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Billing code 69711: Hearing device surgeryMedicare rate & RVUs

Report this otologic operation when a surgeon removes or repairs an implanted hearing device, rather than servicing an external hearing aid or processor.

CMS RVU26DEffective Oct 1, 2026109 payment localities31 Medicare services in 2024

Medicare pays $749.85 for 69711 nationally in a facility.

Medicare rate · 69711

Hearing device surgery

Swap in your local Medicare rate.

Work RVUs
10.35
Total RVUs
22.45
Global days
090

National rate · 2026

$749.85

Facility setting, before claim adjustments.

See every locality for 69711 → · 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 69711 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 69711 covers

An otologist or other ear surgeon reports this service for operative removal or repair of an implanted hearing device, typically a middle-ear hearing system. The work addresses the implanted device itself; routine adjustment or repair of an external hearing aid or sound processor is not this operation. These procedures are generally performed in a surgical setting, with the operative report identifying the device and the removal or repair performed.

Choose the code when documentation supports surgical work on the implant, not implantation or replacement of the device. The record should describe the reason for surgery, the implanted system, the operative steps, and whether one or both sides were treated. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 69711 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

69711 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$683.85
Alaska*Unavailable$923.22
ArizonaUnavailable$731.66
ArkansasUnavailable$675.63
AtlantaUnavailable$766.62
AustinUnavailable$765.36
BakersfieldUnavailable$770.82
Baltimore/Surr. CntysUnavailable$793.10
BeaumontUnavailable$714.43
BrazoriaUnavailable$738.41

69711 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
69711 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 69711 rate is calculated

Each of 69711’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 · 69711

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 10.35Practice expense 10.60Malpractice 1.50

22.4500 adjusted RVUs×$33.4009 conversion factor=$749.85

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

Payment rules and modifiers for 69711

69711 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69711

Hearing device surgery

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)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 · 69711

Hearing device surgery

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

69711 without 50 · national facility

$749.85

Hearing device surgery

69711-50 · Bilateral: 150%

$1,124.78

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

69711 compared with similar codes

Compare codes

69711 vs 69710 vs 69714 vs 69726: national Medicare rates

Swap in your local Medicare rate.

  • 69711
    Hearing device surgery · 10.35 wRVU
    —
  • 69710
    · 0 wRVU
    —
  • 69714
    Hearing implant · 6.51 wRVU
    —
  • 69726
    Implant removal · 6.2 wRVU
    —

How to choose

69710Implant/replace hearing aid
69710 applies when an implantable hearing device is implanted or replaced. Use 69711 when the operative service is removal or repair of the implanted device.
69714Hearing implant
69714 is for implanting an osseointegrated system with a percutaneous processor attachment, not removing or repairing an implanted middle-ear hearing device.
69726Implant removal
69726 describes removal of an osseointegrated implant with a percutaneous attachment. Choose 69711 for removal or repair of the implantable hearing device addressed by this code.

Codes related to 69711

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

Codes related to 69711
CodeHow it relatesNational office range
Same family
69710Implant/replace hearing aidCovers implantation or replacement of an implantable hearing device rather than its removal or repair.No office rate
Used instead
69714Hearing implantFor implantation of an osseointegrated hearing implant with a percutaneous external processor attachment.No office rate
69716Bone conduction implantFor implantation of an osseointegrated hearing implant with a transcutaneous attachment.No office rate
69726Implant removalFor removal of an osseointegrated implant with a percutaneous processor attachment.No office rate

69711 billing questions

How is this different from code 69710?

Use 69711 for operative removal or repair of an implanted hearing device. Code 69710 describes implanting or replacing the device.

Does routine repair of an external hearing aid qualify?

No. This code concerns surgery on an implanted hearing device, not adjustment, maintenance, or repair of an external hearing aid or processor.

What documentation supports reporting this service?

Document the implanted device and side, the clinical reason for surgery, and the specific removal or repair performed. The operative note should distinguish work on the implant from work limited to external equipment.

How are bilateral procedures reported?

For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.

Are postoperative visits separately payable during the global period?

Related postoperative care for 90 days is included, as is the day-before preoperative visit. The global period begins with the major surgery.

Can an assistant or another surgeon be reported?

An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.

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 69711PPRRVU2026_Oct_nonQPP.csv, line 7,649 (RVU26D)

Open CMS sourceHow we calculate rates

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