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CMS RVU26D · Effective 2026-10-01

69209 in Beaumont

Office / nonfacility

$15.51

Base rate per service

Facility setting

Not available in this setting

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.

Ear procedure

About 69209: Impacted cerumen removal by irrigation

Report this code for irrigation or lavage to remove impacted cerumen from one ear canal, rather than instrumentation or routine ear cleaning.

This service uses irrigation or lavage to dislodge and remove impacted cerumen from one external ear canal. It is commonly performed in an office or clinic when wax obstructs the canal; clinical staff may perform the irrigation under physician supervision. It describes wax removal, not routine ear cleaning or extraction of a foreign body. The instrumentation method for impacted cerumen is reported with a different code.

Report one unit for one ear; report bilateral treatment with modifier 50. CMS applies a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. As an incident-to service, this code is billed only when performed under physician supervision. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 69209

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Professional and technical components
Incident-to service: billed only when performed under physician supervision.
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 RVU0.00 · 0%
  • Practice expense (office) RVU0.50 · 98%
  • Malpractice RVU0.01 · 2%

276.8K

Medicare services in 2024 · #328 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.

69209 compared with similar codes

Office rates for Beaumont, from the same CMS release.

69210

Impacted ear wax removal

Instrumentation, unilateral

$45.28

Both codes address impacted cerumen, but 69209 is for irrigation or lavage and 69210 is for removal requiring instrumentation.

69200

Ear canal removal

Without general anesthesia

$76.79

Use 69200 for a foreign body in the external ear canal removed without general anesthesia; 69209 is for impacted cerumen removed by irrigation or lavage.

69205

Ear foreign body removal

With general anesthesia

No office rate

Use 69205 for external ear canal foreign-body removal with general anesthesia. It is not the irrigation method for impacted cerumen described by 69209.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 69209 is $17.97—$2.46 higher than the $15.51 rate in Beaumont. Both use the same code, release and participation basis.

69209 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $15.51

  2. Austin

    $17.97

    $2.46 higher than Beaumont

  3. Brazoria

    $16.81

    $1.30 higher than Beaumont

  4. Dallas

    $16.92

    $1.41 higher than Beaumont

  5. Fort Worth

    $16.76

    $1.25 higher than Beaumont

  6. Galveston

    $16.86

    $1.35 higher than Beaumont

  7. Houston

    $17.04

    $1.53 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 69209 ranges from $14.52 in Arkansas to $24.26 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 69209

    Office

    $16.15

    Facility

    Unavailable

    $0.64 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 69209

    Office

    $19.98

    Facility

    Unavailable

    $4.47 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 69209

    Office

    $20.04

    Facility

    Unavailable

    $4.53 higher than Beaumont for the office setting.

  • Miami

    Florida · 69209

    Office

    $18.23

    Facility

    Unavailable

    $2.72 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 69209

    Office

    $17.55

    Facility

    Unavailable

    $2.04 higher than Beaumont for the office setting.

  • Manhattan

    New York · 69209

    Office

    $19.94

    Facility

    Unavailable

    $4.43 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 69209

    Office

    $17.97

    Facility

    Unavailable

    $2.46 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 69209

    Office

    $14.80

    Facility

    Unavailable

    $0.71 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 69209

    Office

    $14.52

    Facility

    Unavailable

    $0.99 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 69209

    Office

    $16.47

    Facility

    Unavailable

    $0.96 higher than Beaumont for the office setting.

  • Bakersfield

    California · 69209

    Office

    $18.51

    Facility

    Unavailable

    $3.00 higher than Beaumont for the office setting.

  • Chico

    California · 69209

    Office

    $18.48

    Facility

    Unavailable

    $2.97 higher than Beaumont for the office setting.

  • El Centro

    California · 69209

    Office

    $18.48

    Facility

    Unavailable

    $2.97 higher than Beaumont for the office setting.

  • Fresno

    California · 69209

    Office

    $18.48

    Facility

    Unavailable

    $2.97 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 69209

    Office

    $18.48

    Facility

    Unavailable

    $2.97 higher than Beaumont for the office setting.

  • Madera

    California · 69209

    Office

    $18.48

    Facility

    Unavailable

    $2.97 higher than Beaumont for the office setting.

  • Merced

    California · 69209

    Office

    $18.48

    Facility

    Unavailable

    $2.97 higher than Beaumont for the office setting.

  • Modesto

    California · 69209

    Office

    $18.48

    Facility

    Unavailable

    $2.97 higher than Beaumont for the office setting.

  • Napa

    California · 69209

    Office

    $22.18

    Facility

    Unavailable

    $6.67 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 69209

    Office

    $19.95

    Facility

    Unavailable

    $4.44 higher than Beaumont for the office setting.

  • Redding

    California · 69209

    Office

    $18.48

    Facility

    Unavailable

    $2.97 higher than Beaumont for the office setting.

  • Rest Of California

    California · 69209

    Office

    $18.48

    Facility

    Unavailable

    $2.97 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 69209

    Office

    $18.59

    Facility

    Unavailable

    $3.08 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 69209

    Office

    $19.60

    Facility

    Unavailable

    $4.09 higher than Beaumont for the office setting.

  • Salinas

    California · 69209

    Office

    $19.53

    Facility

    Unavailable

    $4.02 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 69209

    Office

    $20.15

    Facility

    Unavailable

    $4.64 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 69209

    Office

    $23.70

    Facility

    Unavailable

    $8.19 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 69209

    Office

    $23.69

    Facility

    Unavailable

    $8.18 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 69209

    Office

    $24.26

    Facility

    Unavailable

    $8.75 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 69209

    Office

    $24.21

    Facility

    Unavailable

    $8.70 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 69209

    Office

    $19.20

    Facility

    Unavailable

    $3.69 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 69209

    Office

    $20.47

    Facility

    Unavailable

    $4.96 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 69209

    Office

    $19.65

    Facility

    Unavailable

    $4.14 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 69209

    Office

    $20.69

    Facility

    Unavailable

    $5.18 higher than Beaumont for the office setting.

  • Stockton

    California · 69209

    Office

    $18.48

    Facility

    Unavailable

    $2.97 higher than Beaumont for the office setting.

  • Vallejo

    California · 69209

    Office

    $22.16

    Facility

    Unavailable

    $6.65 higher than Beaumont for the office setting.

  • Visalia

    California · 69209

    Office

    $18.48

    Facility

    Unavailable

    $2.97 higher than Beaumont for the office setting.

  • Yuba City

    California · 69209

    Office

    $18.48

    Facility

    Unavailable

    $2.97 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 69209

    Office

    $18.03

    Facility

    Unavailable

    $2.52 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 69209

    Office

    $18.39

    Facility

    Unavailable

    $2.88 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 69209

    Office

    $16.80

    Facility

    Unavailable

    $1.29 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 69209

    Office

    $17.52

    Facility

    Unavailable

    $2.01 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 69209

    Office

    $16.47

    Facility

    Unavailable

    $0.96 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 69209

    Office

    $17.37

    Facility

    Unavailable

    $1.86 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 69209

    Office

    $15.29

    Facility

    Unavailable

    $0.22 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 69209

    Office

    $19.18

    Facility

    Unavailable

    $3.67 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 69209

    Office

    $15.41

    Facility

    Unavailable

    $0.10 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 69209

    Office

    $15.52

    Facility

    Unavailable

    $0.01 higher than Beaumont for the office setting.

  • East St. Louis

    Illinois · 69209

    Office

    $16.04

    Facility

    Unavailable

    $0.53 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 69209

    Office

    $15.77

    Facility

    Unavailable

    $0.26 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 69209

    Office

    $17.74

    Facility

    Unavailable

    $2.23 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 69209

    Office

    $15.64

    Facility

    Unavailable

    $0.13 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 69209

    Office

    $15.27

    Facility

    Unavailable

    $0.24 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 69209

    Office

    $15.15

    Facility

    Unavailable

    $0.36 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 69209

    Office

    $16.09

    Facility

    Unavailable

    $0.58 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 69209

    Office

    $15.10

    Facility

    Unavailable

    $0.41 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 69209

    Office

    $20.24

    Facility

    Unavailable

    $4.73 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 69209

    Office

    $17.85

    Facility

    Unavailable

    $2.34 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 69209

    Office

    $18.33

    Facility

    Unavailable

    $2.82 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 69209

    Office

    $17.21

    Facility

    Unavailable

    $1.70 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 69209

    Office

    $15.57

    Facility

    Unavailable

    $0.06 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 69209

    Office

    $16.76

    Facility

    Unavailable

    $1.25 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 69209

    Office

    $16.68

    Facility

    Unavailable

    $1.17 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 69209

    Office

    $15.62

    Facility

    Unavailable

    $0.11 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 69209

    Office

    $17.28

    Facility

    Unavailable

    $1.77 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 69209

    Office

    $16.01

    Facility

    Unavailable

    $0.50 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 69209

    Office

    $16.23

    Facility

    Unavailable

    $0.72 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 69209

    Office

    $14.72

    Facility

    Unavailable

    $0.79 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 69209

    Office

    $14.63

    Facility

    Unavailable

    $0.88 lower than Beaumont for the office setting.

  • Montana**

    Montana · 69209

    Office

    $17.03

    Facility

    Unavailable

    $1.52 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 69209

    Office

    $15.79

    Facility

    Unavailable

    $0.28 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 69209

    Office

    $16.84

    Facility

    Unavailable

    $1.33 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 69209

    Office

    $15.54

    Facility

    Unavailable

    $0.03 higher than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 69209

    Office

    $17.68

    Facility

    Unavailable

    $2.17 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 69209

    Office

    $19.73

    Facility

    Unavailable

    $4.22 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 69209

    Office

    $18.60

    Facility

    Unavailable

    $3.09 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 69209

    Office

    $15.72

    Facility

    Unavailable

    $0.21 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 69209

    Office

    $17.00

    Facility

    Unavailable

    $1.49 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 69209

    Office

    $20.48

    Facility

    Unavailable

    $4.97 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 69209

    Office

    $18.69

    Facility

    Unavailable

    $3.18 higher than Beaumont for the office setting.

  • Queens

    New York · 69209

    Office

    $20.22

    Facility

    Unavailable

    $4.71 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 69209

    Office

    $16.10

    Facility

    Unavailable

    $0.59 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 69209

    Office

    $15.58

    Facility

    Unavailable

    $0.07 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 69209

    Office

    $15.17

    Facility

    Unavailable

    $0.34 lower than Beaumont for the office setting.

  • Portland

    Oregon · 69209

    Office

    $18.80

    Facility

    Unavailable

    $3.29 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 69209

    Office

    $16.87

    Facility

    Unavailable

    $1.36 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 69209

    Office

    $17.78

    Facility

    Unavailable

    $2.27 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 69209

    Office

    $15.65

    Facility

    Unavailable

    $0.14 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 69209

    Office

    $17.21

    Facility

    Unavailable

    $1.70 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 69209

    Office

    $17.55

    Facility

    Unavailable

    $2.04 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 69209

    Office

    $15.72

    Facility

    Unavailable

    $0.21 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 69209

    Office

    $16.81

    Facility

    Unavailable

    $1.30 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 69209

    Office

    $15.36

    Facility

    Unavailable

    $0.15 lower than Beaumont for the office setting.

  • Utah

    Utah · 69209

    Office

    $16.00

    Facility

    Unavailable

    $0.49 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 69209

    Office

    $16.65

    Facility

    Unavailable

    $1.14 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 69209

    Office

    $17.21

    Facility

    Unavailable

    $1.70 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 69209

    Office

    $16.70

    Facility

    Unavailable

    $1.19 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 69209

    Office

    $17.84

    Facility

    Unavailable

    $2.33 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 69209

    Office

    $20.76

    Facility

    Unavailable

    $5.25 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 69209

    Office

    $16.10

    Facility

    Unavailable

    $0.59 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 69209

    Office

    $14.99

    Facility

    Unavailable

    $0.52 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 69209

    Office

    $16.95

    Facility

    Unavailable

    $1.44 higher than Beaumont for the office setting.

See how rates vary across the country

69209 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$14.52

$21.37

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$17.971
AL$14.801
AR$14.521
AZ$16.471
CA$18.48–$24.2629
CO$18.031
CT$18.391
DC$20.041
DE$16.801
FL$16.47–$18.233
GA$15.29–$17.372
GU$19.181
HI$19.181
IA$15.411
ID$15.521
IL$15.77–$17.744
IN$15.641
KS$15.271
KY$15.151
LA$15.10–$16.092
MA$17.85–$20.242
MD$17.21–$20.043
ME$15.57–$16.762
MI$15.62–$16.682
MN$17.281
MO$14.72–$16.233
MS$14.631
MT$17.031
NC$15.791
ND$16.841
NE$15.541
NH$17.681
NJ$18.60–$19.732
NM$15.721
NV$17.001
NY$16.10–$20.485
OH$15.581
OK$15.171
OR$16.87–$18.802
PA$15.65–$17.782
PR$17.211
RI$17.551
SC$15.721
SD$16.811
TN$15.361
TX$15.51–$17.978
UT$16.001
VA$16.65–$20.042
VI$17.211
VT$16.701
WA$17.84–$20.762
WI$16.101
WV$14.991
WY$16.951

Explore 69209 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 69209 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$17.06

$15.51 × 110% = $17.06

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.

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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 69209 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

7,594

Code
69209
Physician work
0.00
Practice expense
0.50
Malpractice
0.01

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 69209 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense0.50× 0.9100.4550
Malpractice0.01× 0.9290.0093
Total RVUs0.4643
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$15.51

Open 69209 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01
Practice expense0.50.91
Malpractice0.010.929

(0 × 1 + 0.5 × 0.91 + 0.01 × 0.929) × $33.4009 = $15.51

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

69209 · Office / nonfacility

$15.51

Effective 2026-10-01

The base rate is $1.77 higher than on 2025-10-01, moving from $13.74 to $15.51 (12.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $13.74changed to$15.51

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.46 changed to 0.50
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $13.74

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$15.51Not available in this settingRVU26D
2026-07-01$15.51Not available in this settingRVU26C
2026-04-01$15.51Not available in this settingRVU26B
2026-01-01$15.51Not available in this settingRVU26A
2025-10-01$13.74Not available in this settingRVU25D
2025-07-01$13.74Not available in this settingRVU25C
2025-04-01$13.74Not available in this settingRVU25B
2025-01-01$13.74Not available in this settingRVU25A

69209 billing questions

How is this different from 69210?

Use 69209 when impacted cerumen is removed by irrigation or lavage. Use 69210 when removal requires instrumentation.

Can the code be reported for both ears?

Yes. The code is unilateral; report bilateral treatment with modifier 50. CMS pays a bilateral procedure reported with modifier 50 at 150%.

Can clinical staff perform the irrigation?

The service may be performed as an incident-to service, but it may be billed only when performed under physician supervision.

Is this the right code for a foreign object in the ear canal?

No. This code is for impacted cerumen removed by irrigation or lavage. Foreign-body removal is reported with 69200 or 69205, depending on the circumstances.

What happens when another procedure is performed in the same session?

CMS pays the highest-valued procedure in full and the other procedure at 50% under the standard multiple procedure reduction.

Is same-day follow-up care included?

Yes. The code has a 0-day global period, which includes same-day preoperative and 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.

RVUs for 69209PPRRVU2026_Oct_nonQPP.csv, line 7,594 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet