CPT code 69601: Mastoid revision, complete mastoidectomy result2026 Medicare rate & RVUs in Wisconsin

In Wisconsin, Medicare pays $844.07 for 69601 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 69601 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 69601 covers

An otologist revises a mastoid that has undergone prior surgery and extends the work to a complete mastoidectomy. The operation addresses mastoid disease or anatomy requiring further surgical clearance; it is performed in an operating room, commonly in a hospital facility. The operative report should establish the prior mastoid procedure and describe the extent of the revision and the resulting complete mastoidectomy.

Select this code based on the operative result, not simply because the patient has a history of mastoid surgery. The related preoperative visit on the day before surgery and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 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.

How Wisconsin compares for 69601

Across 109 of 109 payment localities, the facility rate for 69601 runs from $817.33 in Arkansas to $1,121.69 in Alaska. Wisconsin pays $844.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69601 rates by state

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

See 69601 in every payment locality

How the 69601 rate is calculated

Each of 69601’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 69601

69601 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 69601

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

How 69601 has changed in Wisconsin

Price 69601 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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