CPT code 69602: Mastoid revision, modified radical outcome2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $956.49 for 69602 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 69602 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 69602 covers

An otolaryngologist revises a mastoid that has undergone prior surgery and extends the work to a modified radical configuration. This may be needed for persistent or recurrent disease, including cholesteatoma. The procedure is generally performed in an operating room; the operative findings and the completed surgical result distinguish it from a less extensive revision or a revision ending in a different mastoid configuration.

Report this code when the documented result is modified radical extent, not simply because the patient has had prior mastoid surgery. The operative report should identify the prior surgical site, the disease or findings addressed, and the extent and result of the revision. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented 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 Delaware compares for 69602

Across 109 of 109 payment localities, the facility rate for 69602 runs from $870.72 in Arkansas to $1,190.43 in Alaska. Delaware pays $956.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69602 rates by state

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

See 69602 in every payment locality

How the 69602 rate is calculated

Each of 69602’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 69602

69602 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 69602

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

How 69602 has changed in Delaware

Price 69602 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

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