No office rate
Both are initial transcutaneous implant placements; 69716 applies below the 100 mm² surface-area threshold, while 69729 applies at or above it.
On this page
CMS RVU26D · Effective 2026-10-01
69729 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$591.88
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Otology surgery
About 69729: Transcutaneous skull implant placement
Reports surgical placement of a large-surface osseointegrated skull implant with a transcutaneous connection for a bone-conduction hearing system.
An otolaryngologist places an osseointegrated fixture in the skull for a bone-conduction hearing system, with the implant connecting to an external sound processor through intact skin. The implant’s surface area must be 100 mm² or greater. This approach may be used for patients whose hearing needs are addressed with bone-conduction sound transmission, including some patients with conductive or mixed hearing loss or single-sided deafness. The implant surgery is typically performed in an operating room or other surgical facility.
Select this code based on the transcutaneous connection and documented implant surface area, not simply the patient’s hearing diagnosis. The operative report should identify the implant and establish that its surface area meets the 100 mm² threshold. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 supports bilateral reporting, paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 69729
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.72 · 55%
- Practice expense (office) RVU6.43 · 36%
- Malpractice RVU1.47 · 8%
28
Medicare services in 2024 · #5720 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.
69729 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
69714 uses a percutaneous attachment to the external processor. 69729 uses a transcutaneous connection through intact skin.
No office rate
69730 is for replacing an existing transcutaneous implant with surface area of 100 mm² or greater; 69729 is for initial placement.
No office rate
69728 describes removal of a transcutaneous implant with surface area of 100 mm² or greater, rather than placement.
The same code, a different location
How does Chico compare?
69729 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 · 69729
Office
Unavailable
Facility
$591.88
No comparable office rate is available.
Modesto
California · 69729
Office
Unavailable
Facility
$591.88
No comparable office rate is available.
Napa
California · 69729
Office
Unavailable
Facility
$653.12
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69729
Office
Unavailable
Facility
$618.19
No comparable office rate is available.
Redding
California · 69729
Office
Unavailable
Facility
$591.88
No comparable office rate is available.
Rest Of California
California · 69729
Office
Unavailable
Facility
$591.88
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69729
Office
Unavailable
Facility
$607.77
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69729
Office
Unavailable
Facility
$612.44
No comparable office rate is available.
Salinas
California · 69729
Office
Unavailable
Facility
$609.95
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69729
Office
Unavailable
Facility
$617.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69729
Office
Unavailable
Facility
$680.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69729
Office
Unavailable
Facility
$679.19
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69729
Office
Unavailable
Facility
$696.38
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69729
Office
Unavailable
Facility
$689.56
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69729
Office
Unavailable
Facility
$601.11
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69729
Office
Unavailable
Facility
$618.73
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69729
Office
Unavailable
Facility
$610.48
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69729
Office
Unavailable
Facility
$624.45
No comparable office rate is available.
Stockton
California · 69729
Office
Unavailable
Facility
$591.88
No comparable office rate is available.
Vallejo
California · 69729
Office
Unavailable
Facility
$650.71
No comparable office rate is available.
Visalia
California · 69729
Office
Unavailable
Facility
$591.88
No comparable office rate is available.
Yuba City
California · 69729
Office
Unavailable
Facility
$591.88
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 69729
Office
Unavailable
Facility
$649.83
No comparable office rate is available.
Miami
Florida · 69729
Office
Unavailable
Facility
$672.40
No comparable office rate is available.
Chicago
Illinois · 69729
Office
Unavailable
Facility
$655.45
No comparable office rate is available.
Manhattan
New York · 69729
Office
Unavailable
Facility
$672.87
No comparable office rate is available.
Alaska*
Alaska · 69729
Office
Unavailable
Facility
$742.77
No comparable office rate is available.
Alabama
Alabama · 69729
Office
Unavailable
Facility
$540.37
No comparable office rate is available.
Arkansas
Arkansas · 69729
Office
Unavailable
Facility
$534.43
No comparable office rate is available.
Arizona
Arizona · 69729
Office
Unavailable
Facility
$574.80
No comparable office rate is available.
Colorado
Colorado · 69729
Office
Unavailable
Facility
$595.41
No comparable office rate is available.
Connecticut
Connecticut · 69729
Office
Unavailable
Facility
$621.86
No comparable office rate is available.
Delaware
Delaware · 69729
Office
Unavailable
Facility
$582.61
No comparable office rate is available.
Fort Lauderdale
Florida · 69729
Office
Unavailable
Facility
$630.99
No comparable office rate is available.
Rest Of Florida
Florida · 69729
Office
Unavailable
Facility
$603.77
No comparable office rate is available.
Atlanta
Georgia · 69729
Office
Unavailable
Facility
$602.80
No comparable office rate is available.
Rest Of Georgia
Georgia · 69729
Office
Unavailable
Facility
$574.76
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69729
Office
Unavailable
Facility
$597.28
No comparable office rate is available.
Iowa
Iowa · 69729
Office
Unavailable
Facility
$540.66
No comparable office rate is available.
Idaho
Idaho · 69729
Office
Unavailable
Facility
$545.47
No comparable office rate is available.
East St. Louis
Illinois · 69729
Office
Unavailable
Facility
$621.13
No comparable office rate is available.
Rest Of Illinois
Illinois · 69729
Office
Unavailable
Facility
$597.48
No comparable office rate is available.
Suburban Chicago
Illinois · 69729
Office
Unavailable
Facility
$634.50
No comparable office rate is available.
Indiana
Indiana · 69729
Office
Unavailable
Facility
$547.61
No comparable office rate is available.
Kansas
Kansas · 69729
Office
Unavailable
Facility
$543.55
No comparable office rate is available.
Kentucky
Kentucky · 69729
Office
Unavailable
Facility
$560.51
No comparable office rate is available.
New Orleans
Louisiana · 69729
Office
Unavailable
Facility
$582.53
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69729
Office
Unavailable
Facility
$561.76
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69729
Office
Unavailable
Facility
$638.10
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69729
Office
Unavailable
Facility
$595.13
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69729
Office
Unavailable
Facility
$621.03
No comparable office rate is available.
Rest Of Maryland
Maryland · 69729
Office
Unavailable
Facility
$590.32
No comparable office rate is available.
Rest Of Maine
Maine · 69729
Office
Unavailable
Facility
$552.78
No comparable office rate is available.
Southern Maine
Maine · 69729
Office
Unavailable
Facility
$568.47
No comparable office rate is available.
Detroit
Michigan · 69729
Office
Unavailable
Facility
$614.69
No comparable office rate is available.
Rest Of Michigan
Michigan · 69729
Office
Unavailable
Facility
$576.17
No comparable office rate is available.
Minnesota
Minnesota · 69729
Office
Unavailable
Facility
$560.19
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69729
Office
Unavailable
Facility
$574.29
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69729
Office
Unavailable
Facility
$578.31
No comparable office rate is available.
Rest Of Missouri
Missouri · 69729
Office
Unavailable
Facility
$557.61
No comparable office rate is available.
Mississippi
Mississippi · 69729
Office
Unavailable
Facility
$545.86
No comparable office rate is available.
Montana**
Montana · 69729
Office
Unavailable
Facility
$588.43
No comparable office rate is available.
North Carolina
North Carolina · 69729
Office
Unavailable
Facility
$556.41
No comparable office rate is available.
North Dakota**
North Dakota · 69729
Office
Unavailable
Facility
$559.36
No comparable office rate is available.
Nebraska
Nebraska · 69729
Office
Unavailable
Facility
$541.45
No comparable office rate is available.
New Hampshire
New Hampshire · 69729
Office
Unavailable
Facility
$591.19
No comparable office rate is available.
Northern Nj
New Jersey · 69729
Office
Unavailable
Facility
$646.68
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69729
Office
Unavailable
Facility
$626.03
No comparable office rate is available.
New Mexico
New Mexico · 69729
Office
Unavailable
Facility
$580.57
No comparable office rate is available.
Nevada**
Nevada · 69729
Office
Unavailable
Facility
$580.54
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69729
Office
Unavailable
Facility
$691.97
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69729
Office
Unavailable
Facility
$633.85
No comparable office rate is available.
Queens
New York · 69729
Office
Unavailable
Facility
$670.09
No comparable office rate is available.
Rest Of New York
New York · 69729
Office
Unavailable
Facility
$563.20
No comparable office rate is available.
Ohio
Ohio · 69729
Office
Unavailable
Facility
$570.23
No comparable office rate is available.
Oklahoma
Oklahoma · 69729
Office
Unavailable
Facility
$554.59
No comparable office rate is available.
Portland
Oregon · 69729
Office
Unavailable
Facility
$604.99
No comparable office rate is available.
Rest Of Oregon
Oregon · 69729
Office
Unavailable
Facility
$573.08
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69729
Office
Unavailable
Facility
$612.65
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69729
Office
Unavailable
Facility
$568.21
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69729
Office
Unavailable
Facility
$590.15
No comparable office rate is available.
Rhode Island
Rhode Island · 69729
Office
Unavailable
Facility
$596.48
No comparable office rate is available.
South Carolina
South Carolina · 69729
Office
Unavailable
Facility
$564.84
No comparable office rate is available.
South Dakota**
South Dakota · 69729
Office
Unavailable
Facility
$555.92
No comparable office rate is available.
Tennessee
Tennessee · 69729
Office
Unavailable
Facility
$546.25
No comparable office rate is available.
Austin
Texas · 69729
Office
Unavailable
Facility
$596.03
No comparable office rate is available.
Beaumont
Texas · 69729
Office
Unavailable
Facility
$565.71
No comparable office rate is available.
Brazoria
Texas · 69729
Office
Unavailable
Facility
$578.39
No comparable office rate is available.
Dallas
Texas · 69729
Office
Unavailable
Facility
$583.61
No comparable office rate is available.
Fort Worth
Texas · 69729
Office
Unavailable
Facility
$582.11
No comparable office rate is available.
Galveston
Texas · 69729
Office
Unavailable
Facility
$581.17
No comparable office rate is available.
Houston
Texas · 69729
Office
Unavailable
Facility
$608.08
No comparable office rate is available.
Rest Of Texas
Texas · 69729
Office
Unavailable
Facility
$572.81
No comparable office rate is available.
Utah
Utah · 69729
Office
Unavailable
Facility
$570.63
No comparable office rate is available.
Virginia
Virginia · 69729
Office
Unavailable
Facility
$570.44
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69729
Office
Unavailable
Facility
$590.15
No comparable office rate is available.
Vermont
Vermont · 69729
Office
Unavailable
Facility
$562.12
No comparable office rate is available.
Rest Of Washington
Washington · 69729
Office
Unavailable
Facility
$592.39
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69729
Office
Unavailable
Facility
$644.52
No comparable office rate is available.
Wisconsin
Wisconsin · 69729
Office
Unavailable
Facility
$545.53
No comparable office rate is available.
West Virginia
West Virginia · 69729
Office
Unavailable
Facility
$581.55
No comparable office rate is available.
Wyoming**
Wyoming · 69729
Office
Unavailable
Facility
$575.76
No comparable office rate is available.
See how rates vary across the country
69729 · 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 69729 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$651.07
$591.88 × 110% = $651.07
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 69729 in Chico.
PPRRVU2026_Oct_nonQPP.csv
7,659
- Code
- 69729
- Physician work
- 9.72
- Practice expense
- 6.43
- Malpractice
- 1.47
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.72 | × 1.017 | 9.8852 |
| Practice expense | 6.43 | × 1.096 | 7.0473 |
| Malpractice | 1.47 | × 0.536 | 0.7879 |
| Total RVUs | 17.7204 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$591.88
Open 69729 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.72 | 1.017 |
| Practice expense | 6.43 | 1.096 |
| Malpractice | 1.47 | 0.536 |
(9.72 × 1.017 + 6.43 × 1.096 + 1.47 × 0.536) × $33.4009 = $591.88
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
69729 · 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 | $591.88 | RVU26D |
| 2026-07-01 | Not available in this setting | $591.88 | RVU26C |
| 2026-04-01 | Not available in this setting | $591.88 | RVU26B |
| 2026-01-01 | Not available in this setting | $591.88 | RVU26A |
| 2025-10-01 | Not available in this setting | $664.93 | RVU25D |
| 2025-07-01 | Not available in this setting | $664.93 | RVU25C |
| 2025-04-01 | Not available in this setting | $664.93 | RVU25B |
| 2025-01-01 | Not available in this setting | $664.93 | RVU25A |
69729 billing questions
How does this code differ from 69716?
Both describe initial placement of an osseointegrated skull implant with a transcutaneous connection. Choose 69729 when the implant surface area is 100 mm² or greater; 69716 is for an area under 100 mm².
How does this differ from 69714?
69729 describes a transcutaneous connection through intact skin. 69714 describes an implant with a percutaneous attachment to the external processor.
What should the operative report document?
Document the transcutaneous connection and the implant’s surface area, along with the surgical placement. The area must be at least 100 mm² for 69729.
Can modifier 50 be used for bilateral implantation?
Yes. CMS treats the procedure as bilateral with modifier 50 and pays it at 150%.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Is this code for replacing an existing implant?
No. 69729 is for initial implant placement. Code 69730 describes replacement of the corresponding transcutaneous implant with a surface area of 100 mm² or greater.
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.
7,65669726,,Rmv ntr oi implt skl prq esp,A,,6.20,5.54,NA,5.54,,0.91,12.65,12.65,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65769727,,Rmv ntr oi imp sk tc esp<100,A,,7.20,5.79,NA,5.79,,1.06,14.05,14.05,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65869728,,Rmv ntr oi imp sk tc>=100,A,,8.29,6.06,NA,6.06,,1.21,15.56,15.56,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65969729,,Impl oi implt sk tc esp>=100,A,,9.72,6.43,NA,6.43,,1.47,17.62,17.62,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66069730,,Rplc oi implt sk tc esp>=100,A,,9.99,6.47,NA,6.47,,1.45,17.91,17.91,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66169740,,Repair facial nerve,A,,15.86,12.33,NA,12.33,,2.32,30.51,30.51,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66269745,,Repair facial nerve,A,,16.59,13.55,NA,13.55,,2.42,32.56,32.56,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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