No office rate
69501 represents a more limited mastoid operation. Report 69502 when the operative documentation supports the complete mastoid dissection rather than the limited service.
On this page
CMS RVU26D · Effective 2026-10-01
69502 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$855.35
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 69502: Complete mastoid air-cell surgery
Reports complete surgical removal of diseased mastoid air cells, typically for chronic ear disease, when the operative extent supports this level of mastoid surgery.
An otolaryngologist performs this operation to open the mastoid behind the ear and remove diseased air cells. Typical indications include chronic mastoid infection or cholesteatoma involving the mastoid. The operative report should make clear the extent of the dissection and distinguish it from a more limited mastoid operation or a more extensive procedure. This service is generally performed in a hospital or other surgical facility.
Select the code from the documented operative work, not the diagnosis alone. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 69502
- 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
- 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 RVU12.25 · 49%
- Practice expense (office) RVU11.11 · 44%
- Malpractice RVU1.80 · 7%
338
Medicare services in 2024 · #3895 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.
69502 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
69505 represents a modified radical mastoid operation. The surgeon’s documented operative technique and extent distinguish it from 69502.
No office rate
69511 is for a radical mastoid operation, a different and broader operative service. Do not select it solely because the case involves severe disease.
The same code, a different location
How does El Centro compare?
69502 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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 · 69502
Office
Unavailable
Facility
$855.05
No comparable office rate is available.
Modesto
California · 69502
Office
Unavailable
Facility
$855.05
No comparable office rate is available.
Napa
California · 69502
Office
Unavailable
Facility
$954.57
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69502
Office
Unavailable
Facility
$896.69
No comparable office rate is available.
Redding
California · 69502
Office
Unavailable
Facility
$855.05
No comparable office rate is available.
Rest Of California
California · 69502
Office
Unavailable
Facility
$855.05
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69502
Office
Unavailable
Facility
$874.52
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69502
Office
Unavailable
Facility
$887.69
No comparable office rate is available.
Salinas
California · 69502
Office
Unavailable
Facility
$884.16
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69502
Office
Unavailable
Facility
$897.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69502
Office
Unavailable
Facility
$998.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69502
Office
Unavailable
Facility
$996.81
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69502
Office
Unavailable
Facility
$1021.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69502
Office
Unavailable
Facility
$1013.14
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69502
Office
Unavailable
Facility
$871.01
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69502
Office
Unavailable
Facility
$900.85
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69502
Office
Unavailable
Facility
$885.53
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69502
Office
Unavailable
Facility
$909.35
No comparable office rate is available.
Stockton
California · 69502
Office
Unavailable
Facility
$855.05
No comparable office rate is available.
Vallejo
California · 69502
Office
Unavailable
Facility
$951.62
No comparable office rate is available.
Visalia
California · 69502
Office
Unavailable
Facility
$855.05
No comparable office rate is available.
Yuba City
California · 69502
Office
Unavailable
Facility
$855.05
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 69502
Office
Unavailable
Facility
$935.31
No comparable office rate is available.
Miami
Florida · 69502
Office
Unavailable
Facility
$947.51
No comparable office rate is available.
Chicago
Illinois · 69502
Office
Unavailable
Facility
$922.94
No comparable office rate is available.
Manhattan
New York · 69502
Office
Unavailable
Facility
$961.90
No comparable office rate is available.
Alaska*
Alaska · 69502
Office
Unavailable
Facility
$1042.07
No comparable office rate is available.
Alabama
Alabama · 69502
Office
Unavailable
Facility
$767.89
No comparable office rate is available.
Arkansas
Arkansas · 69502
Office
Unavailable
Facility
$758.88
No comparable office rate is available.
Arizona
Arizona · 69502
Office
Unavailable
Facility
$820.21
No comparable office rate is available.
Colorado
Colorado · 69502
Office
Unavailable
Facility
$855.86
No comparable office rate is available.
Connecticut
Connecticut · 69502
Office
Unavailable
Facility
$889.75
No comparable office rate is available.
Delaware
Delaware · 69502
Office
Unavailable
Facility
$831.89
No comparable office rate is available.
Fort Lauderdale
Florida · 69502
Office
Unavailable
Facility
$893.77
No comparable office rate is available.
Rest Of Florida
Florida · 69502
Office
Unavailable
Facility
$854.28
No comparable office rate is available.
Atlanta
Georgia · 69502
Office
Unavailable
Facility
$859.62
No comparable office rate is available.
Rest Of Georgia
Georgia · 69502
Office
Unavailable
Facility
$811.83
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69502
Office
Unavailable
Facility
$865.89
No comparable office rate is available.
Iowa
Iowa · 69502
Office
Unavailable
Facility
$772.57
No comparable office rate is available.
Idaho
Idaho · 69502
Office
Unavailable
Facility
$779.00
No comparable office rate is available.
East St. Louis
Illinois · 69502
Office
Unavailable
Facility
$871.64
No comparable office rate is available.
Rest Of Illinois
Illinois · 69502
Office
Unavailable
Facility
$841.93
No comparable office rate is available.
Suburban Chicago
Illinois · 69502
Office
Unavailable
Facility
$899.66
No comparable office rate is available.
Indiana
Indiana · 69502
Office
Unavailable
Facility
$782.37
No comparable office rate is available.
Kansas
Kansas · 69502
Office
Unavailable
Facility
$774.92
No comparable office rate is available.
Kentucky
Kentucky · 69502
Office
Unavailable
Facility
$794.07
No comparable office rate is available.
New Orleans
Louisiana · 69502
Office
Unavailable
Facility
$826.65
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69502
Office
Unavailable
Facility
$795.17
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69502
Office
Unavailable
Facility
$922.52
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69502
Office
Unavailable
Facility
$854.38
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69502
Office
Unavailable
Facility
$888.25
No comparable office rate is available.
Rest Of Maryland
Maryland · 69502
Office
Unavailable
Facility
$843.98
No comparable office rate is available.
Rest Of Maine
Maine · 69502
Office
Unavailable
Facility
$787.95
No comparable office rate is available.
Southern Maine
Maine · 69502
Office
Unavailable
Facility
$814.84
No comparable office rate is available.
Detroit
Michigan · 69502
Office
Unavailable
Facility
$868.62
No comparable office rate is available.
Rest Of Michigan
Michigan · 69502
Office
Unavailable
Facility
$815.84
No comparable office rate is available.
Minnesota
Minnesota · 69502
Office
Unavailable
Facility
$808.80
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69502
Office
Unavailable
Facility
$816.35
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69502
Office
Unavailable
Facility
$822.67
No comparable office rate is available.
Rest Of Missouri
Missouri · 69502
Office
Unavailable
Facility
$787.59
No comparable office rate is available.
Mississippi
Mississippi · 69502
Office
Unavailable
Facility
$773.09
No comparable office rate is available.
Montana**
Montana · 69502
Office
Unavailable
Facility
$840.25
No comparable office rate is available.
North Carolina
North Carolina · 69502
Office
Unavailable
Facility
$793.80
No comparable office rate is available.
North Dakota**
North Dakota · 69502
Office
Unavailable
Facility
$804.65
No comparable office rate is available.
Nebraska
Nebraska · 69502
Office
Unavailable
Facility
$774.40
No comparable office rate is available.
New Hampshire
New Hampshire · 69502
Office
Unavailable
Facility
$848.07
No comparable office rate is available.
Northern Nj
New Jersey · 69502
Office
Unavailable
Facility
$929.61
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69502
Office
Unavailable
Facility
$896.70
No comparable office rate is available.
New Mexico
New Mexico · 69502
Office
Unavailable
Facility
$821.65
No comparable office rate is available.
Nevada**
Nevada · 69502
Office
Unavailable
Facility
$830.70
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69502
Office
Unavailable
Facility
$988.21
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69502
Office
Unavailable
Facility
$906.66
No comparable office rate is available.
Queens
New York · 69502
Office
Unavailable
Facility
$960.66
No comparable office rate is available.
Rest Of New York
New York · 69502
Office
Unavailable
Facility
$803.96
No comparable office rate is available.
Ohio
Ohio · 69502
Office
Unavailable
Facility
$808.56
No comparable office rate is available.
Oklahoma
Oklahoma · 69502
Office
Unavailable
Facility
$787.25
No comparable office rate is available.
Portland
Oregon · 69502
Office
Unavailable
Facility
$872.71
No comparable office rate is available.
Rest Of Oregon
Oregon · 69502
Office
Unavailable
Facility
$821.03
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69502
Office
Unavailable
Facility
$874.55
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69502
Office
Unavailable
Facility
$806.63
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69502
Office
Unavailable
Facility
$843.55
No comparable office rate is available.
Rhode Island
Rhode Island · 69502
Office
Unavailable
Facility
$853.89
No comparable office rate is available.
South Carolina
South Carolina · 69502
Office
Unavailable
Facility
$803.15
No comparable office rate is available.
South Dakota**
South Dakota · 69502
Office
Unavailable
Facility
$800.45
No comparable office rate is available.
Tennessee
Tennessee · 69502
Office
Unavailable
Facility
$778.76
No comparable office rate is available.
Austin
Texas · 69502
Office
Unavailable
Facility
$855.85
No comparable office rate is available.
Beaumont
Texas · 69502
Office
Unavailable
Facility
$802.70
No comparable office rate is available.
Brazoria
Texas · 69502
Office
Unavailable
Facility
$827.07
No comparable office rate is available.
Dallas
Texas · 69502
Office
Unavailable
Facility
$834.03
No comparable office rate is available.
Fort Worth
Texas · 69502
Office
Unavailable
Facility
$831.10
No comparable office rate is available.
Galveston
Texas · 69502
Office
Unavailable
Facility
$830.70
No comparable office rate is available.
Houston
Texas · 69502
Office
Unavailable
Facility
$863.65
No comparable office rate is available.
Rest Of Texas
Texas · 69502
Office
Unavailable
Facility
$815.61
No comparable office rate is available.
Utah
Utah · 69502
Office
Unavailable
Facility
$811.97
No comparable office rate is available.
Virginia
Virginia · 69502
Office
Unavailable
Facility
$816.38
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69502
Office
Unavailable
Facility
$843.55
No comparable office rate is available.
Vermont
Vermont · 69502
Office
Unavailable
Facility
$806.96
No comparable office rate is available.
Rest Of Washington
Washington · 69502
Office
Unavailable
Facility
$850.98
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69502
Office
Unavailable
Facility
$934.06
No comparable office rate is available.
Wisconsin
Wisconsin · 69502
Office
Unavailable
Facility
$783.18
No comparable office rate is available.
West Virginia
West Virginia · 69502
Office
Unavailable
Facility
$817.67
No comparable office rate is available.
Wyoming**
Wyoming · 69502
Office
Unavailable
Facility
$824.74
No comparable office rate is available.
See how rates vary across the country
69502 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 69502 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$940.89
$855.35 × 110% = $940.89
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 69502 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
7,610
- Code
- 69502
- Physician work
- 12.25
- Practice expense
- 11.11
- Malpractice
- 1.80
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.25 | × 1.017 | 12.4582 |
| Practice expense | 11.11 | × 1.096 | 12.1766 |
| Malpractice | 1.80 | × 0.541 | 0.9738 |
| Total RVUs | 25.6086 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$855.35
Open 69502 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.25 | 1.017 |
| Practice expense | 11.11 | 1.096 |
| Malpractice | 1.8 | 0.541 |
(12.25 × 1.017 + 11.11 × 1.096 + 1.8 × 0.541) × $33.4009 = $855.35
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
69502 · 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 | $855.35 | RVU26D |
| 2026-07-01 | Not available in this setting | $855.35 | RVU26C |
| 2026-04-01 | Not available in this setting | $855.35 | RVU26B |
| 2026-01-01 | Not available in this setting | $855.35 | RVU26A |
| 2025-10-01 | Not available in this setting | $938.18 | RVU25D |
| 2025-07-01 | Not available in this setting | $938.18 | RVU25C |
| 2025-04-01 | Not available in this setting | $938.18 | RVU25B |
| 2025-01-01 | Not available in this setting | $938.18 | RVU25A |
69502 billing questions
How is this different from 69501?
The distinction is the extent of the mastoid operation. Use the operative report to determine whether the work is the complete dissection represented by 69502 or the more limited operation represented by 69501.
When should 69505 be considered instead?
69505 represents a modified radical mastoid operation. Choose between it and 69502 based on the operative extent and technique documented, rather than the diagnosis by itself.
How should bilateral surgery be reported?
Report bilateral surgery with modifier 50. CMS pays the bilateral procedure at 150%.
Can an assistant-at-surgery claim be submitted?
Yes, when the record documents medical necessity for the assistant. CMS does not permit co-surgeon or team-surgery reporting for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in that session are paid at 50% under the standard multiple procedure reduction.
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.
7,60769440,,Exploration of middle ear,A,,7.52,10.06,NA,10.06,,1.11,18.69,18.69,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60869450,,Eardrum revision,A,,5.55,8.52,NA,8.52,,0.81,14.88,14.88,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60969501,,Mastoidectomy,A,,8.98,8.74,NA,8.74,,1.31,19.03,19.03,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61069502,,Mastoidectomy,A,,12.25,11.11,NA,11.11,,1.80,25.16,25.16,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61169505,,Remove mastoid structures,A,,12.84,19.07,NA,19.07,,1.87,33.78,33.78,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61269511,,Extensive mastoid surgery,A,,13.36,19.20,NA,19.20,,1.95,34.51,34.51,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61369530,,Extensive mastoid surgery,A,,19.87,22.67,NA,22.67,,3.04,45.58,45.58,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664