CPT code 69661: Stapes revision, revision surgery2026 Medicare rate & RVUs in California
Reports revision stapes surgery to restore sound transmission after prior stapedectomy or stapedotomy, such as for recurrent conductive hearing loss.
CMS doesn’t publish an office rate for 69661 in California.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 69661 covers
An otologist or other otolaryngologist performs revision stapedectomy or stapedotomy when a prior operation on the stapes requires surgical correction. The procedure addresses the stapes and ossicular sound-conduction pathway, often in a patient with recurrent conductive hearing loss after earlier stapes surgery. It is generally performed in an operating room; the operative report should establish that this is revision surgery rather than a first-time stapes procedure.
Report 69661 for the revision service, not the primary stapes procedure. Documentation should describe the prior operation, the reason for revision, and the work performed to restore ossicular continuity. Medicare 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 other procedures 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.
Where 69661 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $1,090.00 |
| Chico, CA | Unavailable | $1,083.45 |
| El Centro, CA | Unavailable | $1,083.83 |
| Fresno, CA | Unavailable | $1,083.45 |
| Hanford, CA | Unavailable | $1,083.45 |
| Los Angeles, CA | Unavailable | $1,146.50 |
| Madera, CA | Unavailable | $1,083.45 |
| Marin County, CA | Unavailable | $1,265.85 |
| Merced, CA | Unavailable | $1,083.45 |
| Modesto, CA | Unavailable | $1,083.45 |
| Napa, CA | Unavailable | $1,209.66 |
| Oxnard, CA | Unavailable | $1,136.20 |
| Redding, CA | Unavailable | $1,083.45 |
| Rest of California | Unavailable | $1,083.45 |
| Riverside, CA | Unavailable | $1,107.90 |
| Sacramento, CA | Unavailable | $1,124.83 |
| Salinas, CA | Unavailable | $1,120.36 |
| San Benito County, CA | Unavailable | $1,294.50 |
| San Diego, CA | Unavailable | $1,137.71 |
| San Francisco, CA | Unavailable | $1,263.28 |
| San Luis Obispo, CA | Unavailable | $1,103.69 |
| Santa Clara County, CA | Unavailable | $1,284.00 |
| Santa Cruz, CA | Unavailable | $1,141.53 |
| Santa Maria, CA | Unavailable | $1,122.10 |
| Santa Rosa, CA | Unavailable | $1,152.31 |
| Stockton, CA | Unavailable | $1,083.45 |
| Vallejo, CA | Unavailable | $1,205.96 |
| Visalia, CA | Unavailable | $1,083.45 |
| Yuba City, CA | Unavailable | $1,083.45 |
How the 69661 rate is calculated
Each of 69661’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 · 69661
RVUs × geographic indexes × conversion factor
Work15.52
15.52 RVUs× 1.000 GPCI
Practice expense14.09
14.09 RVUs× 1.000 GPCI
Malpractice2.26
2.26 RVUs× 1.000 GPCI
Adjusted RVUs
31.8700
Conversion factor
$33.4009
Medicare rate
$1,064.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 69661
69661 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69661
Stapes revision, revision surgery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.07/0.79/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 69661
Stapes revision, revision surgery
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
69661 without 50 · national facility
$1,064.49
Stapes revision, revision surgery
69661-50 · Bilateral: 150%
$1,596.74
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).
69661 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 69660Stapes surgeryPrimary procedure
- 69660 describes primary stapedectomy or stapedotomy. Choose 69661 when the operation revises a prior stapes procedure.
- 69662Stapes revisionPrior stapedectomy or stapedotomy
- This is another revision stapes code. Distinguish it from 69661 using the operative details and the applicable CPT descriptor.
- 69650Stapes mobilizationStapes freed without removal
- 69650 is stapes mobilization. It is not the revision stapedectomy or stapedotomy reported with 69661.
69661 billing questions
When should 69661 be chosen instead of 69660?
Use 69661 for revision stapes surgery after a prior stapedectomy or stapedotomy. Code 69660 describes the primary procedure.
Does using a prosthesis make this a different code?
The choice of 69661 is based on the revision nature of the operation, not simply whether a prosthesis is used. The operative report should support that prior stapes surgery is being revised.
Can a separate tympanoplasty be reported in the same session?
A distinct tympanoplasty may be reported when it is separately performed and documented. When multiple procedures are performed in the same session, Medicare applies the standard multiple procedure reduction.
How should bilateral revision stapes surgery be reported?
Report bilateral surgery 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.
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
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