$2,347.66
This is the unilateral sibling. Choose 69705 for dilation of one eustachian tube and 69706 for dilation of both.
On this page
CMS RVU26D · Effective 2026-10-01
69706 in Beaumont
Office / nonfacility
$2434.14
Base rate per service
Facility setting
$199.81
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.
Otolaryngology procedure
About 69706: Bilateral eustachian tube balloon dilation
Reports endoscopic dilation of both eustachian tubes, typically by balloon, to treat obstructive eustachian tube dysfunction.
An otolaryngologist reaches the eustachian tube openings through the nose using a nasopharyngoscope, then dilates both tubes, commonly with a balloon catheter. The procedure is used for obstructive eustachian tube dysfunction, which can cause persistent ear pressure, trouble equalizing pressure, or middle-ear ventilation problems. It may be performed in an office-based procedure setting or a facility, depending on the patient and practice setup.
Report 69706 when both eustachian tubes are surgically dilated during the session; use the unilateral code when only one side is treated. The operative note should identify the treated sides, the dilation performed, and the clinical findings supporting treatment. The bilateral service is already reflected in the code, so modifier 50 does not increase payment. This minor procedure has a 0-day global period, including same-day preoperative and postoperative care. When related endoscopies are performed together, CMS endoscopy family pricing applies. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 69706
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.16 · 5%
- Practice expense (office) RVU74.90 · 94%
- Malpractice RVU0.60 · 1%
4.6K
Medicare services in 2024 · #1939 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.
69706 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
69436 places a ventilation tube through the tympanic membrane, while 69706 dilates both eustachian tubes endoscopically through the nose.
$107.27
92511 is diagnostic nasopharyngoscopy. It does not represent surgical dilation of both eustachian tubes.
The same code, a different location
How does Beaumont compare?
In Austin, the office rate for 69706 is $2803.81—$369.67 higher than the $2434.14 rate in Beaumont. Both use the same code, release and participation basis.
69706 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
$2434.14
$2803.81
$369.67 higher than Beaumont
$2634.90
$200.76 higher than Beaumont
$2649.11
$214.97 higher than Beaumont
$2624.36
$190.22 higher than Beaumont
$2640.87
$206.73 higher than Beaumont
$2651.85
$217.71 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, 69706 ranges from $2298.25 in Arkansas to $3772.46 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 · 69706
Office
$2531.18
Facility
$201.10
$97.04 higher than Beaumont for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 69706
Office
$3117.50
Facility
$212.87
$683.36 higher than Beaumont for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 69706
Office
$3115.79
Facility
$223.45
$681.65 higher than Beaumont for the office setting.
Miami
Florida · 69706
Office
$2793.93
Facility
$237.96
$359.79 higher than Beaumont for the office setting.
Chicago
Illinois · 69706
Office
$2700.15
Facility
$232.57
$266.01 higher than Beaumont for the office setting.
Manhattan
New York · 69706
Office
$3086.63
Facility
$233.57
$652.49 higher than Beaumont for the office setting.
Alaska*
Alaska · 69706
Office
$2883.80
Facility
$268.91
$449.66 higher than Beaumont for the office setting.
Alabama
Alabama · 69706
Office
$2339.30
Facility
$190.91
$94.84 lower than Beaumont for the office setting.
Arkansas
Arkansas · 69706
Office
$2298.25
Facility
$189.15
$135.89 lower than Beaumont for the office setting.
Arizona
Arizona · 69706
Office
$2580.28
Facility
$201.09
$146.14 higher than Beaumont for the office setting.
Bakersfield
California · 69706
Office
$2895.69
Facility
$204.68
$461.55 higher than Beaumont for the office setting.
Chico
California · 69706
Office
$2893.94
Facility
$202.94
$459.80 higher than Beaumont for the office setting.
El Centro
California · 69706
Office
$2894.05
Facility
$203.04
$459.91 higher than Beaumont for the office setting.
Fresno
California · 69706
Office
$2893.94
Facility
$202.94
$459.80 higher than Beaumont for the office setting.
Hanford-Corcoran
California · 69706
Office
$2893.94
Facility
$202.94
$459.80 higher than Beaumont for the office setting.
Madera
California · 69706
Office
$2893.94
Facility
$202.94
$459.80 higher than Beaumont for the office setting.
Merced
California · 69706
Office
$2893.94
Facility
$202.94
$459.80 higher than Beaumont for the office setting.
Modesto
California · 69706
Office
$2893.94
Facility
$202.94
$459.80 higher than Beaumont for the office setting.
Napa
California · 69706
Office
$3455.16
Facility
$219.07
$1021.02 higher than Beaumont for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 69706
Office
$3112.37
Facility
$210.20
$678.23 higher than Beaumont for the office setting.
Redding
California · 69706
Office
$2893.94
Facility
$202.94
$459.80 higher than Beaumont for the office setting.
Rest Of California
California · 69706
Office
$2893.94
Facility
$202.94
$459.80 higher than Beaumont for the office setting.
Riverside-San Bernardino-Ontario
California · 69706
Office
$2900.44
Facility
$209.43
$466.30 higher than Beaumont for the office setting.
Sacramento-Roseville-Folsom
California · 69706
Office
$3064.20
Facility
$208.69
$630.06 higher than Beaumont for the office setting.
Salinas
California · 69706
Office
$3053.50
Facility
$207.81
$619.36 higher than Beaumont for the office setting.
San Diego-Chula Vista-Carlsbad
California · 69706
Office
$3146.04
Facility
$209.51
$711.90 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69706
Office
$3688.78
Facility
$226.81
$1254.64 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69706
Office
$3688.10
Facility
$226.13
$1253.96 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69706
Office
$3772.46
Facility
$231.92
$1338.32 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69706
Office
$3769.68
Facility
$229.14
$1335.54 higher than Beaumont for the office setting.
San Luis Obispo-Paso Robles
California · 69706
Office
$3001.52
Facility
$204.93
$567.38 higher than Beaumont for the office setting.
Santa Cruz-Watsonville
California · 69706
Office
$3192.21
Facility
$209.02
$758.07 higher than Beaumont for the office setting.
Santa Maria-Santa Barbara
California · 69706
Office
$3070.59
Facility
$207.71
$636.45 higher than Beaumont for the office setting.
Santa Rosa-Petaluma
California · 69706
Office
$3225.98
Facility
$210.87
$791.84 higher than Beaumont for the office setting.
Stockton
California · 69706
Office
$2893.94
Facility
$202.94
$459.80 higher than Beaumont for the office setting.
Vallejo
California · 69706
Office
$3454.18
Facility
$218.09
$1020.04 higher than Beaumont for the office setting.
Visalia
California · 69706
Office
$2893.94
Facility
$202.94
$459.80 higher than Beaumont for the office setting.
Yuba City
California · 69706
Office
$2893.94
Facility
$202.94
$459.80 higher than Beaumont for the office setting.
Colorado
Colorado · 69706
Office
$2818.10
Facility
$205.67
$383.96 higher than Beaumont for the office setting.
Connecticut
Connecticut · 69706
Office
$2860.34
Facility
$215.98
$426.20 higher than Beaumont for the office setting.
Delaware
Delaware · 69706
Office
$2629.37
Facility
$203.53
$195.23 higher than Beaumont for the office setting.
Fort Lauderdale
Florida · 69706
Office
$2709.43
Facility
$222.21
$275.29 higher than Beaumont for the office setting.
Rest Of Florida
Florida · 69706
Office
$2560.72
Facility
$213.45
$126.58 higher than Beaumont for the office setting.
Atlanta
Georgia · 69706
Office
$2705.19
Facility
$210.60
$271.05 higher than Beaumont for the office setting.
Rest Of Georgia
Georgia · 69706
Office
$2394.38
Facility
$204.25
$39.76 lower than Beaumont for the office setting.
Hawaii, Guam
Hawaii · 69706
Office
$2995.02
Facility
$203.34
$560.88 higher than Beaumont for the office setting.
Iowa
Iowa · 69706
Office
$2435.98
Facility
$189.38
$1.84 higher than Beaumont for the office setting.
Idaho
Idaho · 69706
Office
$2450.02
Facility
$191.14
$15.88 higher than Beaumont for the office setting.
East St. Louis
Illinois · 69706
Office
$2480.90
Facility
$222.02
$46.76 higher than Beaumont for the office setting.
Rest Of Illinois
Illinois · 69706
Office
$2454.35
Facility
$212.66
$20.21 higher than Beaumont for the office setting.
Suburban Chicago
Illinois · 69706
Office
$2744.71
Facility
$223.11
$310.57 higher than Beaumont for the office setting.
Indiana
Indiana · 69706
Office
$2467.79
Facility
$191.73
$33.65 higher than Beaumont for the office setting.
Kansas
Kansas · 69706
Office
$2410.61
Facility
$191.02
$23.53 lower than Beaumont for the office setting.
Kentucky
Kentucky · 69706
Office
$2381.32
Facility
$198.56
$52.82 lower than Beaumont for the office setting.
New Orleans
Louisiana · 69706
Office
$2515.84
Facility
$205.40
$81.70 higher than Beaumont for the office setting.
Rest Of Louisiana
Louisiana · 69706
Office
$2372.18
Facility
$199.23
$61.96 lower than Beaumont for the office setting.
Metropolitan Boston
Massachusetts · 69706
Office
$3149.54
Facility
$217.91
$715.40 higher than Beaumont for the office setting.
Rest Of Massachusetts
Massachusetts · 69706
Office
$2791.46
Facility
$206.03
$357.32 higher than Beaumont for the office setting.
Baltimore/Surr. Cntys
Maryland · 69706
Office
$2850.31
Facility
$215.78
$416.17 higher than Beaumont for the office setting.
Rest Of Maryland
Maryland · 69706
Office
$2690.48
Facility
$205.72
$256.34 higher than Beaumont for the office setting.
Rest Of Maine
Maine · 69706
Office
$2453.00
Facility
$194.13
$18.86 higher than Beaumont for the office setting.
Southern Maine
Maine · 69706
Office
$2630.81
Facility
$197.60
$196.67 higher than Beaumont for the office setting.
Detroit
Michigan · 69706
Office
$2586.90
Facility
$217.54
$152.76 higher than Beaumont for the office setting.
Rest Of Michigan
Michigan · 69706
Office
$2445.65
Facility
$203.96
$11.51 higher than Beaumont for the office setting.
Minnesota
Minnesota · 69706
Office
$2719.16
Facility
$192.65
$285.02 higher than Beaumont for the office setting.
Metropolitan Kansas City
Missouri · 69706
Office
$2507.65
Facility
$202.12
$73.51 higher than Beaumont for the office setting.
Metropolitan St. Louis
Missouri · 69706
Office
$2540.67
Facility
$203.23
$106.53 higher than Beaumont for the office setting.
Rest Of Missouri
Missouri · 69706
Office
$2314.96
Facility
$198.49
$119.18 lower than Beaumont for the office setting.
Mississippi
Mississippi · 69706
Office
$2307.75
Facility
$193.73
$126.39 lower than Beaumont for the office setting.
Montana**
Montana · 69706
Office
$2660.68
Facility
$205.38
$226.54 higher than Beaumont for the office setting.
North Carolina
North Carolina · 69706
Office
$2485.87
Facility
$195.07
$51.73 higher than Beaumont for the office setting.
North Dakota**
North Dakota · 69706
Office
$2648.81
Facility
$193.51
$214.67 higher than Beaumont for the office setting.
Nebraska
Nebraska · 69706
Office
$2455.62
Facility
$189.38
$21.48 higher than Beaumont for the office setting.
New Hampshire
New Hampshire · 69706
Office
$2760.78
Facility
$204.81
$326.64 higher than Beaumont for the office setting.
Northern Nj
New Jersey · 69706
Office
$3071.11
Facility
$222.96
$636.97 higher than Beaumont for the office setting.
Rest Of New Jersey
New Jersey · 69706
Office
$2898.38
Facility
$217.19
$464.24 higher than Beaumont for the office setting.
New Mexico
New Mexico · 69706
Office
$2457.10
Facility
$205.59
$22.96 higher than Beaumont for the office setting.
Nevada**
Nevada · 69706
Office
$2659.87
Facility
$202.12
$225.73 higher than Beaumont for the office setting.
Nyc Suburbs/Long Island
New York · 69706
Office
$3159.61
Facility
$240.26
$725.47 higher than Beaumont for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 69706
Office
$2908.84
Facility
$220.29
$474.70 higher than Beaumont for the office setting.
Queens
New York · 69706
Office
$3133.78
Facility
$231.62
$699.64 higher than Beaumont for the office setting.
Rest Of New York
New York · 69706
Office
$2529.68
Facility
$197.14
$95.54 higher than Beaumont for the office setting.
Ohio
Ohio · 69706
Office
$2443.23
Facility
$201.54
$9.09 higher than Beaumont for the office setting.
Oklahoma
Oklahoma · 69706
Office
$2388.56
Facility
$195.98
$45.58 lower than Beaumont for the office setting.
Portland
Oregon · 69706
Office
$2935.50
Facility
$207.66
$501.36 higher than Beaumont for the office setting.
Rest Of Oregon
Oregon · 69706
Office
$2644.76
Facility
$199.28
$210.62 higher than Beaumont for the office setting.
Metropolitan Philadelphia
Pennsylvania · 69706
Office
$2769.66
Facility
$213.69
$335.52 higher than Beaumont for the office setting.
Rest Of Pennsylvania
Pennsylvania · 69706
Office
$2454.47
Facility
$200.51
$20.33 higher than Beaumont for the office setting.
Puerto Rico
Puerto Rico · 69706
Office
$2687.93
Facility
$205.63
$253.79 higher than Beaumont for the office setting.
Rhode Island
Rhode Island · 69706
Office
$2743.75
Facility
$207.42
$309.61 higher than Beaumont for the office setting.
South Carolina
South Carolina · 69706
Office
$2467.58
Facility
$198.88
$33.44 higher than Beaumont for the office setting.
South Dakota**
South Dakota · 69706
Office
$2647.41
Facility
$192.11
$213.27 higher than Beaumont for the office setting.
Tennessee
Tennessee · 69706
Office
$2423.78
Facility
$191.91
$10.36 lower than Beaumont for the office setting.
Utah
Utah · 69706
Office
$2508.57
Facility
$200.59
$74.43 higher than Beaumont for the office setting.
Virginia
Virginia · 69706
Office
$2612.29
Facility
$198.73
$178.15 higher than Beaumont for the office setting.
Virgin Islands
United States Virgin Islands · 69706
Office
$2687.93
Facility
$205.63
$253.79 higher than Beaumont for the office setting.
Vermont
Vermont · 69706
Office
$2625.80
Facility
$195.05
$191.66 higher than Beaumont for the office setting.
Rest Of Washington
Washington · 69706
Office
$2790.32
Facility
$204.89
$356.18 higher than Beaumont for the office setting.
Seattle (King Cnty)
Washington · 69706
Office
$3231.89
Facility
$219.23
$797.75 higher than Beaumont for the office setting.
Wisconsin
Wisconsin · 69706
Office
$2541.78
Facility
$189.60
$107.64 higher than Beaumont for the office setting.
West Virginia
West Virginia · 69706
Office
$2341.63
Facility
$207.97
$92.51 lower than Beaumont for the office setting.
Wyoming**
Wyoming · 69706
Office
$2655.51
Facility
$200.20
$221.37 higher than Beaumont for the office setting.
See how rates vary across the country
69706 · 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.
$2,298.25
$3,333.20
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $2,883.80 | 1 |
| AL | $2,339.30 | 1 |
| AR | $2,298.25 | 1 |
| AZ | $2,580.28 | 1 |
| CA | $2,893.94–$3,772.46 | 29 |
| CO | $2,818.10 | 1 |
| CT | $2,860.34 | 1 |
| DC | $3,115.79 | 1 |
| DE | $2,629.37 | 1 |
| FL | $2,560.72–$2,793.93 | 3 |
| GA | $2,394.38–$2,705.19 | 2 |
| GU | $2,995.02 | 1 |
| HI | $2,995.02 | 1 |
| IA | $2,435.98 | 1 |
| ID | $2,450.02 | 1 |
| IL | $2,454.35–$2,744.71 | 4 |
| IN | $2,467.79 | 1 |
| KS | $2,410.61 | 1 |
| KY | $2,381.32 | 1 |
| LA | $2,372.18–$2,515.84 | 2 |
| MA | $2,791.46–$3,149.54 | 2 |
| MD | $2,690.48–$3,115.79 | 3 |
| ME | $2,453.00–$2,630.81 | 2 |
| MI | $2,445.65–$2,586.90 | 2 |
| MN | $2,719.16 | 1 |
| MO | $2,314.96–$2,540.67 | 3 |
| MS | $2,307.75 | 1 |
| MT | $2,660.68 | 1 |
| NC | $2,485.87 | 1 |
| ND | $2,648.81 | 1 |
| NE | $2,455.62 | 1 |
| NH | $2,760.78 | 1 |
| NJ | $2,898.38–$3,071.11 | 2 |
| NM | $2,457.10 | 1 |
| NV | $2,659.87 | 1 |
| NY | $2,529.68–$3,159.61 | 5 |
| OH | $2,443.23 | 1 |
| OK | $2,388.56 | 1 |
| OR | $2,644.76–$2,935.50 | 2 |
| PA | $2,454.47–$2,769.66 | 2 |
| PR | $2,687.93 | 1 |
| RI | $2,743.75 | 1 |
| SC | $2,467.58 | 1 |
| SD | $2,647.41 | 1 |
| TN | $2,423.78 | 1 |
| TX | $2,434.14–$2,803.81 | 8 |
| UT | $2,508.57 | 1 |
| VA | $2,612.29–$3,115.79 | 2 |
| VI | $2,687.93 | 1 |
| VT | $2,625.80 | 1 |
| WA | $2,790.32–$3,231.89 | 2 |
| WI | $2,541.78 | 1 |
| WV | $2,341.63 | 1 |
| WY | $2,655.51 | 1 |
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.
Why are the office and facility amounts different?
For 69706 in Beaumont, the physician’s office rate is $2434.14 and the facility-setting rate is $199.81: a difference of $2234.33.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 69706 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2677.55
$2434.14 × 110% = $2677.55
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 69706 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
7,647
- Code
- 69706
- Physician work
- 4.16
- Practice expense
- 74.90
- Malpractice
- 0.60
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.16 | × 1.000 | 4.1600 |
| Practice expense | 74.90 | × 0.910 | 68.1590 |
| Malpractice | 0.60 | × 0.929 | 0.5574 |
| Total RVUs | 72.8764 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Beaumont$2434.14
Open 69706 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.16 | 1 |
| Practice expense | 74.9 | 0.91 |
| Malpractice | 0.6 | 0.929 |
(4.16 × 1 + 74.9 × 0.91 + 0.6 × 0.929) × $33.4009 = $2434.14
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.16 | 1 |
| Practice expense | 1.39 | 0.91 |
| Malpractice | 0.6 | 0.929 |
(4.16 × 1 + 1.39 × 0.91 + 0.6 × 0.929) × $33.4009 = $199.81
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
69706 · Office / nonfacility
$2434.14
Effective 2026-10-01
The base rate is $103.00 higher than on 2025-10-01, moving from $2331.14 to $2434.14 (4.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$2331.14changed to$2434.14
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.27 changed to 4.16
- Practice expense RVU 74.42 changed to 74.90
- Malpractice RVU 0.63 changed to 0.60
- Practice expense GPCI 0.903 changed to 0.910
- Malpractice GPCI 0.947 changed to 0.929
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $2331.14
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $2434.14 | $199.81 | RVU26D |
| 2026-07-01 | $2434.14 | $199.81 | RVU26C |
| 2026-04-01 | $2434.14 | $199.81 | RVU26B |
| 2026-01-01 | $2434.14 | $199.81 | RVU26A |
| 2025-10-01 | $2331.14 | $227.23 | RVU25D |
| 2025-07-01 | $2331.14 | $227.23 | RVU25C |
| 2025-04-01 | $2331.14 | $227.23 | RVU25B |
| 2025-01-01 | $2331.14 | $227.23 | RVU25A |
69706 billing questions
When should 69706 be used instead of 69705?
Use 69706 when both eustachian tubes are surgically dilated in the session. Use 69705 when dilation is performed on one side only.
Should modifier 50 be appended for bilateral treatment?
No. 69706 is already priced as a bilateral service, and modifier 50 does not increase payment.
Can the nasopharyngoscopy used to guide dilation be reported separately?
The endoscopic approach is part of the surgical dilation service. Do not separately report a diagnostic scope for the visualization used to perform that same dilation.
What documentation supports reporting 69706?
Document the obstructive eustachian tube condition, the clinical findings supporting treatment, and that dilation was performed on both sides.
What happens when another related endoscopy is performed in the same session?
CMS endoscopy family pricing applies when related endoscopies are performed together. The claim is subject to that family pricing rather than treating each related endoscopy as an entirely independent procedure.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
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.
7,64469676,,Remove middle ear nerve,A,,9.45,11.55,NA,11.55,,1.36,22.36,22.36,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64569700,,Close mastoid fistula,A,,8.16,8.54,NA,8.54,,1.21,17.91,17.91,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64669705,,Nps surg dilat eust tube uni,A,,2.93,73.58,,1.08,,0.43,76.94,4.44,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
7,64769706,,Nps surg dilat eust tube bi,A,,4.16,74.90,,1.39,,0.60,79.66,6.15,0,000,0.00,0.00,0.00,3,2,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
7,64869710,,Implant/replace hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64969711,,Remove/repair hearing aid,A,,10.35,10.60,NA,10.60,,1.50,22.45,22.45,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65069714,,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
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
10004412,TX,28,FORT WORTH,1.009,0.986,0.871