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Billing code 69661: Stapes revisionMedicare rate & RVUs

Reports revision stapes surgery to restore sound transmission after prior stapedectomy or stapedotomy, such as for recurrent conductive hearing loss.

CMS RVU26DEffective Oct 1, 2026109 payment localities193 Medicare services in 2024

Medicare pays $1,064.49 for 69661 nationally in a facility.

Medicare rate · 69661

Stapes revision

Swap in your local Medicare rate.

Work RVUs
15.52
Total RVUs
31.87
Global days
090

National rate · 2026

$1,064.49

Facility setting, before claim adjustments.

See every locality for 69661 → · 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 69661 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 69661 covers

An otologist or other otolaryngologist performs revision stapedectomy or stapedotomy when a prior operation on the stapes requires surgical correction. The procedure addresses the stapes and ossicular sound-conduction pathway, often in a patient with recurrent conductive hearing loss after earlier stapes surgery. It is generally performed in an operating room; the operative report should establish that this is revision surgery rather than a first-time stapes procedure.

Report 69661 for the revision service, not the primary stapes procedure. Documentation should describe the prior operation, the reason for revision, and the work performed to restore ossicular continuity. Medicare 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 other procedures 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.

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 69661 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

69661 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$972.90
Alaska*Unavailable$1,320.37
ArizonaUnavailable$1,039.03
ArkansasUnavailable$961.52
AtlantaUnavailable$1,088.74
AustinUnavailable$1,084.21
BakersfieldUnavailable$1,090.00
Baltimore/Surr. CntysUnavailable$1,125.03
BeaumontUnavailable$1,016.77
BrazoriaUnavailable$1,047.79

69661 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
69661 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 69661 rate is calculated

Each of 69661’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 · 69661

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 15.52Practice expense 14.09Malpractice 2.26

31.8700 adjusted RVUs×$33.4009 conversion factor=$1,064.49

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

Payment rules and modifiers for 69661

69661 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69661

Stapes revision

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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
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 · 69661

Stapes revision

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

69661 without 50 · national facility

$1,064.49

Stapes revision

69661-50 · Bilateral: 150%

$1,596.74

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

69661 compared with similar codes

Compare codes

69661 vs 69660 vs 69662 vs 69650: national Medicare rates

Swap in your local Medicare rate.

  • 69661
    Stapes revision · 15.52 wRVU
    —
  • 69660
    Stapes surgery · 11.73 wRVU
    —
  • 69662
    Stapes revision · 15.21 wRVU
    —
  • 69650
    Stapes mobilization · 9.56 wRVU
    —

How to choose

69660Stapes surgery
69660 describes primary stapedectomy or stapedotomy. Choose 69661 when the operation revises a prior stapes procedure.
69662Stapes revision
This is another revision stapes code. Distinguish it from 69661 using the operative details and the applicable billing code descriptor.
69650Stapes mobilization
69650 is stapes mobilization. It is not the revision stapedectomy or stapedotomy reported with 69661.

Codes related to 69661

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

Codes related to 69661
CodeHow it relatesNational office range
Same family
69660Stapes surgeryPrimary stapedectomy or stapedotomy; 69661 is for revision surgery.No office rate
69662Stapes revisionRelated revision stapes procedure; distinguish the code using the documented operative service.No office rate
Used instead
69650Stapes mobilizationStapes mobilization is a different surgical approach to stapes-related sound-conduction problems.No office rate

69661 billing questions

When should 69661 be chosen instead of 69660?

Use 69661 for revision stapes surgery after a prior stapedectomy or stapedotomy. Code 69660 describes the primary procedure.

Does using a prosthesis make this a different code?

The choice of 69661 is based on the revision nature of the operation, not simply whether a prosthesis is used. The operative report should support that prior stapes surgery is being revised.

Can a separate tympanoplasty be reported in the same session?

A distinct tympanoplasty may be reported when it is separately performed and documented. When multiple procedures are performed in the same session, Medicare applies the standard multiple procedure reduction.

How should bilateral revision stapes surgery be reported?

Report bilateral surgery with modifier 50; CMS pays the bilateral procedure at 150%.

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 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 69661PPRRVU2026_Oct_nonQPP.csv, line 7,639 (RVU26D)

Open CMS sourceHow we calculate rates

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