No office rate
Use 69601 when the revision results in a complete mastoidectomy. This code is for a revision resulting in a radical mastoidectomy.
On this page
CMS RVU26D · Effective 2026-10-01
69603 Mastoid revision Medicare reimbursement rates
Revision mastoid surgery reported when an earlier mastoidectomy is revised and the resulting operation creates a radical mastoidectomy. Compare 69603 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 69603?
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
Facility setting
$1051.67–$1480.18
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $428.51 per service.
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 69603 pays more and less
Otolaryngology surgery
About 69603: Revision mastoidectomy to radical extent
Revision mastoid surgery reported when an earlier mastoidectomy is revised and the resulting operation creates a radical mastoidectomy.
An otolaryngologist or otologist reports this service when revising a previously operated mastoid and the completed procedure results in a radical mastoidectomy. It is associated with complex ear disease, such as persistent or recurrent cholesteatoma, when the surgeon must revise the mastoid cavity and establish the radical surgical result. The operative report should describe the prior mastoid surgery, the work performed, and the resulting anatomy and extent of the revision.
Select this code based on the final operative result, not the diagnosis alone; a revision ending in a different mastoidectomy result belongs to a different code in the revision series. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 69603
- 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 RVU13.85 · 39%
- Practice expense (office) RVU19.32 · 55%
- Malpractice RVU2.02 · 6%
35
Medicare services in 2024 · #5572 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.
69603 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Use 69602 when the revision results in a modified radical mastoidectomy; use 69603 for the radical mastoidectomy result.
No office rate
69604 describes revision resulting in tympanoplasty. Choose 69603 when the documented revision results in a radical mastoidectomy.
See how rates vary across the country
69603 · 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 69603 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 $1065.43 |
| Alaska* | Office Unavailable | Facility $1418.33 |
| Arizona | Office Unavailable | Facility $1145.66 |
| Arkansas | Office Unavailable | Facility $1051.67 |
| Atlanta | Office Unavailable | Facility $1200.65 |
| Austin | Office Unavailable | Facility $1206.04 |
| Bakersfield | Office Unavailable | Facility $1219.74 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1245.88 |
| Beaumont | Office Unavailable | Facility $1112.51 |
| Brazoria | Office Unavailable | Facility $1158.43 |
| Chicago | Office Unavailable | Facility $1269.22 |
| Chico | Office Unavailable | Facility $1213.89 |
| Colorado | Office Unavailable | Facility $1207.45 |
| Connecticut | Office Unavailable | Facility $1248.49 |
| Dallas | Office Unavailable | Facility $1167.38 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1322.85 |
| Delaware | Office Unavailable | Facility $1163.13 |
| Detroit | Office Unavailable | Facility $1199.08 |
| East St. Louis | Office Unavailable | Facility $1192.17 |
| El Centro | Office Unavailable | Facility $1214.22 |
| Fort Lauderdale | Office Unavailable | Facility $1238.28 |
| Fort Worth | Office Unavailable | Facility $1161.80 |
| Fresno | Office Unavailable | Facility $1213.89 |
| Galveston | Office Unavailable | Facility $1162.96 |
| Hanford-Corcoran | Office Unavailable | Facility $1213.89 |
| Hawaii, Guam | Office Unavailable | Facility $1235.38 |
| Houston | Office Unavailable | Facility $1199.93 |
| Idaho | Office Unavailable | Facility $1088.20 |
| Indiana | Office Unavailable | Facility $1093.59 |
| Iowa | Office Unavailable | Facility $1079.84 |
| Kansas | Office Unavailable | Facility $1079.96 |
| Kentucky | Office Unavailable | Facility $1098.01 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1289.77 |
| Madera | Office Unavailable | Facility $1213.89 |
| Manhattan | Office Unavailable | Facility $1349.06 |
| Merced | Office Unavailable | Facility $1213.89 |
| Metropolitan Boston | Office Unavailable | Facility $1312.11 |
| Metropolitan Kansas City | Office Unavailable | Facility $1134.46 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1223.18 |
| Metropolitan St. Louis | Office Unavailable | Facility $1144.54 |
| Miami | Office Unavailable | Facility $1305.00 |
| Minnesota | Office Unavailable | Facility $1146.59 |
| Mississippi | Office Unavailable | Facility $1068.07 |
| Modesto | Office Unavailable | Facility $1213.89 |
| Montana** | Office Unavailable | Facility $1175.24 |
| Napa | Office Unavailable | Facility $1376.53 |
| Nebraska | Office Unavailable | Facility $1083.72 |
| Nevada** | Office Unavailable | Facility $1164.76 |
| New Hampshire | Office Unavailable | Facility $1193.40 |
| New Mexico | Office Unavailable | Facility $1135.38 |
| New Orleans | Office Unavailable | Facility $1146.48 |
| North Carolina | Office Unavailable | Facility $1107.79 |
| North Dakota** | Office Unavailable | Facility $1135.30 |
| Northern Nj | Office Unavailable | Facility $1312.36 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1384.77 |
| Ohio | Office Unavailable | Facility $1119.78 |
| Oklahoma | Office Unavailable | Facility $1091.28 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1280.34 |
| Portland | Office Unavailable | Facility $1237.14 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1271.67 |
| Puerto Rico | Office Unavailable | Facility $1181.46 |
| Queens | Office Unavailable | Facility $1352.25 |
| Redding | Office Unavailable | Facility $1213.89 |
| Rest Of California | Office Unavailable | Facility $1213.89 |
| Rest Of Florida | Office Unavailable | Facility $1180.92 |
| Rest Of Georgia | Office Unavailable | Facility $1118.64 |
| Rest Of Illinois | Office Unavailable | Facility $1157.22 |
| Rest Of Louisiana | Office Unavailable | Facility $1098.33 |
| Rest Of Maine | Office Unavailable | Facility $1098.25 |
| Rest Of Maryland | Office Unavailable | Facility $1182.21 |
| Rest Of Massachusetts | Office Unavailable | Facility $1203.28 |
| Rest Of Michigan | Office Unavailable | Facility $1127.94 |
| Rest Of Missouri | Office Unavailable | Facility $1084.57 |
| Rest Of New Jersey | Office Unavailable | Facility $1259.79 |
| Rest Of New York | Office Unavailable | Facility $1123.07 |
| Rest Of Oregon | Office Unavailable | Facility $1152.76 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1118.75 |
| Rest Of Texas | Office Unavailable | Facility $1135.92 |
| Rest Of Washington | Office Unavailable | Facility $1199.47 |
| Rhode Island | Office Unavailable | Facility $1198.18 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1235.74 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1265.91 |
| Salinas | Office Unavailable | Facility $1261.02 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1284.83 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1447.40 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1445.10 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1480.18 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1470.80 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1241.63 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1292.53 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1264.15 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1305.08 |
| Seattle (King Cnty) | Office Unavailable | Facility $1332.65 |
| South Carolina | Office Unavailable | Facility $1116.21 |
| South Dakota** | Office Unavailable | Facility $1130.58 |
| Southern Maine | Office Unavailable | Facility $1144.67 |
| Stockton | Office Unavailable | Facility $1213.89 |
| Suburban Chicago | Office Unavailable | Facility $1248.13 |
| Tennessee | Office Unavailable | Facility $1085.42 |
| Utah | Office Unavailable | Facility $1129.78 |
| Vallejo | Office Unavailable | Facility $1373.23 |
| Vermont | Office Unavailable | Facility $1135.59 |
| Virgin Islands | Office Unavailable | Facility $1181.46 |
| Virginia | Office Unavailable | Facility $1144.57 |
| Visalia | Office Unavailable | Facility $1213.89 |
| West Virginia | Office Unavailable | Facility $1119.92 |
| Wisconsin | Office Unavailable | Facility $1101.59 |
| Wyoming** | Office Unavailable | Facility $1157.84 |
| Yuba City | Office Unavailable | Facility $1213.89 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
69603 billing questions
What distinguishes this code from 69601 or 69602?
Choose among the revision codes according to the resulting mastoidectomy: 69601 represents a complete mastoidectomy result, 69602 a modified radical result, and 69603 a radical result.
How is 69603 distinguished from 69604?
Use 69603 when the revision results in a radical mastoidectomy. Use 69604 when the revision results in tympanoplasty instead.
What documentation supports reporting 69603?
Document the prior mastoid operation, the revision work performed, and the final surgical result establishing a radical mastoidectomy. The diagnosis by itself does not establish the appropriate revision code.
Does the 90-day global period include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule supplied for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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 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.
7,61869554,,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
7,62369610,,Tympanic membrane repair,A,,4.36,6.46,,2.49,,0.62,11.44,7.47,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62469620,,Myringoplasty,A,,5.88,15.44,,6.78,,0.87,22.19,13.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00