HCPCS code G0268: Earwax removal, same-day audiologic testing2026 Medicare rate & RVUs in North Carolina
G0268 reports a physician’s removal of impacted earwax from one or both ears on the same date as audiologic function testing.
In North Carolina, Medicare pays $47.59 for G0268 in the office and $26.09 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · G0268 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 G0268 covers
G0268 covers a physician’s removal of impacted cerumen when audiologic function testing is also performed that day. The physician may use instruments such as a curette, forceps, or suction under direct visualization to clear obstructing wax. Otolaryngologists and other physicians may perform the service in an office or another clinical setting; the removal can allow testing to proceed or improve the reliability of the results.
Report G0268 for the removal, not for the audiologic test itself. The record should identify the impacted cerumen, the ear or ears treated, the removal method, and the same-day audiologic testing. The code is priced as bilateral, so report it once for one or both ears; modifier 50 does not increase payment. It has a 0-day global period, with same-day preoperative and postoperative care included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Medicare does not pay an assistant at surgery for this code, and 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 North Carolina compares for G0268
Across 109 of 109 payment localities, the office rate for G0268 runs from $45.18 in Arkansas to $63.76 in San Benito County, CA. North Carolina pays $47.59. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$47.59
- Los Angeles, CA · California$55.48+$7.89
- Washington, DC area · District of Columbia$56.80+$9.21
- Miami, FL · Florida$55.67+$8.08
- Chicago, IL · Illinois$54.17+$6.58
- Manhattan, NY · New York$57.81+$10.22
- Alaska · Alaska$60.91+$13.32
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $45.77 | $25.60 |
| ArkansasArkansas | $45.18 | $25.39 |
| ArizonaArizona | $49.18 | $26.85 |
| Bakersfield, CACalifornia | $52.46 | $27.20 |
| Chico, CACalifornia | $52.22 | $26.96 |
| El Centro, CACalifornia | $52.24 | $26.98 |
| Fresno, CACalifornia | $52.22 | $26.96 |
| Hanford, CACalifornia | $52.22 | $26.96 |
| Madera, CACalifornia | $52.22 | $26.96 |
| Merced, CACalifornia | $52.22 | $26.96 |
| Modesto, CACalifornia | $52.22 | $26.96 |
| Napa, CACalifornia | $59.28 | $28.91 |
| Oxnard, CACalifornia | $55.09 | $27.84 |
| Redding, CACalifornia | $52.22 | $26.96 |
| Rest of CaliforniaCalifornia | $52.22 | $26.96 |
| Riverside, CACalifornia | $53.09 | $27.83 |
| Sacramento, CACalifornia | $54.48 | $27.67 |
| Salinas, CACalifornia | $54.27 | $27.56 |
| San Diego, CACalifornia | $55.30 | $27.74 |
| Marin County, CACalifornia | $62.37 | $29.87 |
| San Francisco, CACalifornia | $62.27 | $29.78 |
| San Benito County, CACalifornia | $63.76 | $30.53 |
| Santa Clara County, CACalifornia | $63.39 | $30.16 |
| San Luis Obispo, CACalifornia | $53.43 | $27.18 |
| Santa Cruz, CACalifornia | $55.64 | $27.64 |
| Santa Maria, CACalifornia | $54.40 | $27.53 |
| Santa Rosa, CACalifornia | $56.18 | $27.88 |
| Stockton, CACalifornia | $52.22 | $26.96 |
| Vallejo, CACalifornia | $59.15 | $28.78 |
| Visalia, CACalifornia | $52.22 | $26.96 |
| Yuba City, CACalifornia | $52.22 | $26.96 |
| ColoradoColorado | $51.88 | $27.36 |
| ConnecticutConnecticut | $53.55 | $28.73 |
| DelawareDelaware | $49.93 | $27.16 |
| Fort Lauderdale, FLFlorida | $52.96 | $29.61 |
| Rest of FloridaFlorida | $50.54 | $28.51 |
| Atlanta, GAGeorgia | $51.48 | $28.07 |
| Rest of GeorgiaGeorgia | $47.92 | $27.36 |
| Hawaii, Guam, HIHawaii | $53.15 | $26.95 |
| IowaIowa | $46.44 | $25.35 |
| IdahoIdaho | $46.78 | $25.58 |
| East St. Louis, ILIllinois | $50.90 | $29.70 |
| Rest of IllinoisIllinois | $49.50 | $28.46 |
| Suburban Chicago, ILIllinois | $53.39 | $29.72 |
| IndianaIndiana | $47.01 | $25.65 |
| KansasKansas | $46.42 | $25.58 |
| KentuckyKentucky | $47.09 | $26.61 |
| New Orleans, LALouisiana | $49.14 | $27.46 |
| Rest of LouisianaLouisiana | $47.10 | $26.70 |
| Metropolitan Boston, MAMassachusetts | $56.39 | $28.87 |
| Rest of MassachusettsMassachusetts | $51.70 | $27.43 |
| Baltimore area, MDMaryland | $53.43 | $28.70 |
| Rest of MarylandMaryland | $50.75 | $27.43 |
| Rest of MaineMaine | $47.18 | $25.98 |
| Southern Maine, MEMaine | $49.20 | $26.36 |
| Detroit, MIMichigan | $51.29 | $29.05 |
| Rest of MichiganMichigan | $48.34 | $27.30 |
| MinnesotaMinnesota | $49.37 | $25.65 |
| Metropolitan Kansas City, MOMissouri | $48.66 | $27.02 |
| Metropolitan St. Louis, MOMissouri | $49.09 | $27.15 |
| Rest of MissouriMissouri | $46.49 | $26.63 |
| MississippiMississippi | $45.84 | $25.99 |
| MontanaMontana | $50.43 | $27.38 |
| North DakotaNorth Dakota | $48.85 | $25.80 |
| NebraskaNebraska | $46.61 | $25.34 |
| New HampshireNew Hampshire | $51.25 | $27.26 |
| Northern New JerseyNew Jersey | $56.35 | $29.61 |
| Rest of New JerseyNew Jersey | $54.06 | $28.90 |
| New MexicoNew Mexico | $48.64 | $27.51 |
| NevadaNevada | $50.02 | $26.95 |
| NYC suburbs and Long Island, NYNew York | $59.29 | $31.89 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $54.55 | $29.31 |
| Queens, NYNew York | $57.98 | $30.74 |
| Rest of New YorkNew York | $48.24 | $26.34 |
| OhioOhio | $48.02 | $26.97 |
| OklahomaOklahoma | $46.84 | $26.26 |
| Portland, OROregon | $53.18 | $27.58 |
| Rest of OregonOregon | $49.53 | $26.58 |
| Metropolitan Philadelphia, PAPennsylvania | $52.46 | $28.46 |
| Rest of PennsylvaniaPennsylvania | $47.99 | $26.83 |
| Puerto RicoPuerto Rico | $50.70 | $27.40 |
| Rhode IslandRhode Island | $51.45 | $27.64 |
| South CarolinaSouth Carolina | $47.90 | $26.61 |
| South DakotaSouth Dakota | $48.66 | $25.61 |
| TennesseeTennessee | $46.65 | $25.70 |
| Austin, TXTexas | $51.80 | $27.41 |
| Beaumont, TXTexas | $47.72 | $26.75 |
| Brazoria, TXTexas | $49.75 | $26.91 |
| Dallas, TXTexas | $50.12 | $27.17 |
| Fort Worth, TXTexas | $49.88 | $27.15 |
| Galveston, TXTexas | $49.94 | $27.05 |
| Houston, TXTexas | $51.40 | $28.52 |
| Rest of TexasTexas | $48.75 | $26.87 |
| UtahUtah | $48.48 | $26.82 |
| VirginiaVirginia | $49.17 | $26.52 |
| Virgin Islands, VIUnited States Virgin Islands | $50.70 | $27.40 |
| VermontVermont | $48.83 | $26.02 |
| Rest of WashingtonWashington | $51.54 | $27.27 |
| King County, WAWashington | $57.30 | $29.02 |
| WisconsinWisconsin | $47.41 | $25.33 |
| West VirginiaWest Virginia | $47.91 | $27.88 |
| WyomingWyoming | $49.74 | $26.69 |
G0268 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.
$45.18
$60.91
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $60.91 | 1 |
| AL | $45.77 | 1 |
| AR | $45.18 | 1 |
| AZ | $49.18 | 1 |
| CA | $52.22–$63.76 | 29 |
| CO | $51.88 | 1 |
| CT | $53.55 | 1 |
| DC | $56.80 | 1 |
| DE | $49.93 | 1 |
| FL | $50.54–$55.67 | 3 |
| GA | $47.92–$51.48 | 2 |
| GU | $53.15 | 1 |
| HI | $53.15 | 1 |
| IA | $46.44 | 1 |
| ID | $46.78 | 1 |
| IL | $49.50–$54.17 | 4 |
| IN | $47.01 | 1 |
| KS | $46.42 | 1 |
| KY | $47.09 | 1 |
| LA | $47.10–$49.14 | 2 |
| MA | $51.70–$56.39 | 2 |
| MD | $50.75–$56.80 | 3 |
| ME | $47.18–$49.20 | 2 |
| MI | $48.34–$51.29 | 2 |
| MN | $49.37 | 1 |
| MO | $46.49–$49.09 | 3 |
| MS | $45.84 | 1 |
| MT | $50.43 | 1 |
| NC | $47.59 | 1 |
| ND | $48.85 | 1 |
| NE | $46.61 | 1 |
| NH | $51.25 | 1 |
| NJ | $54.06–$56.35 | 2 |
| NM | $48.64 | 1 |
| NV | $50.02 | 1 |
| NY | $48.24–$59.29 | 5 |
| OH | $48.02 | 1 |
| OK | $46.84 | 1 |
| OR | $49.53–$53.18 | 2 |
| PA | $47.99–$52.46 | 2 |
| PR | $50.70 | 1 |
| RI | $51.45 | 1 |
| SC | $47.90 | 1 |
| SD | $48.66 | 1 |
| TN | $46.65 | 1 |
| TX | $47.72–$51.80 | 8 |
| UT | $48.48 | 1 |
| VA | $49.17–$56.80 | 2 |
| VI | $50.70 | 1 |
| VT | $48.83 | 1 |
| WA | $51.54–$57.30 | 2 |
| WI | $47.41 | 1 |
| WV | $47.91 | 1 |
| WY | $49.74 | 1 |
How the G0268 rate is calculated
Each of G0268’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 · G0268
RVUs × geographic indexes × conversion factor
Work0.59
0.59 RVUs× 1.000 GPCI
Practice expense0.84
0.84 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
1.5100
Conversion factor
$33.4009
Medicare rate
$50.44
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
15,160
- Code
- G0268
- Physician work
- 0.59
- Practice expense
- 0.84
- Malpractice
- 0.08
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.000 | 0.5900 |
| Practice expense | 0.84 | × 0.933 | 0.7837 |
| Malpractice | 0.08 | × 0.639 | 0.0511 |
| Total RVUs | 1.4248 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$47.59
Office: (0.59 × 1 + 0.84 × 0.933 + 0.08 × 0.639) × $33.4009 = $47.59
Facility: (0.59 × 1 + 0.15 × 0.933 + 0.08 × 0.639) × $33.4009 = $26.09
Payment rules and modifiers for G0268
The CMS indicators that decide how G0268 is paid alongside other services.
CMS payment indicators · G0268
Earwax removal, same-day audiologic testing
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
G0268 without 51 · national office
$50.44
Earwax removal, same-day audiologic testing
G0268-51 · Second procedure: 50%
$25.22
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How G0268 has changed in North Carolina
G0268 · Office / nonfacility
$47.59
Effective 2026-10-01
The base rate is $0.08 higher than on 2025-10-01, moving from $47.51 to $47.59 (0.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$47.51changed to$47.59
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.61 changed to 0.59
- Practice expense RVU 0.87 changed to 0.84
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.665 changed to 0.639
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$49.11changed to$47.51
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$48.31changed to$49.11
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$50.52changed to$48.31
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.10 changed to 0.09
- Practice expense GPCI 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$50.64changed to$50.52
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.84 changed to 0.87
- Malpractice RVU 0.09 changed to 0.10
- Practice expense GPCI 0.928 changed to 0.927
- Malpractice GPCI 0.819 changed to 0.742
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$49.44changed to$50.64
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.79 changed to 0.84
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$48.97changed to$49.44
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.73 changed to 0.79
- Practice expense GPCI 0.930 changed to 0.928
- Malpractice GPCI 0.757 changed to 0.819
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$47.72changed to$48.97
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.70 changed to 0.73
- Practice expense GPCI 0.931 changed to 0.930
- Malpractice GPCI 0.695 changed to 0.757
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$50.35changed to$47.72
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.78 changed to 0.70
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$50.99changed to$50.35
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.80 changed to 0.78
- Malpractice GPCI 0.732 changed to 0.695
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$51.62changed to$50.99
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.82 changed to 0.80
- Practice expense GPCI 0.930 changed to 0.931
- Malpractice GPCI 0.768 changed to 0.732
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$51.47changed to$51.62
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.81 changed to 0.82
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$51.22changed to$51.47
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$50.26changed to$51.22
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.83 changed to 0.81
- Malpractice RVU 0.03 changed to 0.09
- Practice expense GPCI 0.929 changed to 0.930
- Malpractice GPCI 0.732 changed to 0.768
Held through RVU15B.
January 1, 2014
RVU14A
$50.16changed to$50.26
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.91 changed to 0.83
- Practice expense GPCI 0.927 changed to 0.929
- Malpractice GPCI 0.695 changed to 0.732
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $50.16
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $47.59 | $26.09 | RVU26D |
| 2026-07-01 | $47.59 | $26.09 | RVU26C |
| 2026-04-01 | $47.59 | $26.09 | RVU26B |
| 2026-01-01 | $47.59 | $26.09 | RVU26A |
| 2025-10-01 | $47.51 | $30.14 | RVU25D |
| 2025-07-01 | $47.51 | $30.14 | RVU25C |
| 2025-04-01 | $47.51 | $30.14 | RVU25B |
| 2025-01-01 | $47.51 | $30.14 | RVU25A |
| 2024-10-01 | $49.11 | $31.24 | RVU24D |
| 2024-07-01 | $49.11 | $31.24 | RVU24C |
| 2024-04-01 | $49.11 | $31.24 | RVU24B |
| 2024-03-09 | $49.11 | $31.24 | RVU24AR |
| 2024-01-01 | $48.31 | $30.73 | RVU24A |
| 2023-10-01 | $50.52 | $32.30 | RVU23D |
| 2023-07-01 | $50.52 | $32.30 | RVU23C |
| 2023-04-01 | $50.52 | $32.30 | RVU23B |
| 2023-01-01 | $50.52 | $32.30 | RVU23A |
| 2022-10-01 | $50.64 | $32.65 | RVU22D |
| 2022-07-01 | $50.64 | $32.65 | RVU22C |
| 2022-04-01 | $50.64 | $32.65 | RVU22B |
| 2022-01-01 | $50.64 | $32.65 | RVU22A |
| 2021-10-01 | $49.44 | $32.60 | RVU21D |
| 2021-07-01 | $49.44 | $32.60 | RVU21C |
| 2021-04-01 | $49.44 | $32.60 | RVU21B |
| 2021-01-01 | $49.44 | $32.60 | RVU21A |
| 2020-10-01 | $48.97 | $33.20 | RVU20D |
| 2020-07-01 | $48.97 | $33.20 | RVU20C |
| 2020-04-01 | $48.97 | $33.20 | RVU20B |
| 2020-01-01 | $48.97 | $33.20 | RVU20A |
| 2019-10-01 | $47.72 | $32.96 | RVU19D |
| 2019-07-01 | $47.72 | $32.96 | RVU19C |
| 2019-04-01 | $47.72 | $32.96 | RVU19B |
| 2019-01-01 | $47.72 | $32.96 | RVU19A |
| 2018-10-01 | $50.35 | $32.93 | RVU18D |
| 2018-07-01 | $50.35 | $32.93 | RVU18C |
| 2018-04-01 | $50.35 | $32.93 | RVU18B |
| 2018-01-01 | $50.35 | $32.93 | RVU18AR1 |
| 2017-10-01 | $50.99 | $33.28 | RVU17D |
| 2017-07-01 | $50.99 | $33.28 | RVU17C |
| 2017-04-01 | $50.99 | $33.28 | RVU17B |
| 2017-01-01 | $50.99 | $33.28 | RVU17A |
| 2016-10-01 | $51.62 | $33.31 | RVU16D |
| 2016-07-01 | $51.62 | $33.31 | RVU16C |
| 2016-04-01 | $51.62 | $33.31 | RVU16B |
| 2016-01-01 | $51.62 | $33.31 | RVU16A |
| 2015-10-01 | $51.47 | $33.43 | RVU15D |
| 2015-07-01 | $51.47 | $33.43 | RVU15C |
| 2015-04-01 | $51.22 | $33.26 | RVU15B |
| 2015-01-01 | $51.22 | $33.26 | RVU15A |
| 2014-10-01 | $50.26 | $31.96 | RVU14D |
| 2014-07-01 | $50.26 | $31.96 | RVU14C |
| 2014-04-01 | $50.26 | $31.96 | RVU14B |
| 2014-01-01 | $50.26 | $31.96 | RVU14A |
| 2013-10-01 | $50.16 | $30.93 | RVU13D |
| 2013-07-01 | $50.16 | $30.93 | RVU13C |
| 2013-04-01 | $50.16 | $30.93 | RVU13B |
| 2013-01-01 | $50.16 | $30.93 | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
G0268 billing questions
When should G0268 be used instead of 69210?
G0268 is for physician removal of impacted cerumen on the same date as audiologic function testing. For impacted cerumen removal without same-day audiologic testing, 69210 may be the relevant removal code.
Is G0268 reported once for both ears?
Yes. The code is priced as bilateral and covers removal from one or both ears. Report it once; modifier 50 does not increase payment.
Can the audiologic test be billed separately?
G0268 reports the physician’s cerumen removal, not the audiologic test. Report the test separately when it is performed and documented, such as comprehensive audiometry reported with 92557.
What documentation supports G0268?
Document impacted cerumen, the ear or ears treated, the removal method, and that audiologic function testing occurred on the same date.
Does G0268 have a global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. An assistant at surgery is not paid, and 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
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