FeeBase
Log inGet started
Menu

Billing code 69716: Bone conduction implantMedicare rate & RVUs

Reports initial placement of a small-site skull implant that couples through intact skin to an external processor for bone-conduction hearing.

CMS RVU26DEffective Oct 1, 2026109 payment localities362 Medicare services in 2024

Medicare pays $544.43 for 69716 nationally in a facility.

Medicare rate · 69716

Bone conduction implant

Swap in your local Medicare rate.

Work RVUs
8.8
Total RVUs
16.30
Global days
090

National rate · 2026

$544.43

Facility setting, before claim adjustments.

See every locality for 69716 → · 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 69716 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 69716 covers

An otolaryngologist places an osseointegrated implant in the skull to support a bone-conduction hearing system. The transcutaneous design couples the external sound processor to the implant through intact skin, commonly using magnetic attraction; it does not use a skin-penetrating abutment. The code is for a recipient site under 100 mm². This surgery may be considered for patients with conductive or mixed hearing loss, or single-sided deafness, when bone-conduction amplification is appropriate. It is typically performed in an operating room or ambulatory surgical setting.

Report this code for initial implantation, not replacement or removal. The operative report should support the transcutaneous configuration, the prepared recipient-site area, the implant placement, and the treated side or sides. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; 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 69716 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

69716 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$499.60
Alaska*Unavailable$685.19
ArizonaUnavailable$531.72
ArkansasUnavailable$494.06
AtlantaUnavailable$557.42
AustinUnavailable$552.03
BakersfieldUnavailable$552.76
Baltimore/Surr. CntysUnavailable$574.60
BeaumontUnavailable$522.72
BrazoriaUnavailable$535.30

69716 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 every state and territory as a table
69716 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 69716 rate is calculated

Each of 69716’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 · 69716

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.80Practice expense 6.19Malpractice 1.31

16.3000 adjusted RVUs×$33.4009 conversion factor=$544.43

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

Payment rules and modifiers for 69716

69716 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69716

Bone conduction implant

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)1Not paid (statutory restriction).
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 · 69716

Bone conduction implant

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

69716 without 50 · national facility

$544.43

Bone conduction implant

69716-50 · Bilateral: 150%

$816.64

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

69716 compared with similar codes

Compare codes

69716 vs 69714 vs 69719 vs 69729 vs 69727: national Medicare rates

Swap in your local Medicare rate.

  • 69716
    Bone conduction implant · 8.8 wRVU
    —
  • 69714
    Hearing implant · 6.51 wRVU
    —
  • 69719
    Hearing implant replacement · 9.22 wRVU
    —
  • 69729
    Hearing implant · 9.72 wRVU
    —
  • 69727
    Implant removal · 7.2 wRVU
    —

How to choose

69714Hearing implant
Choose 69716 for a processor that couples through intact skin; choose 69714 when the system uses a percutaneous, skin-penetrating abutment.
69719Hearing implant replacement
69716 is for initial implantation in the under-100-mm² group. 69719 is for replacement in that same transcutaneous size group.
69729Hearing implant
Both codes describe initial transcutaneous implantation. The recipient-site area separates them: under 100 mm² for 69716 and 100 mm² or greater for 69729.
69727Implant removal
69727 reports removal of a transcutaneous implant in the under-100-mm² group, rather than initial placement.

Codes related to 69716

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

Codes related to 69716
CodeHow it relatesNational office range
Same family
69714Hearing implantInitial skull implant with a percutaneous rather than transcutaneous processor connection.No office rate
69719Hearing implant replacementReplacement of a transcutaneous implant in the under-100-mm² size group.No office rate
69729Hearing implantInitial transcutaneous implantation for a recipient site of 100 mm² or greater.No office rate
69730Implant replacementReplacement of a transcutaneous implant for a recipient site of 100 mm² or greater.No office rate
69727Implant removalRemoval of a transcutaneous implant in the under-100-mm² size group.No office rate

69716 billing questions

How does this differ from 69714?

69716 describes a transcutaneous connection through intact skin. 69714 describes a percutaneous system with an abutment that passes through the skin.

When should 69719 be used instead?

Use 69719 for replacement of a transcutaneous implant in the under-100-mm² size group. Code 69716 represents initial implantation.

What distinguishes 69716 from 69729?

Both describe initial transcutaneous implantation, but 69716 is for a recipient site under 100 mm² and 69729 is for a site of 100 mm² or greater.

What documentation supports 69716?

Document initial implant placement, the transcutaneous processor connection, recipient-site area under 100 mm², and the operative side or sides.

How is bilateral implantation reported?

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

Can an assistant or co-surgeon be reported?

CMS statutorily restricts assistant-at-surgery payment for this code. 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 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 69716PPRRVU2026_Oct_nonQPP.csv, line 7,651 (RVU26D)

Open CMS sourceHow we calculate rates

Fee sheets

Put 69716 and the rest of your codes on one sheet

Current Medicare rates for every code you bill at your locality, with what changed since last quarter.

Get a fee sheetOr price your code list free →