No office rate
This code represents extensive canal surgery. Choose 69140 when the documented operation fits its less extensive lesion-excision scope.
On this page
CMS RVU26D · Effective 2026-10-01
69150 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$913.02
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 69150: Extensive external ear canal excision
Reports extensive surgical removal of external ear canal tissue, typically for a substantial lesion or tumor requiring more than a limited canal excision.
An otolaryngologist or head and neck surgeon performs this extensive operation to remove substantial tissue from the external auditory canal, commonly for a tumor or other significant canal lesion. The work is broader than taking a biopsy or removing a small, localized lesion. It may involve operative removal of diseased canal tissue and reconstruction as part of the procedure. These cases are more often performed in a facility setting than in an office.
Select this service based on the documented extent of the canal operation, not simply the diagnosis or lesion name. The operative report should describe the tissue and canal involved, the extent of excision, and any reconstruction performed. 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 69150
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.27 · 49%
- Practice expense (office) RVU11.62 · 43%
- Malpractice RVU2.06 · 8%
201
Medicare services in 2024 · #4326 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.
69150 compared with similar codes
Office rates for Merced, from the same CMS release.
$429.45
Both involve external auditory canal lesion excision, but this code is for an extensive operation. Base the choice on the documented operative scope and approach.
No office rate
Use 69155 when the extensive ear operation also includes neck surgery; this code is for the canal operation without that added neck component.
$153.53
69105 represents a diagnostic canal biopsy. This code represents extensive surgical removal, not tissue sampling alone.
The same code, a different location
How does Merced compare?
69150 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 69150
Office
Unavailable
Facility
$913.02
No comparable office rate is available.
Modesto
California · 69150
Office
Unavailable
Facility
$913.02
No comparable office rate is available.
Napa
California · 69150
Office
Unavailable
Facility
$1017.65
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69150
Office
Unavailable
Facility
$957.26
No comparable office rate is available.
Redding
California · 69150
Office
Unavailable
Facility
$913.02
No comparable office rate is available.
Rest Of California
California · 69150
Office
Unavailable
Facility
$913.02
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69150
Office
Unavailable
Facility
$935.28
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69150
Office
Unavailable
Facility
$947.45
No comparable office rate is available.
Salinas
California · 69150
Office
Unavailable
Facility
$943.68
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69150
Office
Unavailable
Facility
$958.01
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69150
Office
Unavailable
Facility
$1064.17
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69150
Office
Unavailable
Facility
$1061.83
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69150
Office
Unavailable
Facility
$1088.53
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69150
Office
Unavailable
Facility
$1078.97
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69150
Office
Unavailable
Facility
$929.71
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69150
Office
Unavailable
Facility
$960.98
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69150
Office
Unavailable
Facility
$945.07
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69150
Office
Unavailable
Facility
$970.02
No comparable office rate is available.
Stockton
California · 69150
Office
Unavailable
Facility
$913.02
No comparable office rate is available.
Vallejo
California · 69150
Office
Unavailable
Facility
$1014.28
No comparable office rate is available.
Visalia
California · 69150
Office
Unavailable
Facility
$913.02
No comparable office rate is available.
Yuba City
California · 69150
Office
Unavailable
Facility
$913.02
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 69150
Office
Unavailable
Facility
$1000.95
No comparable office rate is available.
Miami
Florida · 69150
Office
Unavailable
Facility
$1021.27
No comparable office rate is available.
Chicago
Illinois · 69150
Office
Unavailable
Facility
$994.30
No comparable office rate is available.
Manhattan
New York · 69150
Office
Unavailable
Facility
$1031.72
No comparable office rate is available.
Alaska*
Alaska · 69150
Office
Unavailable
Facility
$1116.10
No comparable office rate is available.
Alabama
Alabama · 69150
Office
Unavailable
Facility
$821.78
No comparable office rate is available.
Arkansas
Arkansas · 69150
Office
Unavailable
Facility
$812.06
No comparable office rate is available.
Arizona
Arizona · 69150
Office
Unavailable
Facility
$878.21
No comparable office rate is available.
Colorado
Colorado · 69150
Office
Unavailable
Facility
$915.24
No comparable office rate is available.
Connecticut
Connecticut · 69150
Office
Unavailable
Facility
$953.35
No comparable office rate is available.
Delaware
Delaware · 69150
Office
Unavailable
Facility
$890.76
No comparable office rate is available.
Fort Lauderdale
Florida · 69150
Office
Unavailable
Facility
$960.79
No comparable office rate is available.
Rest Of Florida
Florida · 69150
Office
Unavailable
Facility
$917.69
No comparable office rate is available.
Atlanta
Georgia · 69150
Office
Unavailable
Facility
$921.52
No comparable office rate is available.
Rest Of Georgia
Georgia · 69150
Office
Unavailable
Facility
$871.45
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69150
Office
Unavailable
Facility
$924.36
No comparable office rate is available.
Iowa
Iowa · 69150
Office
Unavailable
Facility
$825.67
No comparable office rate is available.
Idaho
Idaho · 69150
Office
Unavailable
Facility
$832.84
No comparable office rate is available.
East St. Louis
Illinois · 69150
Office
Unavailable
Facility
$938.87
No comparable office rate is available.
Rest Of Illinois
Illinois · 69150
Office
Unavailable
Facility
$905.13
No comparable office rate is available.
Suburban Chicago
Illinois · 69150
Office
Unavailable
Facility
$966.85
No comparable office rate is available.
Indiana
Indiana · 69150
Office
Unavailable
Facility
$836.46
No comparable office rate is available.
Kansas
Kansas · 69150
Office
Unavailable
Facility
$828.77
No comparable office rate is available.
Kentucky
Kentucky · 69150
Office
Unavailable
Facility
$851.22
No comparable office rate is available.
New Orleans
Louisiana · 69150
Office
Unavailable
Facility
$886.61
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69150
Office
Unavailable
Facility
$852.63
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69150
Office
Unavailable
Facility
$986.05
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69150
Office
Unavailable
Facility
$913.85
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69150
Office
Unavailable
Facility
$951.89
No comparable office rate is available.
Rest Of Maryland
Maryland · 69150
Office
Unavailable
Facility
$903.60
No comparable office rate is available.
Rest Of Maine
Maine · 69150
Office
Unavailable
Facility
$843.10
No comparable office rate is available.
Southern Maine
Maine · 69150
Office
Unavailable
Facility
$871.27
No comparable office rate is available.
Detroit
Michigan · 69150
Office
Unavailable
Facility
$933.77
No comparable office rate is available.
Rest Of Michigan
Michigan · 69150
Office
Unavailable
Facility
$875.26
No comparable office rate is available.
Minnesota
Minnesota · 69150
Office
Unavailable
Facility
$862.97
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69150
Office
Unavailable
Facility
$874.90
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69150
Office
Unavailable
Facility
$881.66
No comparable office rate is available.
Rest Of Missouri
Missouri · 69150
Office
Unavailable
Facility
$844.80
No comparable office rate is available.
Mississippi
Mississippi · 69150
Office
Unavailable
Facility
$828.25
No comparable office rate is available.
Montana**
Montana · 69150
Office
Unavailable
Facility
$900.02
No comparable office rate is available.
North Carolina
North Carolina · 69150
Office
Unavailable
Facility
$849.31
No comparable office rate is available.
North Dakota**
North Dakota · 69150
Office
Unavailable
Facility
$859.28
No comparable office rate is available.
Nebraska
Nebraska · 69150
Office
Unavailable
Facility
$827.47
No comparable office rate is available.
New Hampshire
New Hampshire · 69150
Office
Unavailable
Facility
$907.47
No comparable office rate is available.
Northern Nj
New Jersey · 69150
Office
Unavailable
Facility
$994.86
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69150
Office
Unavailable
Facility
$960.26
No comparable office rate is available.
New Mexico
New Mexico · 69150
Office
Unavailable
Facility
$881.77
No comparable office rate is available.
Nevada**
Nevada · 69150
Office
Unavailable
Facility
$889.05
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69150
Office
Unavailable
Facility
$1060.84
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69150
Office
Unavailable
Facility
$971.42
No comparable office rate is available.
Queens
New York · 69150
Office
Unavailable
Facility
$1029.57
No comparable office rate is available.
Rest Of New York
New York · 69150
Office
Unavailable
Facility
$860.31
No comparable office rate is available.
Ohio
Ohio · 69150
Office
Unavailable
Facility
$866.94
No comparable office rate is available.
Oklahoma
Oklahoma · 69150
Office
Unavailable
Facility
$843.28
No comparable office rate is available.
Portland
Oregon · 69150
Office
Unavailable
Facility
$932.71
No comparable office rate is available.
Rest Of Oregon
Oregon · 69150
Office
Unavailable
Facility
$878.17
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69150
Office
Unavailable
Facility
$937.32
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69150
Office
Unavailable
Facility
$864.54
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69150
Office
Unavailable
Facility
$903.39
No comparable office rate is available.
Rhode Island
Rhode Island · 69150
Office
Unavailable
Facility
$913.95
No comparable office rate is available.
South Carolina
South Carolina · 69150
Office
Unavailable
Facility
$860.34
No comparable office rate is available.
South Dakota**
South Dakota · 69150
Office
Unavailable
Facility
$854.47
No comparable office rate is available.
Tennessee
Tennessee · 69150
Office
Unavailable
Facility
$832.98
No comparable office rate is available.
Austin
Texas · 69150
Office
Unavailable
Facility
$915.71
No comparable office rate is available.
Beaumont
Texas · 69150
Office
Unavailable
Facility
$860.34
No comparable office rate is available.
Brazoria
Texas · 69150
Office
Unavailable
Facility
$885.07
No comparable office rate is available.
Dallas
Texas · 69150
Office
Unavailable
Facility
$892.82
No comparable office rate is available.
Fort Worth
Texas · 69150
Office
Unavailable
Facility
$889.83
No comparable office rate is available.
Galveston
Texas · 69150
Office
Unavailable
Facility
$889.15
No comparable office rate is available.
Houston
Texas · 69150
Office
Unavailable
Facility
$926.85
No comparable office rate is available.
Rest Of Texas
Texas · 69150
Office
Unavailable
Facility
$873.69
No comparable office rate is available.
Utah
Utah · 69150
Office
Unavailable
Facility
$869.85
No comparable office rate is available.
Virginia
Virginia · 69150
Office
Unavailable
Facility
$873.33
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69150
Office
Unavailable
Facility
$903.39
No comparable office rate is available.
Vermont
Vermont · 69150
Office
Unavailable
Facility
$862.28
No comparable office rate is available.
Rest Of Washington
Washington · 69150
Office
Unavailable
Facility
$910.04
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69150
Office
Unavailable
Facility
$997.83
No comparable office rate is available.
Wisconsin
Wisconsin · 69150
Office
Unavailable
Facility
$836.24
No comparable office rate is available.
West Virginia
West Virginia · 69150
Office
Unavailable
Facility
$878.97
No comparable office rate is available.
Wyoming**
Wyoming · 69150
Office
Unavailable
Facility
$882.26
No comparable office rate is available.
See how rates vary across the country
69150 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 69150 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1004.32
$913.02 × 110% = $1004.32
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 69150 in Merced.
PPRRVU2026_Oct_nonQPP.csv
7,590
- Code
- 69150
- Physician work
- 13.27
- Practice expense
- 11.62
- Malpractice
- 2.06
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.27 | × 1.017 | 13.4956 |
| Practice expense | 11.62 | × 1.096 | 12.7355 |
| Malpractice | 2.06 | × 0.536 | 1.1042 |
| Total RVUs | 27.3353 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$913.02
Open 69150 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.27 | 1.017 |
| Practice expense | 11.62 | 1.096 |
| Malpractice | 2.06 | 0.536 |
(13.27 × 1.017 + 11.62 × 1.096 + 2.06 × 0.536) × $33.4009 = $913.02
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
69150 · 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 | $913.02 | RVU26D |
| 2026-07-01 | Not available in this setting | $913.02 | RVU26C |
| 2026-04-01 | Not available in this setting | $913.02 | RVU26B |
| 2026-01-01 | Not available in this setting | $913.02 | RVU26A |
| 2025-10-01 | Not available in this setting | $996.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $996.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $996.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $996.69 | RVU25A |
69150 billing questions
When is this code appropriate instead of a limited ear canal excision?
Use it when the surgeon documents an extensive canal operation rather than removal of a small, localized lesion. The operative extent, not the diagnosis alone, supports the selection.
How does this differ from an ear canal biopsy?
A biopsy obtains tissue for diagnosis; this service describes extensive operative removal of canal tissue. Do not select the extensive excision code for a diagnostic sampling alone.
Can modifier 50 be reported for bilateral work?
No. CMS identifies bilateral adjustment as inapplicable and modifier 50 as inappropriate for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard multiple procedure reduction.
Does the global period include related postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be billed?
Assistant-at-surgery payment is statutorily restricted. Co-surgeons are paid only with supporting documentation; team surgery is 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.
7,58769120,,Removal of external ear,A,,4.04,6.19,NA,6.19,,0.57,10.80,10.80,0,090,0.07,0.79,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,58869140,,Remove ear canal lesion(s),A,,7.94,16.13,NA,16.13,,1.16,25.23,25.23,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,58969145,,Remove ear canal lesion(s),A,,2.63,9.10,,4.08,,0.39,12.12,7.10,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59069150,,Extensive ear canal surgery,A,,13.27,11.62,NA,11.62,,2.06,26.95,26.95,0,090,0.07,0.79,0.14,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59169155,,Extensive ear/neck surgery,A,,22.77,16.76,NA,16.76,,3.32,42.85,42.85,0,090,0.07,0.79,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59269200,,Clear outer ear canal,A,,0.75,1.59,,0.39,,0.11,2.45,1.25,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59369205,,Clear outer ear canal,A,,1.18,1.27,NA,1.27,,0.17,2.62,2.62,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623