No office rate
Choose 69650 for stapes mobilization. Choose 69660 when the documented operation is a stapedectomy or stapedotomy with restoration of ossicular continuity.
On this page
CMS RVU26D · Effective 2026-10-01
69650 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$733.20
Base rate per service
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.
Otology surgery
About 69650: Stapes mobilization for conductive hearing loss
An otologist surgically frees a fixed stapes to address conductive hearing loss when the operative work is mobilization rather than stapes removal.
An otologist or other otolaryngologist performs this middle-ear operation to free a stapes that is abnormally fixed and limiting sound transmission. It is generally performed in an operating room under magnification, commonly for conductive hearing loss associated with stapes fixation. The defining work is mobilizing the stapes; a procedure that removes or opens the stapes and restores ossicular continuity is coded according to the applicable stapes surgery code instead.
Report 69650 when the operative report supports mobilization as the procedure performed, rather than a more extensive stapes operation. Documentation should identify the affected ear, the stapes fixation or other indication, and the work performed on the stapes. CMS assigns 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 69650
- 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 RVU9.56 · 45%
- Practice expense (office) RVU10.53 · 49%
- Malpractice RVU1.39 · 6%
48
Medicare services in 2024 · #5383 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.
69650 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
Both codes are for stapes surgery, but the operative technique determines which code applies. Use the operative report to distinguish mobilization from the work represented by 69661.
No office rate
Use 69650 for mobilization, not revision stapes surgery. When the operative report documents revision work, evaluate 69662 and the applicable procedure details.
The same code, a different location
How does Austin compare?
69650 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 69650
Office
Unavailable
Facility
$695.01
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 69650
Office
Unavailable
Facility
$779.31
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 69650
Office
Unavailable
Facility
$802.55
No comparable office rate is available.
Miami
Florida · 69650
Office
Unavailable
Facility
$802.86
No comparable office rate is available.
Chicago
Illinois · 69650
Office
Unavailable
Facility
$781.57
No comparable office rate is available.
Manhattan
New York · 69650
Office
Unavailable
Facility
$822.07
No comparable office rate is available.
Alaska*
Alaska · 69650
Office
Unavailable
Facility
$879.12
No comparable office rate is available.
Alabama
Alabama · 69650
Office
Unavailable
Facility
$653.34
No comparable office rate is available.
Arkansas
Arkansas · 69650
Office
Unavailable
Facility
$645.34
No comparable office rate is available.
Arizona
Arizona · 69650
Office
Unavailable
Facility
$699.86
No comparable office rate is available.
Bakersfield
California · 69650
Office
Unavailable
Facility
$739.13
No comparable office rate is available.
Chico
California · 69650
Office
Unavailable
Facility
$735.10
No comparable office rate is available.
El Centro
California · 69650
Office
Unavailable
Facility
$735.33
No comparable office rate is available.
Fresno
California · 69650
Office
Unavailable
Facility
$735.10
No comparable office rate is available.
Hanford-Corcoran
California · 69650
Office
Unavailable
Facility
$735.10
No comparable office rate is available.
Madera
California · 69650
Office
Unavailable
Facility
$735.10
No comparable office rate is available.
Merced
California · 69650
Office
Unavailable
Facility
$735.10
No comparable office rate is available.
Modesto
California · 69650
Office
Unavailable
Facility
$735.10
No comparable office rate is available.
Napa
California · 69650
Office
Unavailable
Facility
$826.57
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69650
Office
Unavailable
Facility
$772.90
No comparable office rate is available.
Redding
California · 69650
Office
Unavailable
Facility
$735.10
No comparable office rate is available.
Rest Of California
California · 69650
Office
Unavailable
Facility
$735.10
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69650
Office
Unavailable
Facility
$750.14
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69650
Office
Unavailable
Facility
$764.73
No comparable office rate is available.
Salinas
California · 69650
Office
Unavailable
Facility
$761.73
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69650
Office
Unavailable
Facility
$774.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69650
Office
Unavailable
Facility
$866.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69650
Office
Unavailable
Facility
$865.29
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69650
Office
Unavailable
Facility
$886.49
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69650
Office
Unavailable
Facility
$880.04
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69650
Office
Unavailable
Facility
$750.23
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69650
Office
Unavailable
Facility
$778.23
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69650
Office
Unavailable
Facility
$763.23
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69650
Office
Unavailable
Facility
$785.68
No comparable office rate is available.
Stockton
California · 69650
Office
Unavailable
Facility
$735.10
No comparable office rate is available.
Vallejo
California · 69650
Office
Unavailable
Facility
$824.30
No comparable office rate is available.
Visalia
California · 69650
Office
Unavailable
Facility
$735.10
No comparable office rate is available.
Yuba City
California · 69650
Office
Unavailable
Facility
$735.10
No comparable office rate is available.
Colorado
Colorado · 69650
Office
Unavailable
Facility
$733.63
No comparable office rate is available.
Connecticut
Connecticut · 69650
Office
Unavailable
Facility
$760.67
No comparable office rate is available.
Delaware
Delaware · 69650
Office
Unavailable
Facility
$710.14
No comparable office rate is available.
Fort Lauderdale
Florida · 69650
Office
Unavailable
Facility
$759.54
No comparable office rate is available.
Rest Of Florida
Florida · 69650
Office
Unavailable
Facility
$725.33
No comparable office rate is available.
Atlanta
Georgia · 69650
Office
Unavailable
Facility
$733.37
No comparable office rate is available.
Rest Of Georgia
Georgia · 69650
Office
Unavailable
Facility
$688.38
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69650
Office
Unavailable
Facility
$746.09
No comparable office rate is available.
Iowa
Iowa · 69650
Office
Unavailable
Facility
$659.56
No comparable office rate is available.
Idaho
Idaho · 69650
Office
Unavailable
Facility
$664.85
No comparable office rate is available.
East St. Louis
Illinois · 69650
Office
Unavailable
Facility
$736.39
No comparable office rate is available.
Rest Of Illinois
Illinois · 69650
Office
Unavailable
Facility
$712.99
No comparable office rate is available.
Suburban Chicago
Illinois · 69650
Office
Unavailable
Facility
$765.02
No comparable office rate is available.
Indiana
Indiana · 69650
Office
Unavailable
Facility
$667.91
No comparable office rate is available.
Kansas
Kansas · 69650
Office
Unavailable
Facility
$660.66
No comparable office rate is available.
Kentucky
Kentucky · 69650
Office
Unavailable
Facility
$674.47
No comparable office rate is available.
New Orleans
Louisiana · 69650
Office
Unavailable
Facility
$703.01
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69650
Office
Unavailable
Facility
$675.05
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69650
Office
Unavailable
Facility
$793.67
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69650
Office
Unavailable
Facility
$731.78
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69650
Office
Unavailable
Facility
$759.24
No comparable office rate is available.
Rest Of Maryland
Maryland · 69650
Office
Unavailable
Facility
$721.06
No comparable office rate is available.
Rest Of Maine
Maine · 69650
Office
Unavailable
Facility
$671.76
No comparable office rate is available.
Southern Maine
Maine · 69650
Office
Unavailable
Facility
$697.15
No comparable office rate is available.
Detroit
Michigan · 69650
Office
Unavailable
Facility
$736.99
No comparable office rate is available.
Rest Of Michigan
Michigan · 69650
Office
Unavailable
Facility
$692.84
No comparable office rate is available.
Minnesota
Minnesota · 69650
Office
Unavailable
Facility
$694.97
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69650
Office
Unavailable
Facility
$694.93
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69650
Office
Unavailable
Facility
$700.66
No comparable office rate is available.
Rest Of Missouri
Missouri · 69650
Office
Unavailable
Facility
$667.71
No comparable office rate is available.
Mississippi
Mississippi · 69650
Office
Unavailable
Facility
$656.45
No comparable office rate is available.
Montana**
Montana · 69650
Office
Unavailable
Facility
$717.36
No comparable office rate is available.
North Carolina
North Carolina · 69650
Office
Unavailable
Facility
$677.13
No comparable office rate is available.
North Dakota**
North Dakota · 69650
Office
Unavailable
Facility
$689.87
No comparable office rate is available.
Nebraska
Nebraska · 69650
Office
Unavailable
Facility
$661.49
No comparable office rate is available.
New Hampshire
New Hampshire · 69650
Office
Unavailable
Facility
$726.07
No comparable office rate is available.
Northern Nj
New Jersey · 69650
Office
Unavailable
Facility
$797.00
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69650
Office
Unavailable
Facility
$767.08
No comparable office rate is available.
New Mexico
New Mexico · 69650
Office
Unavailable
Facility
$697.59
No comparable office rate is available.
Nevada**
Nevada · 69650
Office
Unavailable
Facility
$710.05
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69650
Office
Unavailable
Facility
$844.15
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69650
Office
Unavailable
Facility
$774.98
No comparable office rate is available.
Queens
New York · 69650
Office
Unavailable
Facility
$822.42
No comparable office rate is available.
Rest Of New York
New York · 69650
Office
Unavailable
Facility
$686.08
No comparable office rate is available.
Ohio
Ohio · 69650
Office
Unavailable
Facility
$687.22
No comparable office rate is available.
Oklahoma
Oklahoma · 69650
Office
Unavailable
Facility
$669.46
No comparable office rate is available.
Portland
Oregon · 69650
Office
Unavailable
Facility
$749.71
No comparable office rate is available.
Rest Of Oregon
Oregon · 69650
Office
Unavailable
Facility
$702.26
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69650
Office
Unavailable
Facility
$746.58
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69650
Office
Unavailable
Facility
$686.06
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69650
Office
Unavailable
Facility
$720.62
No comparable office rate is available.
Rhode Island
Rhode Island · 69650
Office
Unavailable
Facility
$730.11
No comparable office rate is available.
South Carolina
South Carolina · 69650
Office
Unavailable
Facility
$683.76
No comparable office rate is available.
South Dakota**
South Dakota · 69650
Office
Unavailable
Facility
$686.62
No comparable office rate is available.
Tennessee
Tennessee · 69650
Office
Unavailable
Facility
$663.95
No comparable office rate is available.
Utah
Utah · 69650
Office
Unavailable
Facility
$691.61
No comparable office rate is available.
Virginia
Virginia · 69650
Office
Unavailable
Facility
$697.82
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69650
Office
Unavailable
Facility
$720.62
No comparable office rate is available.
Vermont
Vermont · 69650
Office
Unavailable
Facility
$691.00
No comparable office rate is available.
Rest Of Washington
Washington · 69650
Office
Unavailable
Facility
$729.15
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69650
Office
Unavailable
Facility
$804.76
No comparable office rate is available.
Wisconsin
Wisconsin · 69650
Office
Unavailable
Facility
$670.55
No comparable office rate is available.
West Virginia
West Virginia · 69650
Office
Unavailable
Facility
$691.39
No comparable office rate is available.
Wyoming**
Wyoming · 69650
Office
Unavailable
Facility
$705.38
No comparable office rate is available.
See how rates vary across the country
69650 · 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 69650 in Austin
Multiple payment areas
- 69650 in Barton Creek
- 69650 in Bee Cave
- 69650 in Briarcliff
- 69650 in Cedar Park
Multiple payment areas
- 69650 in Creedmoor
Multiple payment areas
- 69650 in Elgin
Multiple payment areas
- 69650 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 69650 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$806.52
$733.20 × 110% = $806.52
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 69650 in Austin.
PPRRVU2026_Oct_nonQPP.csv
7,637
- Code
- 69650
- Physician work
- 9.56
- Practice expense
- 10.53
- Malpractice
- 1.39
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.56 | × 1.002 | 9.5791 |
| Practice expense | 10.53 | × 1.058 | 11.1407 |
| Malpractice | 1.39 | × 0.886 | 1.2315 |
| Total RVUs | 21.9514 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$733.20
Open 69650 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.56 | 1.002 |
| Practice expense | 10.53 | 1.058 |
| Malpractice | 1.39 | 0.886 |
(9.56 × 1.002 + 10.53 × 1.058 + 1.39 × 0.886) × $33.4009 = $733.20
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
69650 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $733.20 | RVU26D |
| 2026-07-01 | Not available in this setting | $733.20 | RVU26C |
| 2026-04-01 | Not available in this setting | $733.20 | RVU26B |
| 2026-01-01 | Not available in this setting | $733.20 | RVU26A |
| 2025-10-01 | Not available in this setting | $794.09 | RVU25D |
| 2025-07-01 | Not available in this setting | $794.09 | RVU25C |
| 2025-04-01 | Not available in this setting | $794.09 | RVU25B |
| 2025-01-01 | Not available in this setting | $794.09 | RVU25A |
69650 billing questions
When should 69650 be chosen instead of a stapedectomy code?
Use 69650 when the documented operation mobilizes the stapes. If the surgeon removes or opens the stapes and restores ossicular continuity, select the applicable stapedectomy or stapedotomy code instead.
What documentation supports 69650?
The operative report should identify the ear, the reason for surgery such as stapes fixation with conductive hearing loss, and the specific mobilization performed.
Does the 90-day global period include postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
How is bilateral 69650 paid?
CMS pays a bilateral procedure reported with modifier 50 at 150%.
Can an assistant surgeon or co-surgeon be billed?
CMS applies a statutory restriction to assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, CMS pays the highest-valued procedure in full and the other procedures at 50%.
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.
7,63469644,,Revise middle ear & mastoid,A,,16.80,21.80,NA,21.80,,2.46,41.06,41.06,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63569645,,Revise middle ear & mastoid,A,,16.29,21.73,NA,21.73,,2.42,40.44,40.44,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63669646,,Revise middle ear & mastoid,A,,17.91,22.21,NA,22.21,,2.73,42.85,42.85,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63769650,,Stapes mobilization,A,,9.56,10.53,NA,10.53,,1.39,21.48,21.48,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63869660,,Revise middle ear bone,A,,11.73,11.07,NA,11.07,,1.72,24.52,24.52,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63969661,,Revise middle ear bone,A,,15.52,14.09,NA,14.09,,2.26,31.87,31.87,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64069662,,Revise middle ear bone,A,,15.21,13.02,NA,13.02,,2.32,30.55,30.55,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858