FeeBase
Log inGet started
Menu

CPT code 69667: Window repair, round window fistula2026 Medicare rate & RVUs

Reports operative closure of a round window fistula, typically performed by an otolaryngologist to seal a suspected perilymph leak in the middle ear.

CMS RVU26DEffective Oct 1, 2026109 payment localities356 Medicare services in 2024

Medicare pays $723.80 for 69667 nationally in a facility.

Medicare rate · 69667

Window repair, round window fistula

Office or facility?

Work RVUs
9.65
Total RVUs
21.67
Global days
090

National rate · 2026

$723.80

Facility setting, before claim adjustments.

See every locality for 69667 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 69667 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 69667 covers

An otolaryngologist, often an otologist or neurotologist, uses an operative approach through the ear canal to expose and seal a fistula at the round window. The procedure may address suspected perilymph leakage associated with hearing or balance symptoms, including after pressure-related injury. A graft or other sealing material may be placed over the defect. The service is generally performed in an operating room under surgical conditions.

Report this code when the operative work specifically repairs the round window fistula; the operative note should identify the site and describe the repair. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple procedure reduction. 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 69667 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

69667 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$658.75
AlaskaUnavailable$886.33
ArizonaUnavailable$705.92
ArkansasUnavailable$650.64
Atlanta, GAUnavailable$740.09
Austin, TXUnavailable$739.46
Bakersfield, CAUnavailable$745.04
Baltimore area, MDUnavailable$766.15
Beaumont, TXUnavailable$688.58
Brazoria, TXUnavailable$712.61

69667 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
69667 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

How the 69667 rate is calculated

Each of 69667’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 · 69667

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.65

9.65 RVUs× 1.000 GPCI

Practice expense10.58

10.58 RVUs× 1.000 GPCI

Malpractice1.44

1.44 RVUs× 1.000 GPCI

Adjusted RVUs

21.6700

Conversion factor

$33.4009

Medicare rate

$723.80

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

Payment rules and modifiers for 69667

69667 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69667

Window repair, round window fistula

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)0Not paid without supporting documentation.
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 · 69667

Window repair, round window fistula

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

69667 without 50 · national facility

$723.80

Window repair, round window fistula

69667-50 · Bilateral: 150%

$1,085.70

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

69667 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 69667

    Window repair, round window fistula9.65 wRVU

    Not priced

  • 69666

    Fistula repair, oval window9.64 wRVU

    Not priced

  • 69631

    Tympanoplasty, no mastoidectomy or chain reconstruction9.8 wRVU

    Not priced

  • 69632

    Tympanoplasty, without mastoidectomy, with ossicular reconstruction12.64 wRVU

    Not priced

How to choose

69666Fistula repairOval window
This code is for a round window fistula; 69666 is for an oval window fistula. Use the documented repair site to distinguish them.
69631TympanoplastyNo mastoidectomy or chain reconstruction
69631 addresses tympanic membrane repair by tympanoplasty, not an isolated round window fistula repair.
69632TympanoplastyWithout mastoidectomy, with ossicular reconstruction
69632 is a tympanoplasty code that includes ossicular chain reconstruction; 69667 identifies repair at the round window.

Codes related to 69667

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

Codes related to 69667
CodeHow it relatesNational office range
Same family
69666Fistula repair, oval windowRepairs a fistula at the oval window rather than the round window.No office rate

69667 billing questions

How is 69667 distinguished from 69666?

69667 is for repair at the round window; 69666 is for repair at the oval window. The operative report should identify which window was repaired.

Does a suspected perilymph leak alone support reporting 69667?

The operative documentation should show that the surgeon repaired a fistula at the round window. A suspected leak without that documented repair does not establish the service.

Is the preoperative visit included in the global period?

Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

How does Medicare handle bilateral repair?

For a bilateral procedure, modifier 50 is paid at 150%.

Can an assistant surgeon be reported?

Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.

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 69667PPRRVU2026_Oct_nonQPP.csv, line 7,642 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 69667 pays?

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

Fee sheets

Put 69667 and the rest of your codes on one sheet

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

Build my fee sheet