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CMS RVU26D · Effective 2026-10-01

69540 in Chico

Office / nonfacility

$223.67

Base rate per service

Facility setting

$125.20

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.

Otolaryngology surgery

About 69540: Excision of an aural polyp

Reports surgical removal of an aural polyp, commonly encountered with chronic ear disease, rather than diagnostic sampling or treatment of another ear lesion.

CPT 69540 represents surgical removal of an aural polyp, often tissue protruding into the ear canal in the setting of chronic middle-ear inflammation or infection. An otolaryngologist, frequently an otologist, removes the polyp under direct visualization in an office or facility setting. The code describes excision of the polyp, not simply examination or diagnostic sampling of an ear lesion.

Document the affected ear, the polyp and its site, the removal performed, and relevant underlying ear disease; distinguish excision from biopsy. Medicare assigns a 10-day global period, including related postoperative visits during that period. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery services are not paid under the statutory restriction; co-surgeons and team surgery are not permitted.

CMS billing rules for 69540

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU1.22 · 19%
  • Practice expense (office) RVU4.89 · 78%
  • Malpractice RVU0.18 · 3%

379

Medicare services in 2024 · #3782 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.

69540 compared with similar codes

Office rates for Chico, from the same CMS release.

69105

Ear canal biopsy

External auditory canal

$153.53

69105 describes biopsy of an external auditory canal lesion. Choose 69540 when the documented procedure is excision of an aural polyp, not diagnostic sampling.

69145

Ear canal excision

With or without tympanic membrane

$429.45

69145 applies to excision of a soft-tissue lesion in the external auditory canal when it is not documented as an aural polyp.

69110

Auricular excision

Partial auricle

$495.90

69110 concerns a lesion of the external ear. 69540 is for an aural polyp, not a lesion on the outer ear.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 69540 is $224.19—$0.52 higher than the $223.67 rate in Chico. Both use the same code, release and participation basis.

69540 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $223.67

  2. Bakersfield

    $224.19

    $0.52 higher than Chico

  3. El Centro

    $223.70

    $0.03 higher than Chico

  4. Fresno

    $223.67

    The same base rate than Chico

  5. Hanford-Corcoran

    $223.67

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $239.63

    $15.96 higher than Chico

  7. Madera

    $223.67

    The same base rate than Chico

Other payment areas listed in California 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, 69540 ranges from $184.15 in Arkansas to $283.98 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

  • Merced

    California · 69540

    Office

    $223.67

    Facility

    $125.20

    The same base rate than Chico for the office setting.

  • Modesto

    California · 69540

    Office

    $223.67

    Facility

    $125.20

    The same base rate than Chico for the office setting.

  • Napa

    California · 69540

    Office

    $261.64

    Facility

    $143.22

    $37.97 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 69540

    Office

    $238.69

    Facility

    $132.49

    $15.02 higher than Chico for the office setting.

  • Redding

    California · 69540

    Office

    $223.67

    Facility

    $125.20

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 69540

    Office

    $223.67

    Facility

    $125.20

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 69540

    Office

    $225.62

    Facility

    $127.15

    $1.95 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 69540

    Office

    $235.39

    Facility

    $130.90

    $11.72 higher than Chico for the office setting.

  • Salinas

    California · 69540

    Office

    $234.53

    Facility

    $130.40

    $10.86 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 69540

    Office

    $240.57

    Facility

    $133.11

    $16.90 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 69540

    Office

    $277.68

    Facility

    $150.99

    $54.01 higher than Chico for the office setting.

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

    California · 69540

    Office

    $277.47

    Facility

    $150.79

    $53.80 higher than Chico for the office setting.

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

    California · 69540

    Office

    $283.98

    Facility

    $154.42

    $60.31 higher than Chico for the office setting.

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

    California · 69540

    Office

    $283.14

    Facility

    $153.58

    $59.47 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 69540

    Office

    $230.70

    Facility

    $128.36

    $7.03 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 69540

    Office

    $243.27

    Facility

    $134.11

    $19.60 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 69540

    Office

    $235.56

    Facility

    $130.79

    $11.89 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 69540

    Office

    $245.76

    Facility

    $135.43

    $22.09 higher than Chico for the office setting.

  • Stockton

    California · 69540

    Office

    $223.67

    Facility

    $125.20

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 69540

    Office

    $261.35

    Facility

    $142.93

    $37.68 higher than Chico for the office setting.

  • Visalia

    California · 69540

    Office

    $223.67

    Facility

    $125.20

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 69540

    Office

    $223.67

    Facility

    $125.20

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 69540

    Office

    $242.04

    Facility

    $136.20

    $18.37 higher than Chico for the office setting.

  • Miami

    Florida · 69540

    Office

    $225.98

    Facility

    $132.45

    $2.31 higher than Chico for the office setting.

  • Chicago

    Illinois · 69540

    Office

    $218.98

    Facility

    $128.68

    $4.69 lower than Chico for the office setting.

  • Manhattan

    New York · 69540

    Office

    $242.68

    Facility

    $138.28

    $19.01 higher than Chico for the office setting.

  • Alaska*

    Alaska · 69540

    Office

    $238.38

    Facility

    $142.69

    $14.71 higher than Chico for the office setting.

  • Alabama

    Alabama · 69540

    Office

    $187.07

    Facility

    $108.45

    $36.60 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 69540

    Office

    $184.15

    Facility

    $106.97

    $39.52 lower than Chico for the office setting.

  • Arizona

    Arizona · 69540

    Office

    $204.16

    Facility

    $117.10

    $19.51 lower than Chico for the office setting.

  • Colorado

    Colorado · 69540

    Office

    $219.72

    Facility

    $124.12

    $3.95 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 69540

    Office

    $224.75

    Facility

    $127.98

    $1.08 higher than Chico for the office setting.

  • Delaware

    Delaware · 69540

    Office

    $207.73

    Facility

    $118.96

    $15.94 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 69540

    Office

    $217.07

    Facility

    $126.06

    $6.60 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 69540

    Office

    $205.93

    Facility

    $120.03

    $17.74 lower than Chico for the office setting.

  • Atlanta

    Georgia · 69540

    Office

    $214.04

    Facility

    $122.75

    $9.63 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 69540

    Office

    $193.61

    Facility

    $113.46

    $30.06 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 69540

    Office

    $229.94

    Facility

    $127.78

    $6.27 higher than Chico for the office setting.

  • Iowa

    Iowa · 69540

    Office

    $192.58

    Facility

    $110.37

    $31.09 lower than Chico for the office setting.

  • Idaho

    Idaho · 69540

    Office

    $193.86

    Facility

    $111.20

    $29.81 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 69540

    Office

    $203.12

    Facility

    $120.46

    $20.55 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 69540

    Office

    $199.27

    Facility

    $117.24

    $24.40 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 69540

    Office

    $219.43

    Facility

    $127.15

    $4.24 lower than Chico for the office setting.

  • Indiana

    Indiana · 69540

    Office

    $195.08

    Facility

    $111.79

    $28.59 lower than Chico for the office setting.

  • Kansas

    Kansas · 69540

    Office

    $191.43

    Facility

    $110.21

    $32.24 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 69540

    Office

    $191.45

    Facility

    $111.58

    $32.22 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 69540

    Office

    $201.27

    Facility

    $116.73

    $22.40 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 69540

    Office

    $191.06

    Facility

    $111.54

    $32.61 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 69540

    Office

    $242.79

    Facility

    $135.51

    $19.12 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 69540

    Office

    $218.18

    Facility

    $123.57

    $5.49 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 69540

    Office

    $224.09

    Facility

    $127.68

    $0.42 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 69540

    Office

    $211.97

    Facility

    $121.04

    $11.70 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 69540

    Office

    $194.75

    Facility

    $112.09

    $28.92 lower than Chico for the office setting.

  • Southern Maine

    Maine · 69540

    Office

    $206.40

    Facility

    $117.36

    $17.27 lower than Chico for the office setting.

  • Detroit

    Michigan · 69540

    Office

    $208.50

    Facility

    $121.80

    $15.17 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 69540

    Office

    $196.66

    Facility

    $114.63

    $27.01 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 69540

    Office

    $210.60

    Facility

    $118.14

    $13.07 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 69540

    Office

    $199.99

    Facility

    $115.62

    $23.68 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 69540

    Office

    $202.26

    Facility

    $116.73

    $21.41 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 69540

    Office

    $187.40

    Facility

    $109.95

    $36.27 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 69540

    Office

    $185.82

    Facility

    $108.46

    $37.85 lower than Chico for the office setting.

  • Montana**

    Montana · 69540

    Office

    $210.08

    Facility

    $120.23

    $13.59 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 69540

    Office

    $196.98

    Facility

    $113.15

    $26.69 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 69540

    Office

    $206.52

    Facility

    $116.67

    $17.15 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 69540

    Office

    $193.78

    Facility

    $110.85

    $29.89 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 69540

    Office

    $216.04

    Facility

    $122.50

    $7.63 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 69540

    Office

    $239.20

    Facility

    $134.98

    $15.53 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 69540

    Office

    $227.33

    Facility

    $129.22

    $3.66 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 69540

    Office

    $197.74

    Facility

    $115.35

    $25.93 lower than Chico for the office setting.

  • Nevada**

    Nevada · 69540

    Office

    $209.25

    Facility

    $119.31

    $14.42 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 69540

    Office

    $248.72

    Facility

    $141.89

    $25.05 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 69540

    Office

    $228.70

    Facility

    $130.32

    $5.03 higher than Chico for the office setting.

  • Queens

    New York · 69540

    Office

    $245.08

    Facility

    $138.88

    $21.41 higher than Chico for the office setting.

  • Rest Of New York

    New York · 69540

    Office

    $200.14

    Facility

    $114.78

    $23.53 lower than Chico for the office setting.

  • Ohio

    Ohio · 69540

    Office

    $195.93

    Facility

    $113.90

    $27.74 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 69540

    Office

    $191.27

    Facility

    $111.04

    $32.40 lower than Chico for the office setting.

  • Portland

    Oregon · 69540

    Office

    $227.33

    Facility

    $127.51

    $3.66 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 69540

    Office

    $207.65

    Facility

    $118.16

    $16.02 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 69540

    Office

    $218.68

    Facility

    $125.15

    $4.99 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 69540

    Office

    $196.37

    Facility

    $113.89

    $27.30 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 69540

    Office

    $211.80

    Facility

    $120.96

    $11.87 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 69540

    Office

    $215.61

    Facility

    $122.79

    $8.06 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 69540

    Office

    $196.78

    Facility

    $113.76

    $26.89 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 69540

    Office

    $206.10

    Facility

    $116.25

    $17.57 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 69540

    Office

    $192.44

    Facility

    $110.77

    $31.23 lower than Chico for the office setting.

  • Austin

    Texas · 69540

    Office

    $218.96

    Facility

    $123.90

    $4.71 lower than Chico for the office setting.

  • Beaumont

    Texas · 69540

    Office

    $194.97

    Facility

    $113.20

    $28.70 lower than Chico for the office setting.

  • Brazoria

    Texas · 69540

    Office

    $207.63

    Facility

    $118.59

    $16.04 lower than Chico for the office setting.

  • Dallas

    Texas · 69540

    Office

    $208.95

    Facility

    $119.46

    $14.72 lower than Chico for the office setting.

  • Fort Worth

    Texas · 69540

    Office

    $207.40

    Facility

    $118.81

    $16.27 lower than Chico for the office setting.

  • Galveston

    Texas · 69540

    Office

    $208.24

    Facility

    $119.02

    $15.43 lower than Chico for the office setting.

  • Houston

    Texas · 69540

    Office

    $211.53

    Facility

    $122.32

    $12.14 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 69540

    Office

    $201.18

    Facility

    $115.91

    $22.49 lower than Chico for the office setting.

  • Utah

    Utah · 69540

    Office

    $199.68

    Facility

    $115.22

    $23.99 lower than Chico for the office setting.

  • Virginia

    Virginia · 69540

    Office

    $205.55

    Facility

    $117.23

    $18.12 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 69540

    Office

    $211.80

    Facility

    $120.96

    $11.87 lower than Chico for the office setting.

  • Vermont

    Vermont · 69540

    Office

    $205.49

    Facility

    $116.54

    $18.18 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 69540

    Office

    $217.84

    Facility

    $123.23

    $5.83 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 69540

    Office

    $248.10

    Facility

    $137.86

    $24.43 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 69540

    Office

    $199.07

    Facility

    $113.00

    $24.60 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 69540

    Office

    $191.29

    Facility

    $113.21

    $32.38 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 69540

    Office

    $208.53

    Facility

    $118.68

    $15.14 lower than Chico for the office setting.

See how rates vary across the country

69540 · 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.

$184.15

$253.83

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$238.381
AL$187.071
AR$184.151
AZ$204.161
CA$223.67–$283.9829
CO$219.721
CT$224.751
DC$242.041
DE$207.731
FL$205.93–$225.983
GA$193.61–$214.042
GU$229.941
HI$229.941
IA$192.581
ID$193.861
IL$199.27–$219.434
IN$195.081
KS$191.431
KY$191.451
LA$191.06–$201.272
MA$218.18–$242.792
MD$211.97–$242.043
ME$194.75–$206.402
MI$196.66–$208.502
MN$210.601
MO$187.40–$202.263
MS$185.821
MT$210.081
NC$196.981
ND$206.521
NE$193.781
NH$216.041
NJ$227.33–$239.202
NM$197.741
NV$209.251
NY$200.14–$248.725
OH$195.931
OK$191.271
OR$207.65–$227.332
PA$196.37–$218.682
PR$211.801
RI$215.611
SC$196.781
SD$206.101
TN$192.441
TX$194.97–$218.968
UT$199.681
VA$205.55–$242.042
VI$211.801
VT$205.491
WA$217.84–$248.102
WI$199.071
WV$191.291
WY$208.531

Explore 69540 on the national rate map →

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.

Browse all communities in California →

Why are the office and facility amounts different?

For 69540 in Chico, the physician’s office rate is $223.67 and the facility-setting rate is $125.20: a difference of $98.47.

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.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 69540 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$246.04

$223.67 × 110% = $246.04

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 69540 in Chico.

PPRRVU2026_Oct_nonQPP.csv

7,615

Code
69540
Physician work
1.22
Practice expense
4.89
Malpractice
0.18

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 69540 in Chico
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0171.2407
Practice expense4.89× 1.0965.3594
Malpractice0.18× 0.5360.0965
Total RVUs6.6967
Conversion factor× 33.4009

Office / nonfacility rate, Chico$223.67

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 69540 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.221.017
Practice expense4.891.096
Malpractice0.180.536

(1.22 × 1.017 + 4.89 × 1.096 + 0.18 × 0.536) × $33.4009 = $223.67

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.221.017
Practice expense2.21.096
Malpractice0.180.536

(1.22 × 1.017 + 2.2 × 1.096 + 0.18 × 0.536) × $33.4009 = $125.20

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

69540 · Office / nonfacility

$223.67

Effective 2026-10-01

The base rate is $9.35 higher than on 2025-10-01, moving from $214.32 to $223.67 (4.4%).

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

    $214.32changed to$223.67

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.25 changed to 1.22
    • Practice expense RVU 4.81 changed to 4.89
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $214.32

    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$223.67$125.20RVU26D
2026-07-01$223.67$125.20RVU26C
2026-04-01$223.67$125.20RVU26B
2026-01-01$223.67$125.20RVU26A
2025-10-01$214.32$131.94RVU25D
2025-07-01$214.32$131.94RVU25C
2025-04-01$214.32$131.94RVU25B
2025-01-01$214.32$131.94RVU25A

69540 billing questions

How is 69540 distinguished from a biopsy of an ear-canal lesion?

Use 69540 when the documented service is excision of an aural polyp. When tissue is sampled for diagnosis rather than excised as a polyp, consider 69105.

Is an aural polyp the same as any external auditory canal soft-tissue lesion?

No. 69540 identifies an aural polyp; 69145 is for excision of a documented external auditory canal soft-tissue lesion that is not characterized as an aural polyp.

How should bilateral excision be reported?

For excision performed on both sides, report modifier 50. CMS pays bilateral procedures at 150%.

What postoperative care is included?

Related postoperative visits during the 10-day global period are included in the procedure.

How does the multiple-procedure rule affect 69540?

When it is the highest-valued procedure in the same session, it is paid in full; other procedures are paid at 50%. If another procedure is highest-valued, 69540 is among the other procedures.

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 69540PPRRVU2026_Oct_nonQPP.csv, line 7,615 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet