No office rate
Use 69601 when the revision results in a complete mastoidectomy. This code is for a revision resulting in a radical mastoidectomy.
On this page
CMS RVU26D · Effective 2026-10-01
69603 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1214.22
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 69603: Revision mastoidectomy to radical extent
Revision mastoid surgery reported when an earlier mastoidectomy is revised and the resulting operation creates a radical mastoidectomy.
An otolaryngologist or otologist reports this service when revising a previously operated mastoid and the completed procedure results in a radical mastoidectomy. It is associated with complex ear disease, such as persistent or recurrent cholesteatoma, when the surgeon must revise the mastoid cavity and establish the radical surgical result. The operative report should describe the prior mastoid surgery, the work performed, and the resulting anatomy and extent of the revision.
Select this code based on the final operative result, not the diagnosis alone; a revision ending in a different mastoidectomy result belongs to a different code in the revision series. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 69603
- 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 RVU13.85 · 39%
- Practice expense (office) RVU19.32 · 55%
- Malpractice RVU2.02 · 6%
35
Medicare services in 2024 · #5572 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.
69603 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Use 69602 when the revision results in a modified radical mastoidectomy; use 69603 for the radical mastoidectomy result.
No office rate
69604 describes revision resulting in tympanoplasty. Choose 69603 when the documented revision results in a radical mastoidectomy.
The same code, a different location
How does El Centro compare?
69603 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 · 69603
Office
Unavailable
Facility
$1213.89
No comparable office rate is available.
Modesto
California · 69603
Office
Unavailable
Facility
$1213.89
No comparable office rate is available.
Napa
California · 69603
Office
Unavailable
Facility
$1376.53
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69603
Office
Unavailable
Facility
$1280.34
No comparable office rate is available.
Redding
California · 69603
Office
Unavailable
Facility
$1213.89
No comparable office rate is available.
Rest Of California
California · 69603
Office
Unavailable
Facility
$1213.89
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69603
Office
Unavailable
Facility
$1235.74
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69603
Office
Unavailable
Facility
$1265.91
No comparable office rate is available.
Salinas
California · 69603
Office
Unavailable
Facility
$1261.02
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69603
Office
Unavailable
Facility
$1284.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69603
Office
Unavailable
Facility
$1447.40
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69603
Office
Unavailable
Facility
$1445.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69603
Office
Unavailable
Facility
$1480.18
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69603
Office
Unavailable
Facility
$1470.80
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69603
Office
Unavailable
Facility
$1241.63
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69603
Office
Unavailable
Facility
$1292.53
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69603
Office
Unavailable
Facility
$1264.15
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69603
Office
Unavailable
Facility
$1305.08
No comparable office rate is available.
Stockton
California · 69603
Office
Unavailable
Facility
$1213.89
No comparable office rate is available.
Vallejo
California · 69603
Office
Unavailable
Facility
$1373.23
No comparable office rate is available.
Visalia
California · 69603
Office
Unavailable
Facility
$1213.89
No comparable office rate is available.
Yuba City
California · 69603
Office
Unavailable
Facility
$1213.89
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 69603
Office
Unavailable
Facility
$1322.85
No comparable office rate is available.
Miami
Florida · 69603
Office
Unavailable
Facility
$1305.00
No comparable office rate is available.
Chicago
Illinois · 69603
Office
Unavailable
Facility
$1269.22
No comparable office rate is available.
Manhattan
New York · 69603
Office
Unavailable
Facility
$1349.06
No comparable office rate is available.
Alaska*
Alaska · 69603
Office
Unavailable
Facility
$1418.33
No comparable office rate is available.
Alabama
Alabama · 69603
Office
Unavailable
Facility
$1065.43
No comparable office rate is available.
Arkansas
Arkansas · 69603
Office
Unavailable
Facility
$1051.67
No comparable office rate is available.
Arizona
Arizona · 69603
Office
Unavailable
Facility
$1145.66
No comparable office rate is available.
Colorado
Colorado · 69603
Office
Unavailable
Facility
$1207.45
No comparable office rate is available.
Connecticut
Connecticut · 69603
Office
Unavailable
Facility
$1248.49
No comparable office rate is available.
Delaware
Delaware · 69603
Office
Unavailable
Facility
$1163.13
No comparable office rate is available.
Fort Lauderdale
Florida · 69603
Office
Unavailable
Facility
$1238.28
No comparable office rate is available.
Rest Of Florida
Florida · 69603
Office
Unavailable
Facility
$1180.92
No comparable office rate is available.
Atlanta
Georgia · 69603
Office
Unavailable
Facility
$1200.65
No comparable office rate is available.
Rest Of Georgia
Georgia · 69603
Office
Unavailable
Facility
$1118.64
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69603
Office
Unavailable
Facility
$1235.38
No comparable office rate is available.
Iowa
Iowa · 69603
Office
Unavailable
Facility
$1079.84
No comparable office rate is available.
Idaho
Idaho · 69603
Office
Unavailable
Facility
$1088.20
No comparable office rate is available.
East St. Louis
Illinois · 69603
Office
Unavailable
Facility
$1192.17
No comparable office rate is available.
Rest Of Illinois
Illinois · 69603
Office
Unavailable
Facility
$1157.22
No comparable office rate is available.
Suburban Chicago
Illinois · 69603
Office
Unavailable
Facility
$1248.13
No comparable office rate is available.
Indiana
Indiana · 69603
Office
Unavailable
Facility
$1093.59
No comparable office rate is available.
Kansas
Kansas · 69603
Office
Unavailable
Facility
$1079.96
No comparable office rate is available.
Kentucky
Kentucky · 69603
Office
Unavailable
Facility
$1098.01
No comparable office rate is available.
New Orleans
Louisiana · 69603
Office
Unavailable
Facility
$1146.48
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69603
Office
Unavailable
Facility
$1098.33
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69603
Office
Unavailable
Facility
$1312.11
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69603
Office
Unavailable
Facility
$1203.28
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69603
Office
Unavailable
Facility
$1245.88
No comparable office rate is available.
Rest Of Maryland
Maryland · 69603
Office
Unavailable
Facility
$1182.21
No comparable office rate is available.
Rest Of Maine
Maine · 69603
Office
Unavailable
Facility
$1098.25
No comparable office rate is available.
Southern Maine
Maine · 69603
Office
Unavailable
Facility
$1144.67
No comparable office rate is available.
Detroit
Michigan · 69603
Office
Unavailable
Facility
$1199.08
No comparable office rate is available.
Rest Of Michigan
Michigan · 69603
Office
Unavailable
Facility
$1127.94
No comparable office rate is available.
Minnesota
Minnesota · 69603
Office
Unavailable
Facility
$1146.59
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69603
Office
Unavailable
Facility
$1134.46
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69603
Office
Unavailable
Facility
$1144.54
No comparable office rate is available.
Rest Of Missouri
Missouri · 69603
Office
Unavailable
Facility
$1084.57
No comparable office rate is available.
Mississippi
Mississippi · 69603
Office
Unavailable
Facility
$1068.07
No comparable office rate is available.
Montana**
Montana · 69603
Office
Unavailable
Facility
$1175.24
No comparable office rate is available.
North Carolina
North Carolina · 69603
Office
Unavailable
Facility
$1107.79
No comparable office rate is available.
North Dakota**
North Dakota · 69603
Office
Unavailable
Facility
$1135.30
No comparable office rate is available.
Nebraska
Nebraska · 69603
Office
Unavailable
Facility
$1083.72
No comparable office rate is available.
New Hampshire
New Hampshire · 69603
Office
Unavailable
Facility
$1193.40
No comparable office rate is available.
Northern Nj
New Jersey · 69603
Office
Unavailable
Facility
$1312.36
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69603
Office
Unavailable
Facility
$1259.79
No comparable office rate is available.
New Mexico
New Mexico · 69603
Office
Unavailable
Facility
$1135.38
No comparable office rate is available.
Nevada**
Nevada · 69603
Office
Unavailable
Facility
$1164.76
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69603
Office
Unavailable
Facility
$1384.77
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69603
Office
Unavailable
Facility
$1271.67
No comparable office rate is available.
Queens
New York · 69603
Office
Unavailable
Facility
$1352.25
No comparable office rate is available.
Rest Of New York
New York · 69603
Office
Unavailable
Facility
$1123.07
No comparable office rate is available.
Ohio
Ohio · 69603
Office
Unavailable
Facility
$1119.78
No comparable office rate is available.
Oklahoma
Oklahoma · 69603
Office
Unavailable
Facility
$1091.28
No comparable office rate is available.
Portland
Oregon · 69603
Office
Unavailable
Facility
$1237.14
No comparable office rate is available.
Rest Of Oregon
Oregon · 69603
Office
Unavailable
Facility
$1152.76
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69603
Office
Unavailable
Facility
$1223.18
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69603
Office
Unavailable
Facility
$1118.75
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69603
Office
Unavailable
Facility
$1181.46
No comparable office rate is available.
Rhode Island
Rhode Island · 69603
Office
Unavailable
Facility
$1198.18
No comparable office rate is available.
South Carolina
South Carolina · 69603
Office
Unavailable
Facility
$1116.21
No comparable office rate is available.
South Dakota**
South Dakota · 69603
Office
Unavailable
Facility
$1130.58
No comparable office rate is available.
Tennessee
Tennessee · 69603
Office
Unavailable
Facility
$1085.42
No comparable office rate is available.
Austin
Texas · 69603
Office
Unavailable
Facility
$1206.04
No comparable office rate is available.
Beaumont
Texas · 69603
Office
Unavailable
Facility
$1112.51
No comparable office rate is available.
Brazoria
Texas · 69603
Office
Unavailable
Facility
$1158.43
No comparable office rate is available.
Dallas
Texas · 69603
Office
Unavailable
Facility
$1167.38
No comparable office rate is available.
Fort Worth
Texas · 69603
Office
Unavailable
Facility
$1161.80
No comparable office rate is available.
Galveston
Texas · 69603
Office
Unavailable
Facility
$1162.96
No comparable office rate is available.
Houston
Texas · 69603
Office
Unavailable
Facility
$1199.93
No comparable office rate is available.
Rest Of Texas
Texas · 69603
Office
Unavailable
Facility
$1135.92
No comparable office rate is available.
Utah
Utah · 69603
Office
Unavailable
Facility
$1129.78
No comparable office rate is available.
Virginia
Virginia · 69603
Office
Unavailable
Facility
$1144.57
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69603
Office
Unavailable
Facility
$1181.46
No comparable office rate is available.
Vermont
Vermont · 69603
Office
Unavailable
Facility
$1135.59
No comparable office rate is available.
Rest Of Washington
Washington · 69603
Office
Unavailable
Facility
$1199.47
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69603
Office
Unavailable
Facility
$1332.65
No comparable office rate is available.
Wisconsin
Wisconsin · 69603
Office
Unavailable
Facility
$1101.59
No comparable office rate is available.
West Virginia
West Virginia · 69603
Office
Unavailable
Facility
$1119.92
No comparable office rate is available.
Wyoming**
Wyoming · 69603
Office
Unavailable
Facility
$1157.84
No comparable office rate is available.
See how rates vary across the country
69603 · 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 69603 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1335.64
$1214.22 × 110% = $1335.64
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 69603 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
7,621
- Code
- 69603
- Physician work
- 13.85
- Practice expense
- 19.32
- Malpractice
- 2.02
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.85 | × 1.017 | 14.0854 |
| Practice expense | 19.32 | × 1.096 | 21.1747 |
| Malpractice | 2.02 | × 0.541 | 1.0928 |
| Total RVUs | 36.3530 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$1214.22
Open 69603 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.85 | 1.017 |
| Practice expense | 19.32 | 1.096 |
| Malpractice | 2.02 | 0.541 |
(13.85 × 1.017 + 19.32 × 1.096 + 2.02 × 0.541) × $33.4009 = $1214.22
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
69603 · 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 | $1214.22 | RVU26D |
| 2026-07-01 | Not available in this setting | $1214.22 | RVU26C |
| 2026-04-01 | Not available in this setting | $1214.22 | RVU26B |
| 2026-01-01 | Not available in this setting | $1214.22 | RVU26A |
| 2025-10-01 | Not available in this setting | $1292.50 | RVU25D |
| 2025-07-01 | Not available in this setting | $1292.50 | RVU25C |
| 2025-04-01 | Not available in this setting | $1292.50 | RVU25B |
| 2025-01-01 | Not available in this setting | $1292.50 | RVU25A |
69603 billing questions
What distinguishes this code from 69601 or 69602?
Choose among the revision codes according to the resulting mastoidectomy: 69601 represents a complete mastoidectomy result, 69602 a modified radical result, and 69603 a radical result.
How is 69603 distinguished from 69604?
Use 69603 when the revision results in a radical mastoidectomy. Use 69604 when the revision results in tympanoplasty instead.
What documentation supports reporting 69603?
Document the prior mastoid operation, the revision work performed, and the final surgical result establishing a radical mastoidectomy. The diagnosis by itself does not establish the appropriate revision code.
Does the 90-day global period include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule supplied for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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.
7,61869554,,Exc aurl glomus tum extended,A,,35.07,26.74,NA,26.74,,5.11,66.92,66.92,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61969601,,Revj mstdc rsltg compl mstdc,A,,13.11,12.08,NA,12.08,,1.91,27.10,27.10,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62069602,,Rev mstdc rslt mod rad mstdc,A,,13.42,13.55,NA,13.55,,1.96,28.93,28.93,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62169603,,Revj mstdc rsltg rad mstdc,A,,13.85,19.32,NA,19.32,,2.02,35.19,35.19,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62269604,,Revj mstdc rsltg tympanplsty,A,,13.85,13.66,NA,13.66,,2.02,29.53,29.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62369610,,Tympanic membrane repair,A,,4.36,6.46,,2.49,,0.62,11.44,7.47,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62469620,,Myringoplasty,A,,5.88,15.44,,6.78,,0.87,22.19,13.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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