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Billing code 69554: Glomus tumor excisionMedicare rate & RVUs

Reports extended surgical removal of an aural glomus tumor when the operative work exceeds the limited transcanal or transmastoid approaches.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $2,235.19 for 69554 nationally in a facility.

Medicare rate · 69554

Glomus tumor excision

Swap in your local Medicare rate.

Work RVUs
35.07
Total RVUs
66.92
Global days
090

National rate · 2026

$2,235.19

Facility setting, before claim adjustments.

See every locality for 69554 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 69554 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 69554 covers

An otologist or neurotologist performs an extended operation to remove an aural glomus tumor, a vascular tumor arising in the ear region. These operations take place in the operating room and may involve broader exposure than removal through the ear canal or a transmastoid approach. The operative report should describe the tumor site, surgical approach, exposure, and extent of removal so the extended service is distinguishable from the more limited procedures in this code family.

Report this code for the extended operation, not simply because a tumor is large or difficult; the documented surgical work and approach support the code choice. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery reported with modifier 50, CMS pays 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 69554 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

69554 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$2,049.47
Alaska*Unavailable$2,802.29
ArizonaUnavailable$2,182.92
ArkansasUnavailable$2,026.48
AtlantaUnavailable$2,287.30
AustinUnavailable$2,269.88
BakersfieldUnavailable$2,276.45
Baltimore/Surr. CntysUnavailable$2,359.58
BeaumontUnavailable$2,142.69
BrazoriaUnavailable$2,198.97

69554 rates by state

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

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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
69554 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 69554 rate is calculated

Each of 69554’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 · 69554

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 35.07Practice expense 26.74Malpractice 5.11

66.9200 adjusted RVUs×$33.4009 conversion factor=$2,235.19

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 69554

69554 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69554

Glomus tumor excision

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 69554

Glomus tumor excision

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

69554 without 50 · national facility

$2,235.19

Glomus tumor excision

69554-50 · Bilateral: 150%

$3,352.79

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

69554 compared with similar codes

Compare codes

69554 vs 69550 vs 69552 vs 69540: national Medicare rates

Swap in your local Medicare rate.

  • 69554
    Glomus tumor excision · 35.07 wRVU
    —
  • 69550
    Glomus tumor excision · 10.87 wRVU
    —
  • 69552
    Aural tumor excision · 19.31 wRVU
    —
  • 69540
    Aural polyp · 1.22 wRVU
    $210.09

How to choose

69550Glomus tumor excision
69550 is the transcanal approach. Choose 69554 only when the documented operation is extended rather than limited to that approach.
69552Aural tumor excision
69552 describes a transmastoid approach. The operative extent and exposure distinguish it from the extended operation reported with 69554.
69540Aural polyp
69540 is for excision of an aural polyp, not an aural glomus tumor. The diagnosis and operative findings distinguish these services.

Codes related to 69554

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

Codes related to 69554
CodeHow it relatesNational office range
Same family
69550Glomus tumor excisionLimited transcanal approach for aural glomus tumor removal.No office rate
69552Aural tumor excisionLimited transmastoid approach for aural glomus tumor removal.No office rate

69554 billing questions

How does this differ from codes 69550 and 69552?

Those codes describe more limited transcanal and transmastoid approaches, respectively. Use 69554 when the operative report supports an extended operation rather than either limited approach.

Does the 90-day global period include related postoperative visits?

Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can modifier 50 be used for bilateral surgery?

CMS identifies this as a bilateral procedure. When modifier 50 is reported for bilateral surgery, payment is 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What documentation supports choosing the extended procedure?

The operative report should identify the tumor site and describe the approach, exposure, and extent of the removal, showing why the work was extended rather than transcanal or transmastoid.

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 69554PPRRVU2026_Oct_nonQPP.csv, line 7,618 (RVU26D)

Open CMS sourceHow we calculate rates

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