No office rate
Choose 69719 when an existing internal transcutaneous implant is replaced; choose 69716 for initial placement in the less-than-100 cm² category.
On this page
CMS RVU26D · Effective 2026-10-01
69719 Hearing implant replacement Medicare reimbursement rates
Report this code when a surgeon replaces an existing skull-anchored hearing implant that couples through intact skin and falls below the 100 cm² threshold. Compare 69719 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 69719?
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 69719 pays more and less
Ear surgery
About 69719: Replacement of small transcutaneous skull hearing implant
Report this code when a surgeon replaces an existing skull-anchored hearing implant that couples through intact skin and falls below the 100 cm² threshold.
This procedure replaces the implanted portion of a skull-anchored hearing system that transmits sound through intact skin to an external processor. An otologic surgeon typically performs it in an operating room when an existing implant must be replaced. The replacement removes the existing internal implant and places a new one; exchanging only the external processor is a different service.
Select 69719 for a replacement involving the transcutaneous design in the less-than-100 cm² category. The operative report should identify the existing and new implants, the side treated, the transcutaneous attachment, and the measurement supporting that category. The day-before preoperative visit and 90 days of related postoperative care are included in the surgical global period. When other procedures are performed in the same session, the standard multiple-procedure reduction pays the highest-valued procedure in full and others at 50%. 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 69719
- 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 RVU9.22 · 55%
- Practice expense (office) RVU6.28 · 37%
- Malpractice RVU1.33 · 8%
21
Medicare services in 2024 · #5905 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.
69719 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Both describe replacement of a transcutaneous skull implant. The documented size category separates them: less than 100 cm² for 69719 versus 100 cm² or greater for 69730.
No office rate
69717 replaces a skull implant that connects to its external processor through the skin. 69719 replaces one that couples across intact skin.
No office rate
69727 describes removal of a less-than-100 cm² transcutaneous implant without replacement. Use 69719 when the existing internal implant is removed and a new one is placed.
See how rates vary across the country
69719 · 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 69719 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 $516.64 |
| Alaska* | Office Unavailable | Facility $709.80 |
| Arizona | Office Unavailable | Facility $549.24 |
| Arkansas | Office Unavailable | Facility $511.02 |
| Atlanta | Office Unavailable | Facility $575.35 |
| Austin | Office Unavailable | Facility $569.85 |
| Bakersfield | Office Unavailable | Facility $570.76 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $592.91 |
| Beaumont | Office Unavailable | Facility $540.10 |
| Brazoria | Office Unavailable | Facility $552.94 |
| Chicago | Office Unavailable | Facility $622.87 |
| Chico | Office Unavailable | Facility $566.90 |
| Colorado | Office Unavailable | Facility $569.53 |
| Connecticut | Office Unavailable | Facility $593.78 |
| Dallas | Office Unavailable | Facility $557.76 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $621.12 |
| Delaware | Office Unavailable | Facility $556.67 |
| Detroit | Office Unavailable | Facility $585.27 |
| East St. Louis | Office Unavailable | Facility $590.40 |
| El Centro | Office Unavailable | Facility $567.12 |
| Fort Lauderdale | Office Unavailable | Facility $600.76 |
| Fort Worth | Office Unavailable | Facility $556.24 |
| Fresno | Office Unavailable | Facility $566.90 |
| Galveston | Office Unavailable | Facility $555.49 |
| Hanford-Corcoran | Office Unavailable | Facility $566.90 |
| Hawaii, Guam | Office Unavailable | Facility $572.17 |
| Houston | Office Unavailable | Facility $579.84 |
| Idaho | Office Unavailable | Facility $521.95 |
| Indiana | Office Unavailable | Facility $523.99 |
| Iowa | Office Unavailable | Facility $517.52 |
| Kansas | Office Unavailable | Facility $519.97 |
| Kentucky | Office Unavailable | Facility $535.08 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $598.22 |
| Madera | Office Unavailable | Facility $566.90 |
| Manhattan | Office Unavailable | Facility $641.86 |
| Merced | Office Unavailable | Facility $566.90 |
| Metropolitan Boston | Office Unavailable | Facility $610.57 |
| Metropolitan Kansas City | Office Unavailable | Facility $548.32 |
| Metropolitan Philadelphia | Office Unavailable | Facility $584.85 |
| Metropolitan St. Louis | Office Unavailable | Facility $552.16 |
| Miami | Office Unavailable | Facility $638.66 |
| Minnesota | Office Unavailable | Facility $536.95 |
| Mississippi | Office Unavailable | Facility $521.39 |
| Modesto | Office Unavailable | Facility $566.90 |
| Montana** | Office Unavailable | Facility $562.05 |
| Napa | Office Unavailable | Facility $626.39 |
| Nebraska | Office Unavailable | Facility $518.35 |
| Nevada** | Office Unavailable | Facility $554.93 |
| New Hampshire | Office Unavailable | Facility $565.18 |
| New Mexico | Office Unavailable | Facility $553.66 |
| New Orleans | Office Unavailable | Facility $555.80 |
| North Carolina | Office Unavailable | Facility $532.05 |
| North Dakota** | Office Unavailable | Facility $535.75 |
| Northern Nj | Office Unavailable | Facility $618.12 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $659.56 |
| Ohio | Office Unavailable | Facility $544.24 |
| Oklahoma | Office Unavailable | Facility $529.79 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $592.19 |
| Portland | Office Unavailable | Facility $578.98 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $605.25 |
| Puerto Rico | Office Unavailable | Facility $563.78 |
| Queens | Office Unavailable | Facility $639.66 |
| Redding | Office Unavailable | Facility $566.90 |
| Rest Of California | Office Unavailable | Facility $566.90 |
| Rest Of Florida | Office Unavailable | Facility $575.25 |
| Rest Of Georgia | Office Unavailable | Facility $548.01 |
| Rest Of Illinois | Office Unavailable | Facility $568.90 |
| Rest Of Louisiana | Office Unavailable | Facility $536.15 |
| Rest Of Maine | Office Unavailable | Facility $528.56 |
| Rest Of Maryland | Office Unavailable | Facility $564.09 |
| Rest Of Massachusetts | Office Unavailable | Facility $569.16 |
| Rest Of Michigan | Office Unavailable | Facility $549.62 |
| Rest Of Missouri | Office Unavailable | Facility $532.04 |
| Rest Of New Jersey | Office Unavailable | Facility $598.06 |
| Rest Of New York | Office Unavailable | Facility $538.46 |
| Rest Of Oregon | Office Unavailable | Facility $548.10 |
| Rest Of Pennsylvania | Office Unavailable | Facility $542.49 |
| Rest Of Texas | Office Unavailable | Facility $547.13 |
| Rest Of Washington | Office Unavailable | Facility $566.64 |
| Rhode Island | Office Unavailable | Facility $570.11 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $581.29 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $586.80 |
| Salinas | Office Unavailable | Facility $584.42 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $592.14 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $653.36 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $651.85 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $668.11 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $661.94 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $575.92 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $593.09 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $584.97 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $598.59 |
| Seattle (King Cnty) | Office Unavailable | Facility $617.02 |
| South Carolina | Office Unavailable | Facility $539.53 |
| South Dakota** | Office Unavailable | Facility $532.64 |
| Southern Maine | Office Unavailable | Facility $543.86 |
| Stockton | Office Unavailable | Facility $566.90 |
| Suburban Chicago | Office Unavailable | Facility $604.25 |
| Tennessee | Office Unavailable | Facility $522.48 |
| Utah | Office Unavailable | Facility $545.02 |
| Vallejo | Office Unavailable | Facility $624.21 |
| Vermont | Office Unavailable | Facility $538.09 |
| Virgin Islands | Office Unavailable | Facility $563.78 |
| Virginia | Office Unavailable | Facility $545.51 |
| Visalia | Office Unavailable | Facility $566.90 |
| West Virginia | Office Unavailable | Facility $553.81 |
| Wisconsin | Office Unavailable | Facility $522.59 |
| Wyoming** | Office Unavailable | Facility $550.59 |
| Yuba City | Office Unavailable | Facility $566.90 |
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69719 billing questions
How does 69719 differ from 69716?
69719 is for replacement of an existing transcutaneous skull implant in the less-than-100 cm² category. 69716 is for initial implantation in that category.
When should 69730 be considered instead?
Use the documented size category: 69719 is for less than 100 cm², while 69730 is the transcutaneous replacement code for 100 cm² or greater.
Is removing the old implant billed separately during replacement?
Removal of the existing internal implant is part of the replacement described by 69719. A removal-only procedure is a different service.
How is a bilateral replacement reported?
Modifier 50 identifies bilateral surgery for 69719. The CMS bilateral payment rule is 150%.
Can an assistant surgeon, co-surgeon, or surgical team be paid for 69719?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes related postoperative care for 90 days and the day-before preoperative visit.
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.
7,65069714,,Impl oi implt skull perq esp,A,,6.51,5.63,NA,5.63,,0.96,13.10,13.10,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65169716,,Impl oi implt sk tc esp<100,A,,8.80,6.19,NA,6.19,,1.31,16.30,16.30,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65269717,,Rplcmt oi implt skl prq esp,A,,7.71,5.91,NA,5.91,,1.13,14.75,14.75,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65369719,,Rplcm oi implt sk tc esp<100,A,,9.22,6.28,NA,6.28,,1.33,16.83,16.83,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65469720,,Release facial nerve,A,,14.34,15.11,NA,15.11,,2.28,31.73,31.73,0,090,0.07,0.79,0.14,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65569725,,Release facial nerve,A,,26.95,17.80,NA,17.80,,3.93,48.68,48.68,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65669726,,Rmv ntr oi implt skl prq esp,A,,6.20,5.54,NA,5.54,,0.91,12.65,12.65,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00