CPT code 69660: Stapes surgery, primary procedure2026 Medicare rate & RVUs in Vermont

Reports primary stapes surgery to improve sound transmission when fixation, commonly from otosclerosis, causes conductive hearing loss.

CMS RVU26DEffective Oct 1, 2026One payment locality668 Medicare services in 2024

In Vermont, Medicare pays $786.91 for 69660 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$786.91Hospital or facility

Check a contract rate as a % of Medicare · 69660 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 69660 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 69660 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 69660 covers

An otolaryngologist performs this middle-ear operation to address a fixed stapes that is limiting sound transmission, often in a patient with conductive hearing loss from otosclerosis. The surgeon works through the ear canal, removes or creates an opening in the stapes footplate, and restores the sound-conducting pathway, commonly using a prosthesis. The procedure is generally performed in an operating room.

Report this code for the primary stapes operation, rather than a revision procedure or a case requiring footplate drill-out. The operative report should identify the stapes work performed, the condition treated, and whether the ossicular pathway was restored. 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 one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, 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 Vermont compares for 69660

Across 109 of 109 payment localities, the facility rate for 69660 runs from $738.99 in Arkansas to $1,013.13 in Alaska. Vermont pays $786.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

69660 in Vermont vs other payment areas
  1. Vermont · this page$786.91
  2. Los Angeles, CA · California$883.41+$96.50
  3. Washington, DC area · District of Columbia$912.45+$125.54
  4. Miami, FL · Florida$921.99+$135.08
  5. Chicago, IL · Illinois$897.98+$111.07
  6. Manhattan, NY · New York$937.63+$150.72
  7. Alaska · Alaska$1,013.13+$226.22

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

Every other payment area

69660 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$747.84
ArkansasArkansas—$738.99
ArizonaArizona—$799.26
Bakersfield, CACalifornia—$839.47
Chico, CACalifornia—$834.49
El Centro, CACalifornia—$834.78
Fresno, CACalifornia—$834.49
Hanford, CACalifornia—$834.49

69660 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
69660 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 69660 in every payment locality

How the 69660 rate is calculated

Each of 69660’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 · 69660

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.73

11.73 RVUs× 1.000 GPCI

Practice expense11.07

11.07 RVUs× 1.000 GPCI

Malpractice1.72

1.72 RVUs× 1.000 GPCI

Adjusted RVUs

24.5200

Conversion factor

$33.4009

Medicare rate

$818.99

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

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,638

Code
69660
Physician work
11.73
Practice expense
11.07
Malpractice
1.72

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Facility calculation for 69660 in Vermont
ComponentRVULocality factorAdjusted
Physician work11.73× 1.00011.7300
Practice expense11.07× 0.99010.9593
Malpractice1.72× 0.5060.8703
Total RVUs23.5596
Conversion factor× 33.4009

Facility rate, Vermont$786.91

Facility: (11.73 × 1 + 11.07 × 0.99 + 1.72 × 0.506) × $33.4009 = $786.91

Open 69660 in the RVU calculator

Payment rules and modifiers for 69660

69660 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69660

Stapes surgery, primary procedure

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 · 69660

Stapes surgery, primary procedure

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

69660 without 50 · national facility

$818.99

Stapes surgery, primary procedure

69660-50 · Bilateral: 150%

$1,228.49

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 69660 has changed in Vermont

69660 · 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$786.91RVU26D
2026-07-01Not available in this setting$786.91RVU26C
2026-04-01Not available in this setting$786.91RVU26B
2026-01-01Not available in this setting$786.91RVU26A
2025-10-01Not available in this setting$866.20RVU25D
2025-07-01Not available in this setting$866.20RVU25C
2025-04-01Not available in this setting$866.20RVU25B
2025-01-01Not available in this setting$866.20RVU25A
2024-10-01Not available in this setting$896.53RVU24D
2024-07-01Not available in this setting$896.53RVU24C
2024-04-01Not available in this setting$896.53RVU24B
2024-03-09Not available in this setting$896.53RVU24AR
2024-01-01Not available in this setting$881.90RVU24A
2023-10-01Not available in this setting$918.76RVU23D
2023-07-01Not available in this setting$918.76RVU23C
2023-04-01Not available in this setting$918.76RVU23B
2023-01-01Not available in this setting$918.76RVU23A
2022-10-01Not available in this setting$933.42RVU22D
2022-07-01Not available in this setting$933.42RVU22C
2022-04-01Not available in this setting$933.42RVU22B
2022-01-01Not available in this setting$933.42RVU22A
2021-10-01Not available in this setting$934.58RVU21D
2021-07-01Not available in this setting$934.58RVU21C
2021-04-01Not available in this setting$934.58RVU21B
2021-01-01Not available in this setting$934.58RVU21A
2020-10-01Not available in this setting$926.82RVU20D
2020-07-01Not available in this setting$926.82RVU20C
2020-04-01Not available in this setting$926.82RVU20B
2020-01-01Not available in this setting$926.82RVU20A
2019-10-01Not available in this setting$931.40RVU19D
2019-07-01Not available in this setting$931.40RVU19C
2019-04-01Not available in this setting$931.40RVU19B
2019-01-01Not available in this setting$931.40RVU19A
2018-10-01Not available in this setting$923.74RVU18D
2018-07-01Not available in this setting$923.74RVU18C
2018-04-01Not available in this setting$923.74RVU18B
2018-01-01Not available in this setting$923.74RVU18AR1
2017-10-01Not available in this setting$933.08RVU17D
2017-07-01Not available in this setting$933.08RVU17C
2017-04-01Not available in this setting$933.08RVU17B
2017-01-01Not available in this setting$933.08RVU17A
2016-10-01Not available in this setting$941.85RVU16D
2016-07-01Not available in this setting$941.85RVU16C
2016-04-01Not available in this setting$941.85RVU16B
2016-01-01Not available in this setting$941.85RVU16A
2015-10-01Not available in this setting$942.87RVU15D
2015-07-01Not available in this setting$942.87RVU15C
2015-04-01Not available in this setting$938.18RVU15B
2015-01-01Not available in this setting$938.18RVU15A
2014-10-01Not available in this setting$939.41RVU14D
2014-07-01Not available in this setting$939.41RVU14C
2014-04-01Not available in this setting$939.41RVU14B
2014-01-01Not available in this setting$939.41RVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 69660 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

69660 billing questions

How does this differ from 69661?

Use 69660 for primary stapes surgery without footplate drill-out. 69661 describes the distinct procedure involving drill-out of the footplate.

When is 69662 the better choice?

69662 is for revision stapes surgery. Use 69660 for the primary operation, not a reoperation on prior stapes surgery.

Can the prosthesis be reported separately?

The prosthesis is part of the stapes operation described by this code; do not separately report it as another physician procedure.

How is bilateral surgery reported?

Report bilateral performance with modifier 50. CMS pays the bilateral procedure at 150%.

What postoperative care is included?

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

Can an assistant surgeon or co-surgeon be paid?

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

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 69660PPRRVU2026_Oct_nonQPP.csv, line 7,638 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 69660 pays in Vermont?

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

Fee sheets

Put 69660 and the rest of your codes on one sheet

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

Build my fee sheet