No office rate
Both describe intratemporal facial nerve repair. Choose 69745 when the repair includes the geniculate ganglion; 69740 identifies repair lateral to it.
On this page
CMS RVU26D · Effective 2026-10-01
69745 Facial nerve repair Medicare reimbursement rates
Reports operative repair of an intratemporal facial nerve injury involving the geniculate ganglion, such as repair after nerve transection. Compare 69745 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 69745?
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 69745 pays more and less
Otolaryngology surgery
About 69745: Intratemporal facial nerve repair, geniculate
Reports operative repair of an intratemporal facial nerve injury involving the geniculate ganglion, such as repair after nerve transection.
An otolaryngologist, neurotologist, or other surgeon with relevant expertise uses this service to repair an injured facial nerve within the temporal bone when the repair includes the geniculate ganglion. The clinical situation may involve traumatic or operative nerve injury requiring direct repair or graft reconstruction. The procedure is performed in an operative setting, not as routine treatment for facial weakness alone.
Select this code when the documented repair includes the geniculate ganglion; code 69740 distinguishes repair lateral to the ganglion. The operative report should identify the injury, the intratemporal nerve segment repaired, the ganglion involvement, and the repair method. CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 identifies bilateral surgery and is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 69745
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.59 · 51%
- Practice expense (office) RVU13.55 · 42%
- Malpractice RVU2.42 · 7%
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.
69745 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
69720 describes decompression lateral to the geniculate ganglion, not repair of an injured nerve.
No office rate
69725 describes decompression that includes the geniculate ganglion. Use 69745 for repair involving that region.
See how rates vary across the country
69745 · 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 69745 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 $995.88 |
| Alaska* | Office Unavailable | Facility $1357.72 |
| Arizona | Office Unavailable | Facility $1061.86 |
| Arkansas | Office Unavailable | Facility $984.52 |
| Atlanta | Office Unavailable | Facility $1112.68 |
| Austin | Office Unavailable | Facility $1105.68 |
| Bakersfield | Office Unavailable | Facility $1109.90 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1148.59 |
| Beaumont | Office Unavailable | Facility $1041.06 |
| Brazoria | Office Unavailable | Facility $1070.11 |
| Chicago | Office Unavailable | Facility $1198.35 |
| Chico | Office Unavailable | Facility $1102.90 |
| Colorado | Office Unavailable | Facility $1105.45 |
| Connecticut | Office Unavailable | Facility $1150.44 |
| Dallas | Office Unavailable | Facility $1079.23 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1207.15 |
| Delaware | Office Unavailable | Facility $1076.71 |
| Detroit | Office Unavailable | Facility $1127.14 |
| East St. Louis | Office Unavailable | Facility $1133.29 |
| El Centro | Office Unavailable | Facility $1103.30 |
| Fort Lauderdale | Office Unavailable | Facility $1158.73 |
| Fort Worth | Office Unavailable | Facility $1075.76 |
| Fresno | Office Unavailable | Facility $1102.90 |
| Galveston | Office Unavailable | Facility $1074.90 |
| Hanford-Corcoran | Office Unavailable | Facility $1102.90 |
| Hawaii, Guam | Office Unavailable | Facility $1115.51 |
| Houston | Office Unavailable | Facility $1119.19 |
| Idaho | Office Unavailable | Facility $1008.73 |
| Indiana | Office Unavailable | Facility $1012.95 |
| Iowa | Office Unavailable | Facility $1000.32 |
| Kansas | Office Unavailable | Facility $1003.99 |
| Kentucky | Office Unavailable | Facility $1030.43 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1165.92 |
| Madera | Office Unavailable | Facility $1102.90 |
| Manhattan | Office Unavailable | Facility $1243.68 |
| Merced | Office Unavailable | Facility $1102.90 |
| Metropolitan Boston | Office Unavailable | Facility $1189.16 |
| Metropolitan Kansas City | Office Unavailable | Facility $1058.07 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1131.66 |
| Metropolitan St. Louis | Office Unavailable | Facility $1065.97 |
| Miami | Office Unavailable | Facility $1229.68 |
| Minnesota | Office Unavailable | Facility $1043.75 |
| Mississippi | Office Unavailable | Facility $1003.53 |
| Modesto | Office Unavailable | Facility $1102.90 |
| Montana** | Office Unavailable | Facility $1087.37 |
| Napa | Office Unavailable | Facility $1226.60 |
| Nebraska | Office Unavailable | Facility $1002.41 |
| Nevada** | Office Unavailable | Facility $1074.49 |
| New Hampshire | Office Unavailable | Facility $1095.99 |
| New Mexico | Office Unavailable | Facility $1066.22 |
| New Orleans | Office Unavailable | Facility $1071.82 |
| North Carolina | Office Unavailable | Facility $1028.03 |
| North Dakota** | Office Unavailable | Facility $1039.52 |
| Northern Nj | Office Unavailable | Facility $1200.35 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1277.81 |
| Ohio | Office Unavailable | Facility $1048.81 |
| Oklahoma | Office Unavailable | Facility $1021.08 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1154.95 |
| Portland | Office Unavailable | Facility $1125.94 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1172.44 |
| Puerto Rico | Office Unavailable | Facility $1091.30 |
| Queens | Office Unavailable | Facility $1241.09 |
| Redding | Office Unavailable | Facility $1102.90 |
| Rest Of California | Office Unavailable | Facility $1102.90 |
| Rest Of Florida | Office Unavailable | Facility $1108.28 |
| Rest Of Georgia | Office Unavailable | Facility $1054.17 |
| Rest Of Illinois | Office Unavailable | Facility $1093.67 |
| Rest Of Louisiana | Office Unavailable | Facility $1032.09 |
| Rest Of Maine | Office Unavailable | Facility $1020.77 |
| Rest Of Maryland | Office Unavailable | Facility $1091.88 |
| Rest Of Massachusetts | Office Unavailable | Facility $1103.98 |
| Rest Of Michigan | Office Unavailable | Facility $1058.59 |
| Rest Of Missouri | Office Unavailable | Facility $1022.98 |
| Rest Of New Jersey | Office Unavailable | Facility $1159.18 |
| Rest Of New York | Office Unavailable | Facility $1040.90 |
| Rest Of Oregon | Office Unavailable | Facility $1061.72 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1045.98 |
| Rest Of Texas | Office Unavailable | Facility $1056.61 |
| Rest Of Washington | Office Unavailable | Facility $1099.41 |
| Rhode Island | Office Unavailable | Facility $1104.27 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1129.07 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1143.75 |
| Salinas | Office Unavailable | Facility $1139.17 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1155.84 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1282.00 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1279.26 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1311.02 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1299.79 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1122.36 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1158.97 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1140.67 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1169.84 |
| Seattle (King Cnty) | Office Unavailable | Facility $1203.18 |
| South Carolina | Office Unavailable | Facility $1041.01 |
| South Dakota** | Office Unavailable | Facility $1033.86 |
| Southern Maine | Office Unavailable | Facility $1053.63 |
| Stockton | Office Unavailable | Facility $1102.90 |
| Suburban Chicago | Office Unavailable | Facility $1166.03 |
| Tennessee | Office Unavailable | Facility $1008.92 |
| Utah | Office Unavailable | Facility $1052.13 |
| Vallejo | Office Unavailable | Facility $1222.63 |
| Vermont | Office Unavailable | Facility $1043.08 |
| Virgin Islands | Office Unavailable | Facility $1091.30 |
| Virginia | Office Unavailable | Facility $1056.08 |
| Visalia | Office Unavailable | Facility $1102.90 |
| West Virginia | Office Unavailable | Facility $1063.08 |
| Wisconsin | Office Unavailable | Facility $1012.59 |
| Wyoming** | Office Unavailable | Facility $1066.52 |
| Yuba City | Office Unavailable | Facility $1102.90 |
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69745 billing questions
How does 69745 differ from 69740?
Use 69745 when the intratemporal repair includes the geniculate ganglion. Code 69740 is for repair lateral to the ganglion.
Is this code for facial nerve decompression?
No. It represents repair of an injured nerve, such as direct repair or graft reconstruction. Decompression codes 69720 and 69725 describe a different procedure for releasing the nerve.
What documentation supports selecting 69745?
The operative report should establish the nerve injury and show that the intratemporal repair included the geniculate ganglion. It should also describe the repair performed.
How is bilateral repair reported?
CMS identifies this as a bilateral procedure; report modifier 50 for bilateral surgery. The CMS payment rule for modifier 50 is 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
Are postoperative visits 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 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.
7,65969729,,Impl oi implt sk tc esp>=100,A,,9.72,6.43,NA,6.43,,1.47,17.62,17.62,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66069730,,Rplc oi implt sk tc esp>=100,A,,9.99,6.47,NA,6.47,,1.45,17.91,17.91,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66169740,,Repair facial nerve,A,,15.86,12.33,NA,12.33,,2.32,30.51,30.51,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66269745,,Repair facial nerve,A,,16.59,13.55,NA,13.55,,2.42,32.56,32.56,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66369799,,Unlisted px middle ear,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66469801,,Incise inner ear,A,,2.01,4.38,,0.92,,0.29,6.68,3.22,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66569805,,Explore inner ear,A,,14.34,10.72,NA,10.72,,2.09,27.15,27.15,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00