No office rate
Use 69602 when the revision results in a modified radical mastoidectomy; 69601 identifies a complete mastoidectomy result.
On this page
CMS RVU26D · Effective 2026-10-01
69601 Mastoid revision Medicare reimbursement rates
Reports revision of a previously operated mastoid when the surgeon completes the procedure to the extent of a complete mastoidectomy. Compare 69601 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 69601?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 69601 pays more and less
Otolaryngology surgery
About 69601: Revision mastoidectomy to complete extent
Reports revision of a previously operated mastoid when the surgeon completes the procedure to the extent of a complete mastoidectomy.
An otologist revises a mastoid that has undergone prior surgery and extends the work to a complete mastoidectomy. The operation addresses mastoid disease or anatomy requiring further surgical clearance; it is performed in an operating room, commonly in a hospital facility. The operative report should establish the prior mastoid procedure and describe the extent of the revision and the resulting complete mastoidectomy.
Select this code based on the operative result, not simply because the patient has a history of mastoid surgery. The related preoperative visit on the day before surgery and 90 days of related postoperative care are included in the 90-day global period. 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 multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 69601
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.11 · 48%
- Practice expense (office) RVU12.08 · 45%
- Malpractice RVU1.91 · 7%
56
Medicare services in 2024 · #5290 by national volume
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.
69601 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Use 69603 when the revision results in a radical mastoidectomy, rather than the complete mastoidectomy result represented by 69601.
No office rate
Use 69604 for a revision mastoidectomy resulting in tympanoplasty. Use 69601 when the documented result is a complete mastoidectomy.
No office rate
69502 describes a complete mastoidectomy without the revision context. Choose 69601 when the procedure revises a previously operated mastoid and results in a complete mastoidectomy.
See how rates vary across the country
69601 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 69601 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $827.04 |
| Alaska* | Office Unavailable | Facility $1121.69 |
| Arizona | Office Unavailable | Facility $883.47 |
| Arkansas | Office Unavailable | Facility $817.33 |
| Atlanta | Office Unavailable | Facility $925.76 |
| Austin | Office Unavailable | Facility $922.17 |
| Bakersfield | Office Unavailable | Facility $927.27 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $956.74 |
| Beaumont | Office Unavailable | Facility $864.32 |
| Brazoria | Office Unavailable | Facility $891.00 |
| Chicago | Office Unavailable | Facility $992.86 |
| Chico | Office Unavailable | Facility $921.74 |
| Colorado | Office Unavailable | Facility $922.27 |
| Connecticut | Office Unavailable | Facility $958.39 |
| Dallas | Office Unavailable | Facility $898.43 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1007.84 |
| Delaware | Office Unavailable | Facility $896.07 |
| Detroit | Office Unavailable | Facility $934.81 |
| East St. Louis | Office Unavailable | Facility $937.57 |
| El Centro | Office Unavailable | Facility $922.06 |
| Fort Lauderdale | Office Unavailable | Facility $961.96 |
| Fort Worth | Office Unavailable | Facility $895.23 |
| Fresno | Office Unavailable | Facility $921.74 |
| Galveston | Office Unavailable | Facility $894.87 |
| Hanford-Corcoran | Office Unavailable | Facility $921.74 |
| Hawaii, Guam | Office Unavailable | Facility $933.58 |
| Houston | Office Unavailable | Facility $929.83 |
| Idaho | Office Unavailable | Facility $839.27 |
| Indiana | Office Unavailable | Facility $842.92 |
| Iowa | Office Unavailable | Facility $832.40 |
| Kansas | Office Unavailable | Facility $834.79 |
| Kentucky | Office Unavailable | Facility $854.96 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $975.52 |
| Madera | Office Unavailable | Facility $921.74 |
| Manhattan | Office Unavailable | Facility $1035.94 |
| Merced | Office Unavailable | Facility $921.74 |
| Metropolitan Boston | Office Unavailable | Facility $994.38 |
| Metropolitan Kansas City | Office Unavailable | Facility $879.08 |
| Metropolitan Philadelphia | Office Unavailable | Facility $941.90 |
| Metropolitan St. Louis | Office Unavailable | Facility $885.92 |
| Miami | Office Unavailable | Facility $1019.25 |
| Minnesota | Office Unavailable | Facility $871.95 |
| Mississippi | Office Unavailable | Facility $832.43 |
| Modesto | Office Unavailable | Facility $921.74 |
| Montana** | Office Unavailable | Facility $905.04 |
| Napa | Office Unavailable | Facility $1029.67 |
| Nebraska | Office Unavailable | Facility $834.42 |
| Nevada** | Office Unavailable | Facility $894.91 |
| New Hampshire | Office Unavailable | Facility $913.73 |
| New Mexico | Office Unavailable | Facility $884.50 |
| New Orleans | Office Unavailable | Facility $890.04 |
| North Carolina | Office Unavailable | Facility $855.10 |
| North Dakota** | Office Unavailable | Facility $867.27 |
| Northern Nj | Office Unavailable | Facility $1001.65 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1064.12 |
| Ohio | Office Unavailable | Facility $870.57 |
| Oklahoma | Office Unavailable | Facility $847.77 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $966.81 |
| Portland | Office Unavailable | Facility $940.63 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $976.60 |
| Puerto Rico | Office Unavailable | Facility $908.65 |
| Queens | Office Unavailable | Facility $1034.82 |
| Redding | Office Unavailable | Facility $921.74 |
| Rest Of California | Office Unavailable | Facility $921.74 |
| Rest Of Florida | Office Unavailable | Facility $919.50 |
| Rest Of Georgia | Office Unavailable | Facility $873.84 |
| Rest Of Illinois | Office Unavailable | Facility $905.98 |
| Rest Of Louisiana | Office Unavailable | Facility $856.08 |
| Rest Of Maine | Office Unavailable | Facility $848.77 |
| Rest Of Maryland | Office Unavailable | Facility $909.15 |
| Rest Of Massachusetts | Office Unavailable | Facility $920.60 |
| Rest Of Michigan | Office Unavailable | Facility $878.29 |
| Rest Of Missouri | Office Unavailable | Facility $847.83 |
| Rest Of New Jersey | Office Unavailable | Facility $965.99 |
| Rest Of New York | Office Unavailable | Facility $866.04 |
| Rest Of Oregon | Office Unavailable | Facility $884.60 |
| Rest Of Pennsylvania | Office Unavailable | Facility $868.57 |
| Rest Of Texas | Office Unavailable | Facility $878.40 |
| Rest Of Washington | Office Unavailable | Facility $916.99 |
| Rhode Island | Office Unavailable | Facility $919.91 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $942.40 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $957.09 |
| Salinas | Office Unavailable | Facility $953.29 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $968.17 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1077.68 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1075.51 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1102.07 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1093.20 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $939.09 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $971.51 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $954.80 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $980.69 |
| Seattle (King Cnty) | Office Unavailable | Facility $1006.97 |
| South Carolina | Office Unavailable | Facility $864.93 |
| South Dakota** | Office Unavailable | Facility $862.80 |
| Southern Maine | Office Unavailable | Facility $877.99 |
| Stockton | Office Unavailable | Facility $921.74 |
| Suburban Chicago | Office Unavailable | Facility $968.37 |
| Tennessee | Office Unavailable | Facility $838.91 |
| Utah | Office Unavailable | Facility $874.45 |
| Vallejo | Office Unavailable | Facility $1026.55 |
| Vermont | Office Unavailable | Facility $869.61 |
| Virgin Islands | Office Unavailable | Facility $908.65 |
| Virginia | Office Unavailable | Facility $879.55 |
| Visalia | Office Unavailable | Facility $921.74 |
| West Virginia | Office Unavailable | Facility $879.80 |
| Wisconsin | Office Unavailable | Facility $844.07 |
| Wyoming** | Office Unavailable | Facility $888.58 |
| Yuba City | Office Unavailable | Facility $921.74 |
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69601 billing questions
How does this differ from 69602 or 69603?
Choose among these revision codes according to the extent of the resulting mastoidectomy: 69601 is the complete mastoidectomy outcome, while 69602 and 69603 represent modified radical and radical outcomes.
When is 69604 a better choice?
Use 69604 when the revision mastoidectomy results in tympanoplasty. For 69601, the documented result is a complete mastoidectomy.
What should the operative report establish?
Document the prior mastoid surgery, the revision performed, and the extent of the resulting mastoidectomy. The final operative result supports selection among the revision codes.
How is bilateral surgery reported?
For bilateral procedures reported with modifier 50, CMS pays this code at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when documentation supports medical necessity. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,61669550,,Exc aurl glomus tum trnscanl,A,,10.87,16.86,NA,16.86,,1.58,29.31,29.31,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61769552,,Exc aurl glomus tum trnsmstd,A,,19.31,20.65,NA,20.65,,2.82,42.78,42.78,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61869554,,Exc aurl glomus tum extended,A,,35.07,26.74,NA,26.74,,5.11,66.92,66.92,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61969601,,Revj mstdc rsltg compl mstdc,A,,13.11,12.08,NA,12.08,,1.91,27.10,27.10,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62069602,,Rev mstdc rslt mod rad mstdc,A,,13.42,13.55,NA,13.55,,1.96,28.93,28.93,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62169603,,Revj mstdc rsltg rad mstdc,A,,13.85,19.32,NA,19.32,,2.02,35.19,35.19,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62269604,,Revj mstdc rsltg tympanplsty,A,,13.85,13.66,NA,13.66,,2.02,29.53,29.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00