.60RVU18C
2018-04-01Not available in this setting$2,616.60RVU18B
2018-01-01Not available in this setting$2,616.60RVU18AR1
2017-10-01Not available in this setting$2,649.15RVU17D
2017-07-01Not available in this setting$2,649.15RVU17C
2017-04-01Not available in this setting$2,649.15RVU17B
2017-01-01Not available in this setting$2,649.15RVU17A
2016-10-01Not available in this setting$2,583.46RVU16D
2016-07-01Not available in this setting$2,583.46RVU16C
2016-04-01Not available in this setting$2,583.46RVU16B
2016-01-01Not available in this setting$2,583.46RVU16A
2015-10-01Not available in this setting$2,676.80RVU15D
2015-07-01Not available in this setting$2,676.80RVU15C
2015-04-01Not available in this setting$2,663.48RVU15B
2015-01-01Not available in this setting$2,663.48RVU15A
2014-10-01Not available in this setting$2,635.58RVU14D
2014-07-01Not available in this setting$2,635.58RVU14C
2014-04-01Not available in this setting$2,635.58RVU14B
2014-01-01Not available in this setting$2,635.58RVU14A
2013-10-01Not available in this setting$2,592.07RVU13D
2013-07-01Not available in this setting$2,592.07RVU13C
2013-04-01Not available in this setting$2,592.07RVU13B
2013-01-01Not available in this setting$2,592.07RVU13AR

Price 69554 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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 DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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