CPT code 69650: Stapes mobilization, stapes freed without removal2026 Medicare rate & RVUs in New Mexico

An otologist surgically frees a fixed stapes to address conductive hearing loss when the operative work is mobilization rather than stapes removal.

CMS RVU26DEffective Oct 1, 2026One payment locality48 Medicare services in 2024

In New Mexico, Medicare pays $697.59 for 69650 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$697.59Hospital or facility

Check a contract rate as a % of Medicare · 69650 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 69650 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 69650 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 69650 covers

An otologist or other otolaryngologist performs this middle-ear operation to free a stapes that is abnormally fixed and limiting sound transmission. It is generally performed in an operating room under magnification, commonly for conductive hearing loss associated with stapes fixation. The defining work is mobilizing the stapes; a procedure that removes or opens the stapes and restores ossicular continuity is coded according to the applicable stapes surgery code instead.

Report 69650 when the operative report supports mobilization as the procedure performed, rather than a more extensive stapes operation. Documentation should identify the affected ear, the stapes fixation or other indication, and the work performed on the stapes. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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 is restricted; 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 New Mexico compares for 69650

Across 109 of 109 payment localities, the facility rate for 69650 runs from $645.34 in Arkansas to $886.49 in San Benito County, CA. New Mexico pays $697.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

69650 in New Mexico vs other payment areas
  1. New Mexico · this page$697.59
  2. Los Angeles, CA · California$779.31+$81.72
  3. Washington, DC area · District of Columbia$802.55+$104.96
  4. Miami, FL · Florida$802.86+$105.27
  5. Chicago, IL · Illinois$781.57+$83.98
  6. Manhattan, NY · New York$822.07+$124.48
  7. Alaska · Alaska$879.12+$181.53

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

Every other payment area

69650 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$653.34
ArkansasArkansas—$645.34
ArizonaArizona—$699.86
Bakersfield, CACalifornia—$739.13
Chico, CACalifornia—$735.10
El Centro, CACalifornia—$735.33
Fresno, CACalifornia—$735.10
Hanford, CACalifornia—$735.10

69650 rates by state

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

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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
69650 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 69650 in every payment locality

How the 69650 rate is calculated

Each of 69650’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 · 69650

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.56

9.56 RVUs× 1.000 GPCI

Practice expense10.53

10.53 RVUs× 1.000 GPCI

Malpractice1.39

1.39 RVUs× 1.000 GPCI

Adjusted RVUs

21.4800

Conversion factor

$33.4009

Medicare rate

$717.45

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,637

Code
69650
Physician work
9.56
Practice expense
10.53
Malpractice
1.39

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 69650 in New Mexico
ComponentRVULocality factorAdjusted
Physician work9.56× 1.0009.5600
Practice expense10.53× 0.9179.6560
Malpractice1.39× 1.2011.6694
Total RVUs20.8854
Conversion factor× 33.4009

Facility rate, New Mexico$697.59

Facility: (9.56 × 1 + 10.53 × 0.917 + 1.39 × 1.201) × $33.4009 = $697.59

Open 69650 in the RVU calculator

Payment rules and modifiers for 69650

69650 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69650

Stapes mobilization, stapes freed without removal

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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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 · 69650

Stapes mobilization, stapes freed without removal

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

69650 without 50 · national facility

$717.45

Stapes mobilization, stapes freed without removal

69650-50 · Bilateral: 150%

$1,076.18

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 69650 has changed in New Mexico

69650 · 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$697.59RVU26D
2026-07-01Not available in this setting$697.59RVU26C
2026-04-01Not available in this setting$697.59RVU26B
2026-01-01Not available in this setting$697.59RVU26A
2025-10-01Not available in this setting$748.53RVU25D
2025-07-01Not available in this setting$748.53RVU25C
2025-04-01Not available in this setting$748.53RVU25B
2025-01-01Not available in this setting$748.53RVU25A
2024-10-01Not available in this setting$776.23RVU24D
2024-07-01Not available in this setting$776.23RVU24C
2024-04-01Not available in this setting$776.23RVU24B
2024-03-09Not available in this setting$776.23RVU24AR
2024-01-01Not available in this setting$763.56RVU24A
2023-10-01Not available in this setting$787.49RVU23D
2023-07-01Not available in this setting$787.49RVU23C
2023-04-01Not available in this setting$787.49RVU23B
2023-01-01Not available in this setting$787.49RVU23A
2022-10-01Not available in this setting$795.93RVU22D
2022-07-01Not available in this setting$795.93RVU22C
2022-04-01Not available in this setting$795.93RVU22B
2022-01-01Not available in this setting$795.93RVU22A
2021-10-01Not available in this setting$796.43RVU21D
2021-07-01Not available in this setting$796.43RVU21C
2021-04-01Not available in this setting$796.43RVU21B
2021-01-01Not available in this setting$796.43RVU21A
2020-10-01Not available in this setting$792.61RVU20D
2020-07-01Not available in this setting$792.61RVU20C
2020-04-01Not available in this setting$792.61RVU20B
2020-01-01Not available in this setting$792.61RVU20A
2019-10-01Not available in this setting$802.01RVU19D
2019-07-01Not available in this setting$802.01RVU19C
2019-04-01Not available in this setting$802.01RVU19B
2019-01-01Not available in this setting$802.01RVU19A
2018-10-01Not available in this setting$796.27RVU18D
2018-07-01Not available in this setting$796.27RVU18C
2018-04-01Not available in this setting$796.27RVU18B
2018-01-01Not available in this setting$796.27RVU18AR1
2017-10-01Not available in this setting$805.06RVU17D
2017-07-01Not available in this setting$805.06RVU17C
2017-04-01Not available in this setting$805.06RVU17B
2017-01-01Not available in this setting$805.06RVU17A
2016-10-01Not available in this setting$806.89RVU16D
2016-07-01Not available in this setting$806.89RVU16C
2016-04-01Not available in this setting$806.89RVU16B
2016-01-01Not available in this setting$806.89RVU16A
2015-10-01Not available in this setting$805.28RVU15D
2015-07-01Not available in this setting$805.28RVU15C
2015-04-01Not available in this setting$801.28RVU15B
2015-01-01Not available in this setting$801.28RVU15A
2014-10-01Not available in this setting$797.66RVU14D
2014-07-01Not available in this setting$797.66RVU14C
2014-04-01Not available in this setting$797.66RVU14B
2014-01-01Not available in this setting$797.66RVU14A
2013-10-01Not available in this setting$794.37RVU13D
2013-07-01Not available in this setting$794.37RVU13C
2013-04-01Not available in this setting$794.37RVU13B
2013-01-01Not available in this setting$794.37RVU13AR

Price 69650 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

69650 billing questions

When should 69650 be chosen instead of a stapedectomy code?

Use 69650 when the documented operation mobilizes the stapes. If the surgeon removes or opens the stapes and restores ossicular continuity, select the applicable stapedectomy or stapedotomy code instead.

What documentation supports 69650?

The operative report should identify the ear, the reason for surgery such as stapes fixation with conductive hearing loss, and the specific mobilization performed.

Does the 90-day global period include postoperative care?

Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.

How is bilateral 69650 paid?

CMS pays a bilateral procedure reported with modifier 50 at 150%.

Can an assistant surgeon or co-surgeon be billed?

CMS applies a statutory restriction to assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple-procedure reduction, CMS pays the highest-valued procedure in full and the other procedures at 50%.

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 69650PPRRVU2026_Oct_nonQPP.csv, line 7,637 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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