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Billing code 69717: Implant replacementMedicare rate & RVUs

Reports surgical replacement of a percutaneous osseointegrated skull implant that connects to an external speech processor in a bone-conduction hearing system.

CMS RVU26DEffective Oct 1, 2026109 payment localities41 Medicare services in 2024

Medicare pays $492.66 for 69717 nationally in a facility.

Medicare rate · 69717

Implant replacement

Swap in your local Medicare rate.

Work RVUs
7.71
Total RVUs
14.75
Global days
090

National rate · 2026

$492.66

Facility setting, before claim adjustments.

See every locality for 69717 → · 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 69717 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 69717 covers

An otologic surgeon replaces an existing osseointegrated implant in the skull that uses a percutaneous connection to an external speech processor. This setup is used in bone-conduction hearing systems for patients with conductive or mixed hearing loss or single-sided deafness. The procedure addresses the implanted component and its connection through the skin; it is not a routine replacement of the external processor alone. Medicare services reported for this code are performed in a facility setting.

Select this code when the operative record supports replacement of the percutaneous skull implant, rather than initial implantation or a transcutaneous system. Document the device configuration, side or sides treated, reason for replacement, and the work performed. The code has 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 are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is 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 69717 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

69717 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$451.61
Alaska*Unavailable$617.31
ArizonaUnavailable$481.11
ArkansasUnavailable$446.52
AtlantaUnavailable$504.18
AustinUnavailable$500.32
BakersfieldUnavailable$501.75
Baltimore/Surr. CntysUnavailable$520.14
BeaumontUnavailable$472.22
BrazoriaUnavailable$484.64

69717 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
69717 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 69717 rate is calculated

Each of 69717’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 · 69717

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.71Practice expense 5.91Malpractice 1.13

14.7500 adjusted RVUs×$33.4009 conversion factor=$492.66

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

Payment rules and modifiers for 69717

69717 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69717

Implant replacement

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 · 69717

Implant replacement

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

69717 without 50 · national facility

$492.66

Implant replacement

69717-50 · Bilateral: 150%

$738.99

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

69717 compared with similar codes

Compare codes

69717 vs 69714 vs 69719 vs 69716: national Medicare rates

Swap in your local Medicare rate.

  • 69717
    Implant replacement · 7.71 wRVU
    —
  • 69714
    Hearing implant · 6.51 wRVU
    —
  • 69719
    Hearing implant replacement · 9.22 wRVU
    —
  • 69716
    Bone conduction implant · 8.8 wRVU
    —

How to choose

69714Hearing implant
Choose 69714 for initial placement of a percutaneous osseointegrated skull implant. Choose 69717 when replacing an existing implant of that configuration.
69719Hearing implant replacement
Both describe replacement, but 69719 is for a magnetic transcutaneous attachment; 69717 is for a percutaneous attachment.
69716Bone conduction implant
69716 describes initial placement of a magnetic transcutaneous implant, while 69717 describes replacement of a percutaneous implant.

Codes related to 69717

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

Codes related to 69717
CodeHow it relatesNational office range
Same family
69714Hearing implantInitial implantation with a percutaneous attachment, rather than replacement.No office rate
69716Bone conduction implantInitial implantation using a magnetic transcutaneous attachment.No office rate
69719Hearing implant replacementReplacement in the magnetic transcutaneous system.No office rate

69717 billing questions

How is this different from code 69714?

69717 is for replacing an existing percutaneous osseointegrated skull implant. Code 69714 is for initial implantation with a percutaneous connection.

When would 69719 be more appropriate?

Use 69719 for replacement in the transcutaneous magnetic-attachment system. Code 69717 describes the percutaneous configuration.

Does this code cover replacing only the external processor?

No. This code describes surgical replacement of the implanted percutaneous skull component, not replacement of the external speech processor alone.

What documentation supports reporting 69717?

The operative report should identify the existing percutaneous implant, the side treated, the reason for replacement, and the replacement work performed.

How is bilateral work reported?

For bilateral procedures, report 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 69717PPRRVU2026_Oct_nonQPP.csv, line 7,652 (RVU26D)

Open CMS sourceHow we calculate rates

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