No office rate
Use 69660 for a stapedectomy that is not revision of a prior stapes operation; use 69662 when revising prior stapedectomy or stapedotomy.
On this page
CMS RVU26D · Effective 2026-10-01
69662 Stapes revision Medicare reimbursement rates
Revision stapes surgery addresses a problem after prior stapedectomy or stapedotomy, such as recurrent conductive hearing loss from prosthesis displacement or refixation. Compare 69662 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 69662?
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 69662 pays more and less
Otolaryngology surgery
About 69662: Revision of stapes surgery
Revision stapes surgery addresses a problem after prior stapedectomy or stapedotomy, such as recurrent conductive hearing loss from prosthesis displacement or refixation.
An otologist or other otolaryngologic surgeon revises a previously operated stapes when the earlier stapedectomy or stapedotomy has not produced durable hearing improvement or a later problem requires surgical correction. Examples include a displaced prosthesis or recurrent fixation affecting sound transmission. The procedure is generally performed in an operating room with microscopic visualization, often for a patient with recurrent conductive hearing loss after prior stapes surgery.
Report 69662 for revision of the prior stapes operation, rather than for an initial stapedectomy or stapedotomy. The operative report should identify the prior procedure, the reason for revision, and the stapes or prosthesis findings and corrective work. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 69662
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.21 · 50%
- Practice expense (office) RVU13.02 · 43%
- Malpractice RVU2.32 · 8%
143
Medicare services in 2024 · #4602 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.
69662 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
This code describes a nonrevision stapes operation. The key distinction for 69662 is that the surgeon is revising an earlier stapedectomy or stapedotomy.
No office rate
69650 is stapes mobilization, rather than revision of a prior stapes operation.
No office rate
69666 addresses repair of an oval window fistula; 69662 is for revision of prior stapes surgery.
See how rates vary across the country
69662 · 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 69662 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 $932.41 |
| Alaska* | Office Unavailable | Facility $1267.89 |
| Arizona | Office Unavailable | Facility $995.76 |
| Arkansas | Office Unavailable | Facility $921.50 |
| Atlanta | Office Unavailable | Facility $1044.46 |
| Austin | Office Unavailable | Facility $1037.80 |
| Bakersfield | Office Unavailable | Facility $1041.50 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1078.64 |
| Beaumont | Office Unavailable | Facility $975.76 |
| Brazoria | Office Unavailable | Facility $1003.50 |
| Chicago | Office Unavailable | Facility $1126.48 |
| Chico | Office Unavailable | Facility $1034.83 |
| Colorado | Office Unavailable | Facility $1037.36 |
| Connecticut | Office Unavailable | Facility $1080.32 |
| Dallas | Office Unavailable | Facility $1012.23 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1134.00 |
| Delaware | Office Unavailable | Facility $1009.89 |
| Detroit | Office Unavailable | Facility $1058.33 |
| East St. Louis | Office Unavailable | Facility $1064.18 |
| El Centro | Office Unavailable | Facility $1035.21 |
| Fort Lauderdale | Office Unavailable | Facility $1088.66 |
| Fort Worth | Office Unavailable | Facility $1008.89 |
| Fresno | Office Unavailable | Facility $1034.83 |
| Galveston | Office Unavailable | Facility $1008.09 |
| Hanford-Corcoran | Office Unavailable | Facility $1034.83 |
| Hawaii, Guam | Office Unavailable | Facility $1047.35 |
| Houston | Office Unavailable | Facility $1050.55 |
| Idaho | Office Unavailable | Facility $944.77 |
| Indiana | Office Unavailable | Facility $948.82 |
| Iowa | Office Unavailable | Facility $936.71 |
| Kansas | Office Unavailable | Facility $940.21 |
| Kentucky | Office Unavailable | Facility $965.54 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1094.77 |
| Madera | Office Unavailable | Facility $1034.83 |
| Manhattan | Office Unavailable | Facility $1168.77 |
| Merced | Office Unavailable | Facility $1034.83 |
| Metropolitan Boston | Office Unavailable | Facility $1117.07 |
| Metropolitan Kansas City | Office Unavailable | Facility $992.09 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1062.33 |
| Metropolitan St. Louis | Office Unavailable | Facility $999.68 |
| Miami | Office Unavailable | Facility $1156.71 |
| Minnesota | Office Unavailable | Facility $978.46 |
| Mississippi | Office Unavailable | Facility $939.72 |
| Modesto | Office Unavailable | Facility $1034.83 |
| Montana** | Office Unavailable | Facility $1020.24 |
| Napa | Office Unavailable | Facility $1152.57 |
| Nebraska | Office Unavailable | Facility $938.71 |
| Nevada** | Office Unavailable | Facility $1007.89 |
| New Hampshire | Office Unavailable | Facility $1028.54 |
| New Mexico | Office Unavailable | Facility $999.88 |
| New Orleans | Office Unavailable | Facility $1005.28 |
| North Carolina | Office Unavailable | Facility $963.29 |
| North Dakota** | Office Unavailable | Facility $974.37 |
| Northern Nj | Office Unavailable | Facility $1127.25 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1201.51 |
| Ohio | Office Unavailable | Facility $983.18 |
| Oklahoma | Office Unavailable | Facility $956.59 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1084.56 |
| Portland | Office Unavailable | Facility $1056.96 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1100.85 |
| Puerto Rico | Office Unavailable | Facility $1024.02 |
| Queens | Office Unavailable | Facility $1166.31 |
| Redding | Office Unavailable | Facility $1034.83 |
| Rest Of California | Office Unavailable | Facility $1034.83 |
| Rest Of Florida | Office Unavailable | Facility $1040.24 |
| Rest Of Georgia | Office Unavailable | Facility $988.31 |
| Rest Of Illinois | Office Unavailable | Facility $1026.19 |
| Rest Of Louisiana | Office Unavailable | Facility $967.13 |
| Rest Of Maine | Office Unavailable | Facility $956.32 |
| Rest Of Maryland | Office Unavailable | Facility $1024.34 |
| Rest Of Massachusetts | Office Unavailable | Facility $1035.84 |
| Rest Of Michigan | Office Unavailable | Facility $992.56 |
| Rest Of Missouri | Office Unavailable | Facility $958.37 |
| Rest Of New Jersey | Office Unavailable | Facility $1088.24 |
| Rest Of New York | Office Unavailable | Facility $975.64 |
| Rest Of Oregon | Office Unavailable | Facility $995.64 |
| Rest Of Pennsylvania | Office Unavailable | Facility $980.48 |
| Rest Of Texas | Office Unavailable | Facility $990.70 |
| Rest Of Washington | Office Unavailable | Facility $1031.53 |
| Rhode Island | Office Unavailable | Facility $1036.03 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1059.90 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1073.62 |
| Salinas | Office Unavailable | Facility $1069.34 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1085.38 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1205.04 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1202.40 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1232.54 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1221.77 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1053.53 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1088.61 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1070.86 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1098.84 |
| Seattle (King Cnty) | Office Unavailable | Facility $1130.34 |
| South Carolina | Office Unavailable | Facility $975.72 |
| South Dakota** | Office Unavailable | Facility $968.94 |
| Southern Maine | Office Unavailable | Facility $987.89 |
| Stockton | Office Unavailable | Facility $1034.83 |
| Suburban Chicago | Office Unavailable | Facility $1095.52 |
| Tennessee | Office Unavailable | Facility $944.95 |
| Utah | Office Unavailable | Facility $986.40 |
| Vallejo | Office Unavailable | Facility $1148.77 |
| Vermont | Office Unavailable | Facility $977.77 |
| Virgin Islands | Office Unavailable | Facility $1024.02 |
| Virginia | Office Unavailable | Facility $990.22 |
| Visalia | Office Unavailable | Facility $1034.83 |
| West Virginia | Office Unavailable | Facility $996.83 |
| Wisconsin | Office Unavailable | Facility $948.51 |
| Wyoming** | Office Unavailable | Facility $1000.25 |
| Yuba City | Office Unavailable | Facility $1034.83 |
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.
69662 billing questions
When should 69662 be chosen instead of 69660 or 69661?
Use 69662 when the surgeon is revising a prior stapedectomy or stapedotomy. Codes 69660 and 69661 describe stapes operations that are not revisions.
What documentation supports reporting a revision?
Document the prior stapes procedure, the reason for reoperation, relevant operative findings, and the corrective work performed. Findings such as prosthesis displacement or recurrent fixation help explain the revision.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period. Routine follow-up for the revision is not separately reported during that period.
How is bilateral performance reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%. The operative documentation should support work on both ears.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for 69662. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. The operative record should support each separately reported service.
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.
7,63769650,,Stapes mobilization,A,,9.56,10.53,NA,10.53,,1.39,21.48,21.48,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63869660,,Revise middle ear bone,A,,11.73,11.07,NA,11.07,,1.72,24.52,24.52,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63969661,,Revise middle ear bone,A,,15.52,14.09,NA,14.09,,2.26,31.87,31.87,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64069662,,Revise middle ear bone,A,,15.21,13.02,NA,13.02,,2.32,30.55,30.55,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64169666,,Repair middle ear structures,A,,9.64,10.55,NA,10.55,,1.40,21.59,21.59,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64269667,,Repair middle ear structures,A,,9.65,10.58,NA,10.58,,1.44,21.67,21.67,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64369670,,Remove mastoid air cells,A,,11.44,12.04,NA,12.04,,1.67,25.15,25.15,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00