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

In South Carolina, Medicare pays $689.73 for 69667 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 69667 nationwide

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

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.

How South Carolina compares for 69667

Across 109 of 109 payment localities, the facility rate for 69667 runs from $650.64 in Arkansas to $893.13 in San Benito County, CA. South Carolina pays $689.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69667 rates by state

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

See 69667 in every payment locality

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.

Payment rules and modifiers for 69667

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

What modifiers do to the payment

When to use modifier 50

Codes related to 69667

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

How 69667 has changed in South Carolina

Price 69667 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Abney Crossroads
• Adams Run
• Aiken
• Alcolu
• Allendale
• Anderson
• Andrews

Browse all communities in South Carolina

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

Open CMS sourceHow we calculate rates