No office rate
Both address external auditory canal reconstruction; 69320 is the graft-specific choice when a skin graft is part of the repair.
On this page
CMS RVU26D · Effective 2026-10-01
69310 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1077.94
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 surgery
About 69310: External auditory canal reconstruction
Reconstructs a narrowed or damaged external auditory canal, such as stenosis following trauma or infection, without the skin graft specified by its sibling code.
An otolaryngologist uses this procedure to restore the opening or contour of the external auditory canal when narrowing or damage interferes with the canal’s function. A typical clinical setting is acquired stenosis after trauma or infection. The reconstruction is performed as surgery, generally in an operating room; it is distinct from removing wax or a foreign body. When the reconstruction includes a skin graft, the graft-specific sibling code is the relevant choice instead.
The operative report should identify the affected canal, the condition prompting reconstruction, and the technique used, including whether a skin graft was part of the repair. Medicare assigns a 90-day global period: the day-before preoperative visit and related postoperative care during that period are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral work, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 69310
- 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 RVU10.70 · 34%
- Practice expense (office) RVU18.72 · 60%
- Malpractice RVU1.63 · 5%
814
Medicare services in 2024 · #3130 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.
69310 compared with similar codes
Office rates for Chico, from the same CMS release.
69300
No office rateRevise external ear
69300 addresses correction of a protruding outer ear, or pinna. It does not describe reconstruction of the ear canal.
69399
No office rateUnlisted px external ear
Use 69399 for an external-ear procedure that lacks a specific code, rather than when the documented canal reconstruction fits 69310 or 69320.
The same code, a different location
How does Chico compare?
69310 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 69310
Office
Unavailable
Facility
$1077.94
No comparable office rate is available.
Modesto
California · 69310
Office
Unavailable
Facility
$1077.94
No comparable office rate is available.
Napa
California · 69310
Office
Unavailable
Facility
$1231.66
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69310
Office
Unavailable
Facility
$1140.38
No comparable office rate is available.
Redding
California · 69310
Office
Unavailable
Facility
$1077.94
No comparable office rate is available.
Rest Of California
California · 69310
Office
Unavailable
Facility
$1077.94
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69310
Office
Unavailable
Facility
$1095.55
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69310
Office
Unavailable
Facility
$1126.62
No comparable office rate is available.
Salinas
California · 69310
Office
Unavailable
Facility
$1122.33
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69310
Office
Unavailable
Facility
$1145.44
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69310
Office
Unavailable
Facility
$1297.95
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69310
Office
Unavailable
Facility
$1296.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69310
Office
Unavailable
Facility
$1327.52
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69310
Office
Unavailable
Facility
$1319.95
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69310
Office
Unavailable
Facility
$1104.82
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69310
Office
Unavailable
Facility
$1153.77
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69310
Office
Unavailable
Facility
$1125.64
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69310
Office
Unavailable
Facility
$1165.12
No comparable office rate is available.
Stockton
California · 69310
Office
Unavailable
Facility
$1077.94
No comparable office rate is available.
Vallejo
California · 69310
Office
Unavailable
Facility
$1228.99
No comparable office rate is available.
Visalia
California · 69310
Office
Unavailable
Facility
$1077.94
No comparable office rate is available.
Yuba City
California · 69310
Office
Unavailable
Facility
$1077.94
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 69310
Office
Unavailable
Facility
$1173.85
No comparable office rate is available.
Miami
Florida · 69310
Office
Unavailable
Facility
$1145.98
No comparable office rate is available.
Chicago
Illinois · 69310
Office
Unavailable
Facility
$1113.23
No comparable office rate is available.
Manhattan
New York · 69310
Office
Unavailable
Facility
$1193.17
No comparable office rate is available.
Alaska*
Alaska · 69310
Office
Unavailable
Facility
$1231.99
No comparable office rate is available.
Alabama
Alabama · 69310
Office
Unavailable
Facility
$935.31
No comparable office rate is available.
Arkansas
Arkansas · 69310
Office
Unavailable
Facility
$922.53
No comparable office rate is available.
Arizona
Arizona · 69310
Office
Unavailable
Facility
$1009.87
No comparable office rate is available.
Colorado
Colorado · 69310
Office
Unavailable
Facility
$1069.48
No comparable office rate is available.
Connecticut
Connecticut · 69310
Office
Unavailable
Facility
$1103.82
No comparable office rate is available.
Delaware
Delaware · 69310
Office
Unavailable
Facility
$1025.88
No comparable office rate is available.
Fort Lauderdale
Florida · 69310
Office
Unavailable
Facility
$1089.22
No comparable office rate is available.
Rest Of Florida
Florida · 69310
Office
Unavailable
Facility
$1036.97
No comparable office rate is available.
Atlanta
Georgia · 69310
Office
Unavailable
Facility
$1059.12
No comparable office rate is available.
Rest Of Georgia
Georgia · 69310
Office
Unavailable
Facility
$980.02
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69310
Office
Unavailable
Facility
$1099.84
No comparable office rate is available.
Iowa
Iowa · 69310
Office
Unavailable
Facility
$951.12
No comparable office rate is available.
Idaho
Idaho · 69310
Office
Unavailable
Facility
$958.39
No comparable office rate is available.
East St. Louis
Illinois · 69310
Office
Unavailable
Facility
$1042.28
No comparable office rate is available.
Rest Of Illinois
Illinois · 69310
Office
Unavailable
Facility
$1013.35
No comparable office rate is available.
Suburban Chicago
Illinois · 69310
Office
Unavailable
Facility
$1098.51
No comparable office rate is available.
Indiana
Indiana · 69310
Office
Unavailable
Facility
$963.47
No comparable office rate is available.
Kansas
Kansas · 69310
Office
Unavailable
Facility
$950.07
No comparable office rate is available.
Kentucky
Kentucky · 69310
Office
Unavailable
Facility
$963.07
No comparable office rate is available.
New Orleans
Louisiana · 69310
Office
Unavailable
Facility
$1007.61
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69310
Office
Unavailable
Facility
$962.91
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69310
Office
Unavailable
Facility
$1167.06
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69310
Office
Unavailable
Facility
$1064.90
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69310
Office
Unavailable
Facility
$1101.36
No comparable office rate is available.
Rest Of Maryland
Maryland · 69310
Office
Unavailable
Facility
$1043.71
No comparable office rate is available.
Rest Of Maine
Maine · 69310
Office
Unavailable
Facility
$966.50
No comparable office rate is available.
Southern Maine
Maine · 69310
Office
Unavailable
Facility
$1011.38
No comparable office rate is available.
Detroit
Michigan · 69310
Office
Unavailable
Facility
$1052.56
No comparable office rate is available.
Rest Of Michigan
Michigan · 69310
Office
Unavailable
Facility
$989.72
No comparable office rate is available.
Minnesota
Minnesota · 69310
Office
Unavailable
Facility
$1016.90
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69310
Office
Unavailable
Facility
$997.70
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69310
Office
Unavailable
Facility
$1007.19
No comparable office rate is available.
Rest Of Missouri
Missouri · 69310
Office
Unavailable
Facility
$949.40
No comparable office rate is available.
Mississippi
Mississippi · 69310
Office
Unavailable
Facility
$935.98
No comparable office rate is available.
Montana**
Montana · 69310
Office
Unavailable
Facility
$1036.99
No comparable office rate is available.
North Carolina
North Carolina · 69310
Office
Unavailable
Facility
$975.55
No comparable office rate is available.
North Dakota**
North Dakota · 69310
Office
Unavailable
Facility
$1004.76
No comparable office rate is available.
Nebraska
Nebraska · 69310
Office
Unavailable
Facility
$955.09
No comparable office rate is available.
New Hampshire
New Hampshire · 69310
Office
Unavailable
Facility
$1055.93
No comparable office rate is available.
Northern Nj
New Jersey · 69310
Office
Unavailable
Facility
$1163.36
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69310
Office
Unavailable
Facility
$1114.20
No comparable office rate is available.
New Mexico
New Mexico · 69310
Office
Unavailable
Facility
$996.14
No comparable office rate is available.
Nevada**
Nevada · 69310
Office
Unavailable
Facility
$1028.63
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69310
Office
Unavailable
Facility
$1224.80
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69310
Office
Unavailable
Facility
$1124.01
No comparable office rate is available.
Queens
New York · 69310
Office
Unavailable
Facility
$1197.83
No comparable office rate is available.
Rest Of New York
New York · 69310
Office
Unavailable
Facility
$989.66
No comparable office rate is available.
Ohio
Ohio · 69310
Office
Unavailable
Facility
$983.14
No comparable office rate is available.
Oklahoma
Oklahoma · 69310
Office
Unavailable
Facility
$958.05
No comparable office rate is available.
Portland
Oregon · 69310
Office
Unavailable
Facility
$1098.28
No comparable office rate is available.
Rest Of Oregon
Oregon · 69310
Office
Unavailable
Facility
$1018.43
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69310
Office
Unavailable
Facility
$1079.67
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69310
Office
Unavailable
Facility
$982.83
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69310
Office
Unavailable
Facility
$1043.16
No comparable office rate is available.
Rhode Island
Rhode Island · 69310
Office
Unavailable
Facility
$1058.64
No comparable office rate is available.
South Carolina
South Carolina · 69310
Office
Unavailable
Facility
$981.41
No comparable office rate is available.
South Dakota**
South Dakota · 69310
Office
Unavailable
Facility
$1000.95
No comparable office rate is available.
Tennessee
Tennessee · 69310
Office
Unavailable
Facility
$954.99
No comparable office rate is available.
Austin
Texas · 69310
Office
Unavailable
Facility
$1067.87
No comparable office rate is available.
Beaumont
Texas · 69310
Office
Unavailable
Facility
$976.96
No comparable office rate is available.
Brazoria
Texas · 69310
Office
Unavailable
Facility
$1022.35
No comparable office rate is available.
Dallas
Texas · 69310
Office
Unavailable
Facility
$1030.08
No comparable office rate is available.
Fort Worth
Texas · 69310
Office
Unavailable
Facility
$1024.54
No comparable office rate is available.
Galveston
Texas · 69310
Office
Unavailable
Facility
$1026.22
No comparable office rate is available.
Houston
Texas · 69310
Office
Unavailable
Facility
$1056.05
No comparable office rate is available.
Rest Of Texas
Texas · 69310
Office
Unavailable
Facility
$999.93
No comparable office rate is available.
Utah
Utah · 69310
Office
Unavailable
Facility
$994.03
No comparable office rate is available.
Virginia
Virginia · 69310
Office
Unavailable
Facility
$1010.46
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69310
Office
Unavailable
Facility
$1043.16
No comparable office rate is available.
Vermont
Vermont · 69310
Office
Unavailable
Facility
$1003.95
No comparable office rate is available.
Rest Of Washington
Washington · 69310
Office
Unavailable
Facility
$1061.87
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69310
Office
Unavailable
Facility
$1186.94
No comparable office rate is available.
Wisconsin
Wisconsin · 69310
Office
Unavailable
Facility
$973.16
No comparable office rate is available.
West Virginia
West Virginia · 69310
Office
Unavailable
Facility
$978.65
No comparable office rate is available.
Wyoming**
Wyoming · 69310
Office
Unavailable
Facility
$1022.94
No comparable office rate is available.
See how rates vary across the country
69310 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 69310 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1185.73
$1077.94 × 110% = $1185.73
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 69310 in Chico.
PPRRVU2026_Oct_nonQPP.csv
7,599
- Code
- 69310
- Physician work
- 10.70
- Practice expense
- 18.72
- Malpractice
- 1.63
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.70 | × 1.017 | 10.8819 |
| Practice expense | 18.72 | × 1.096 | 20.5171 |
| Malpractice | 1.63 | × 0.536 | 0.8737 |
| Total RVUs | 32.2727 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$1077.94
Open 69310 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.7 | 1.017 |
| Practice expense | 18.72 | 1.096 |
| Malpractice | 1.63 | 0.536 |
(10.7 × 1.017 + 18.72 × 1.096 + 1.63 × 0.536) × $33.4009 = $1077.94
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
69310 · 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 | $1077.94 | RVU26D |
| 2026-07-01 | Not available in this setting | $1077.94 | RVU26C |
| 2026-04-01 | Not available in this setting | $1077.94 | RVU26B |
| 2026-01-01 | Not available in this setting | $1077.94 | RVU26A |
| 2025-10-01 | Not available in this setting | $1128.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $1128.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $1128.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $1128.96 | RVU25A |
69310 billing questions
When should 69310 be chosen instead of 69320?
Use 69310 for canal reconstruction without a skin graft. When the reconstruction includes a skin graft, use 69320 instead.
Is this code for routine earwax removal?
No. It describes surgical reconstruction for canal narrowing or damage, not removal of impacted cerumen or a foreign body.
What documentation supports reporting 69310?
Document the canal abnormality and its cause, the reconstructive work performed, and whether a skin graft was used.
How is bilateral canal reconstruction reported?
For bilateral work, Medicare pays this code with modifier 50 at 150%.
Are postoperative visits separately reported during the global period?
Related postoperative care for 90 days is included, along with the day-before preoperative visit.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
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.
7,59669220,,Clean out mastoid cavity,A,,0.81,1.42,,0.40,,0.12,2.35,1.33,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59769222,,Clean out mastoid cavity,A,,1.41,4.87,,2.15,,0.21,6.49,3.77,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59869300,,Revise external ear,R,,6.44,12.18,,5.42,,0.93,19.55,12.79,0,YYY,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59969310,,Rebuild outer ear canal,A,,10.70,18.72,NA,18.72,,1.63,31.05,31.05,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60069320,,Rebuild outer ear canal,A,,16.75,23.52,NA,23.52,,2.44,42.71,42.71,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60169399,,Unlisted px external ear,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60269420,,Incision of eardrum,A,,1.35,4.19,,1.76,,0.20,5.74,3.31,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536