CPT code 69661: Stapes revision, revision surgery2026 Medicare rate & RVUs in Washington, DC area
Reports revision stapes surgery to restore sound transmission after prior stapedectomy or stapedotomy, such as for recurrent conductive hearing loss.
In Washington, DC area, Medicare pays $1,184.78 for 69661 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 69661 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How Washington, DC area compares for 69661
Across 109 of 109 payment localities, the facility rate for 69661 runs from $961.52 in Arkansas to $1,320.37 in Alaska. Washington, DC area pays $1,184.78. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$1,184.78
- Los Angeles, CA · California$1,146.50−$38.28
- Miami, FL · Florida$1,199.20+$14.42
- Chicago, IL · Illinois$1,168.22−$16.56
- Manhattan, NY · New York$1,218.14+$33.36
- Alaska · Alaska$1,320.37+$135.59
- Alabama · Alabama$972.90−$211.88
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $961.52 |
| ArizonaArizona | — | $1,039.03 |
| Bakersfield, CACalifornia | — | $1,090.00 |
| Chico, CACalifornia | — | $1,083.45 |
| El Centro, CACalifornia | — | $1,083.83 |
| Fresno, CACalifornia | — | $1,083.45 |
| Hanford, CACalifornia | — | $1,083.45 |
| Madera, CACalifornia | — | $1,083.45 |
| Merced, CACalifornia | — | $1,083.45 |
| Modesto, CACalifornia | — | $1,083.45 |
| Napa, CACalifornia | — | $1,209.66 |
| Oxnard, CACalifornia | — | $1,136.20 |
| Redding, CACalifornia | — | $1,083.45 |
| Rest of CaliforniaCalifornia | — | $1,083.45 |
| Riverside, CACalifornia | — | $1,107.90 |
| Sacramento, CACalifornia | — | $1,124.83 |
| Salinas, CACalifornia | — | $1,120.36 |
| San Diego, CACalifornia | — | $1,137.71 |
| Marin County, CACalifornia | — | $1,265.85 |
| San Francisco, CACalifornia | — | $1,263.28 |
| San Benito County, CACalifornia | — | $1,294.50 |
| Santa Clara County, CACalifornia | — | $1,284.00 |
| San Luis Obispo, CACalifornia | — | $1,103.69 |
| Santa Cruz, CACalifornia | — | $1,141.53 |
| Santa Maria, CACalifornia | — | $1,122.10 |
| Santa Rosa, CACalifornia | — | $1,152.31 |
| Stockton, CACalifornia | — | $1,083.45 |
| Vallejo, CACalifornia | — | $1,205.96 |
| Visalia, CACalifornia | — | $1,083.45 |
| Yuba City, CACalifornia | — | $1,083.45 |
| ColoradoColorado | — | $1,084.30 |
| ConnecticutConnecticut | — | $1,126.94 |
| DelawareDelaware | — | $1,053.81 |
| Fort Lauderdale, FLFlorida | — | $1,131.60 |
| Rest of FloridaFlorida | — | $1,081.75 |
| Atlanta, GAGeorgia | — | $1,088.74 |
| Rest of GeorgiaGeorgia | — | $1,028.15 |
| Hawaii, Guam, HIHawaii | — | $1,097.18 |
| IowaIowa | — | $978.97 |
| IdahoIdaho | — | $987.06 |
| East St. Louis, ILIllinois | — | $1,103.38 |
| Rest of IllinoisIllinois | — | $1,066.04 |
| Suburban Chicago, ILIllinois | — | $1,139.10 |
| IndianaIndiana | — | $991.33 |
| KansasKansas | — | $981.87 |
| KentuckyKentucky | — | $1,005.83 |
| New Orleans, LALouisiana | — | $1,046.99 |
| Rest of LouisianaLouisiana | — | $1,007.20 |
| Metropolitan Boston, MAMassachusetts | — | $1,168.74 |
| Rest of MassachusettsMassachusetts | — | $1,082.40 |
| Baltimore area, MDMaryland | — | $1,125.03 |
| Rest of MarylandMaryland | — | $1,069.13 |
| Rest of MaineMaine | — | $998.30 |
| Southern Maine, MEMaine | — | $1,032.40 |
| Detroit, MIMichigan | — | $1,099.80 |
| Rest of MichiganMichigan | — | $1,033.28 |
| MinnesotaMinnesota | — | $1,024.99 |
| Metropolitan Kansas City, MOMissouri | — | $1,034.04 |
| Metropolitan St. Louis, MOMissouri | — | $1,042.05 |
| Rest of MissouriMissouri | — | $997.58 |
| MississippiMississippi | — | $979.37 |
| MontanaMontana | — | $1,064.34 |
| North CarolinaNorth Carolina | — | $1,005.70 |
| North DakotaNorth Dakota | — | $1,019.65 |
| NebraskaNebraska | — | $981.30 |
| New HampshireNew Hampshire | — | $1,074.35 |
| Northern New JerseyNew Jersey | — | $1,177.58 |
| Rest of New JerseyNew Jersey | — | $1,135.84 |
| New MexicoNew Mexico | — | $1,040.60 |
| NevadaNevada | — | $1,052.35 |
| NYC suburbs and Long Island, NYNew York | — | $1,251.30 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,148.37 |
| Queens, NYNew York | — | $1,216.68 |
| Rest of New YorkNew York | — | $1,018.54 |
| OhioOhio | — | $1,024.15 |
| OklahomaOklahoma | — | $997.30 |
| Portland, OROregon | — | $1,105.70 |
| Rest of OregonOregon | — | $1,040.18 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,107.68 |
| Rest of PennsylvaniaPennsylvania | — | $1,021.74 |
| Puerto RicoPuerto Rico | — | $1,068.53 |
| Rhode IslandRhode Island | — | $1,081.71 |
| South CarolinaSouth Carolina | — | $1,017.40 |
| South DakotaSouth Dakota | — | $1,014.36 |
| TennesseeTennessee | — | $986.71 |
| Austin, TXTexas | — | $1,084.21 |
| Beaumont, TXTexas | — | $1,016.77 |
| Brazoria, TXTexas | — | $1,047.79 |
| Dallas, TXTexas | — | $1,056.55 |
| Fort Worth, TXTexas | — | $1,052.83 |
| Galveston, TXTexas | — | $1,052.36 |
| Houston, TXTexas | — | $1,093.72 |
| Rest of TexasTexas | — | $1,033.16 |
| UtahUtah | — | $1,028.55 |
| VirginiaVirginia | — | $1,034.29 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,068.53 |
| VermontVermont | — | $1,022.49 |
| Rest of WashingtonWashington | — | $1,078.13 |
| King County, WAWashington | — | $1,183.42 |
| WisconsinWisconsin | — | $992.48 |
| West VirginiaWest Virginia | — | $1,035.37 |
| WyomingWyoming | — | $1,044.86 |
69661 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,639
- Code
- 69661
- Physician work
- 15.52
- Practice expense
- 14.09
- Malpractice
- 2.26
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.52 | × 1.054 | 16.3581 |
| Practice expense | 14.09 | × 1.178 | 16.5980 |
| Malpractice | 2.26 | × 1.113 | 2.5154 |
| Total RVUs | 35.4715 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$1184.78
Facility: (15.52 × 1.054 + 14.09 × 1.178 + 2.26 × 1.113) × $33.4009 = $1184.78
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).
How 69661 has changed in Washington, DC area
69661 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,184.78 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,184.78 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,184.78 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,184.78 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,320.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,320.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,320.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,320.60 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,367.35 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,367.35 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,367.35 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,367.35 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,345.03 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,413.54 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,413.54 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,413.54 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,413.54 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,444.04 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,444.04 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,444.04 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,444.04 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,448.19 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,448.19 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,448.19 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,448.19 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,416.57 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,416.57 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,416.57 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,416.57 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,404.52 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,404.52 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,404.52 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,404.52 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,392.59 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,392.59 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,392.59 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,392.59 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,406.79 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,406.79 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,406.79 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,406.79 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,426.37 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,426.37 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,426.37 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,426.37 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,424.67 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,424.67 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,417.58 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,417.58 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,411.54 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,411.54 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,411.54 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,411.54 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,406.87 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,406.87 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,406.87 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,406.87 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
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
Fee sheets
Put 69661 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet