No office rate
Use 69805 for the transcanal approach. Use 69806 when the labyrinthectomy is performed with mastoidectomy.
On this page
CMS RVU26D · Effective 2026-10-01
69805 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$916.96
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.
Otologic surgery
About 69805: Transcanal labyrinthectomy
Transcanal labyrinthectomy removes vestibular labyrinth structures to control severe unilateral vertigo when a destructive inner-ear operation is selected.
An otologist or neurotologist performs this operation through the ear canal to ablate the labyrinth, the inner-ear structures responsible for balance. It may be considered for disabling, persistent vertigo, such as in selected patients with Ménière disease when hearing in the affected ear is already nonserviceable and less destructive treatment has not controlled symptoms. The procedure is generally performed in an operating room and intentionally sacrifices remaining labyrinthine function; hearing may also be lost.
Report this code for the transcanal approach, rather than a labyrinthectomy performed with mastoidectomy. The operative report should identify the approach, side, labyrinthine work, and clinical indication. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 applies to bilateral reporting, paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 69805
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.34 · 53%
- Practice expense (office) RVU10.72 · 39%
- Malpractice RVU2.09 · 8%
72
Medicare services in 2024 · #5130 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.
69805 compared with similar codes
Office rates for Modesto, from the same CMS release.
$233.81
Code 69801 is for labyrinthotomy with vestibuloactive drug perfusion, rather than destructive removal of labyrinthine structures.
The same code, a different location
How does Modesto compare?
69805 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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 · 69805
Office
Unavailable
Facility
$916.96
No comparable office rate is available.
Merced
California · 69805
Office
Unavailable
Facility
$916.96
No comparable office rate is available.
Napa
California · 69805
Office
Unavailable
Facility
$1016.53
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69805
Office
Unavailable
Facility
$959.09
No comparable office rate is available.
Redding
California · 69805
Office
Unavailable
Facility
$916.96
No comparable office rate is available.
Rest Of California
California · 69805
Office
Unavailable
Facility
$916.96
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69805
Office
Unavailable
Facility
$939.57
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69805
Office
Unavailable
Facility
$950.05
No comparable office rate is available.
Salinas
California · 69805
Office
Unavailable
Facility
$946.22
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69805
Office
Unavailable
Facility
$959.41
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69805
Office
Unavailable
Facility
$1061.37
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69805
Office
Unavailable
Facility
$1059.00
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69805
Office
Unavailable
Facility
$1085.39
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69805
Office
Unavailable
Facility
$1075.69
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69805
Office
Unavailable
Facility
$932.36
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69805
Office
Unavailable
Facility
$961.48
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69805
Office
Unavailable
Facility
$947.29
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69805
Office
Unavailable
Facility
$970.45
No comparable office rate is available.
Stockton
California · 69805
Office
Unavailable
Facility
$916.96
No comparable office rate is available.
Vallejo
California · 69805
Office
Unavailable
Facility
$1013.11
No comparable office rate is available.
Visalia
California · 69805
Office
Unavailable
Facility
$916.96
No comparable office rate is available.
Yuba City
California · 69805
Office
Unavailable
Facility
$916.96
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 69805
Office
Unavailable
Facility
$1004.32
No comparable office rate is available.
Miami
Florida · 69805
Office
Unavailable
Facility
$1028.25
No comparable office rate is available.
Chicago
Illinois · 69805
Office
Unavailable
Facility
$1002.38
No comparable office rate is available.
Manhattan
New York · 69805
Office
Unavailable
Facility
$1036.40
No comparable office rate is available.
Alaska*
Alaska · 69805
Office
Unavailable
Facility
$1138.25
No comparable office rate is available.
Alabama
Alabama · 69805
Office
Unavailable
Facility
$831.78
No comparable office rate is available.
Arkansas
Arkansas · 69805
Office
Unavailable
Facility
$822.49
No comparable office rate is available.
Arizona
Arizona · 69805
Office
Unavailable
Facility
$885.68
No comparable office rate is available.
Colorado
Colorado · 69805
Office
Unavailable
Facility
$920.21
No comparable office rate is available.
Connecticut
Connecticut · 69805
Office
Unavailable
Facility
$958.64
No comparable office rate is available.
Delaware
Delaware · 69805
Office
Unavailable
Facility
$897.88
No comparable office rate is available.
Fort Lauderdale
Florida · 69805
Office
Unavailable
Facility
$967.89
No comparable office rate is available.
Rest Of Florida
Florida · 69805
Office
Unavailable
Facility
$926.19
No comparable office rate is available.
Atlanta
Georgia · 69805
Office
Unavailable
Facility
$928.03
No comparable office rate is available.
Rest Of Georgia
Georgia · 69805
Office
Unavailable
Facility
$881.57
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69805
Office
Unavailable
Facility
$926.50
No comparable office rate is available.
Iowa
Iowa · 69805
Office
Unavailable
Facility
$834.31
No comparable office rate is available.
Idaho
Idaho · 69805
Office
Unavailable
Facility
$841.40
No comparable office rate is available.
East St. Louis
Illinois · 69805
Office
Unavailable
Facility
$948.98
No comparable office rate is available.
Rest Of Illinois
Illinois · 69805
Office
Unavailable
Facility
$914.99
No comparable office rate is available.
Suburban Chicago
Illinois · 69805
Office
Unavailable
Facility
$973.75
No comparable office rate is available.
Indiana
Indiana · 69805
Office
Unavailable
Facility
$844.81
No comparable office rate is available.
Kansas
Kansas · 69805
Office
Unavailable
Facility
$837.84
No comparable office rate is available.
Kentucky
Kentucky · 69805
Office
Unavailable
Facility
$861.16
No comparable office rate is available.
New Orleans
Louisiana · 69805
Office
Unavailable
Facility
$895.20
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69805
Office
Unavailable
Facility
$862.73
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69805
Office
Unavailable
Facility
$988.26
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69805
Office
Unavailable
Facility
$919.30
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69805
Office
Unavailable
Facility
$957.18
No comparable office rate is available.
Rest Of Maryland
Maryland · 69805
Office
Unavailable
Facility
$910.20
No comparable office rate is available.
Rest Of Maine
Maine · 69805
Office
Unavailable
Facility
$851.80
No comparable office rate is available.
Southern Maine
Maine · 69805
Office
Unavailable
Facility
$877.85
No comparable office rate is available.
Detroit
Michigan · 69805
Office
Unavailable
Facility
$942.19
No comparable office rate is available.
Rest Of Michigan
Michigan · 69805
Office
Unavailable
Facility
$884.69
No comparable office rate is available.
Minnesota
Minnesota · 69805
Office
Unavailable
Facility
$868.07
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69805
Office
Unavailable
Facility
$883.39
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69805
Office
Unavailable
Facility
$889.79
No comparable office rate is available.
Rest Of Missouri
Missouri · 69805
Office
Unavailable
Facility
$855.61
No comparable office rate is available.
Mississippi
Mississippi · 69805
Office
Unavailable
Facility
$838.84
No comparable office rate is available.
Montana**
Montana · 69805
Office
Unavailable
Facility
$906.69
No comparable office rate is available.
North Carolina
North Carolina · 69805
Office
Unavailable
Facility
$857.64
No comparable office rate is available.
North Dakota**
North Dakota · 69805
Office
Unavailable
Facility
$865.37
No comparable office rate is available.
Nebraska
Nebraska · 69805
Office
Unavailable
Facility
$835.84
No comparable office rate is available.
New Hampshire
New Hampshire · 69805
Office
Unavailable
Facility
$912.79
No comparable office rate is available.
Northern Nj
New Jersey · 69805
Office
Unavailable
Facility
$999.05
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69805
Office
Unavailable
Facility
$965.71
No comparable office rate is available.
New Mexico
New Mexico · 69805
Office
Unavailable
Facility
$891.15
No comparable office rate is available.
Nevada**
Nevada · 69805
Office
Unavailable
Facility
$895.53
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69805
Office
Unavailable
Facility
$1064.99
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69805
Office
Unavailable
Facility
$977.06
No comparable office rate is available.
Queens
New York · 69805
Office
Unavailable
Facility
$1033.51
No comparable office rate is available.
Rest Of New York
New York · 69805
Office
Unavailable
Facility
$868.20
No comparable office rate is available.
Ohio
Ohio · 69805
Office
Unavailable
Facility
$876.24
No comparable office rate is available.
Oklahoma
Oklahoma · 69805
Office
Unavailable
Facility
$852.96
No comparable office rate is available.
Portland
Oregon · 69805
Office
Unavailable
Facility
$936.37
No comparable office rate is available.
Rest Of Oregon
Oregon · 69805
Office
Unavailable
Facility
$884.67
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69805
Office
Unavailable
Facility
$943.61
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69805
Office
Unavailable
Facility
$873.63
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69805
Office
Unavailable
Facility
$909.73
No comparable office rate is available.
Rhode Island
Rhode Island · 69805
Office
Unavailable
Facility
$920.21
No comparable office rate is available.
South Carolina
South Carolina · 69805
Office
Unavailable
Facility
$869.15
No comparable office rate is available.
South Dakota**
South Dakota · 69805
Office
Unavailable
Facility
$860.48
No comparable office rate is available.
Tennessee
Tennessee · 69805
Office
Unavailable
Facility
$841.93
No comparable office rate is available.
Austin
Texas · 69805
Office
Unavailable
Facility
$920.60
No comparable office rate is available.
Beaumont
Texas · 69805
Office
Unavailable
Facility
$869.65
No comparable office rate is available.
Brazoria
Texas · 69805
Office
Unavailable
Facility
$892.09
No comparable office rate is available.
Dallas
Texas · 69805
Office
Unavailable
Facility
$899.80
No comparable office rate is available.
Fort Worth
Texas · 69805
Office
Unavailable
Facility
$897.13
No comparable office rate is available.
Galveston
Texas · 69805
Office
Unavailable
Facility
$896.15
No comparable office rate is available.
Houston
Texas · 69805
Office
Unavailable
Facility
$934.41
No comparable office rate is available.
Rest Of Texas
Texas · 69805
Office
Unavailable
Facility
$881.80
No comparable office rate is available.
Utah
Utah · 69805
Office
Unavailable
Facility
$878.23
No comparable office rate is available.
Virginia
Virginia · 69805
Office
Unavailable
Facility
$880.22
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69805
Office
Unavailable
Facility
$909.73
No comparable office rate is available.
Vermont
Vermont · 69805
Office
Unavailable
Facility
$868.77
No comparable office rate is available.
Rest Of Washington
Washington · 69805
Office
Unavailable
Facility
$915.35
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69805
Office
Unavailable
Facility
$999.29
No comparable office rate is available.
Wisconsin
Wisconsin · 69805
Office
Unavailable
Facility
$843.49
No comparable office rate is available.
West Virginia
West Virginia · 69805
Office
Unavailable
Facility
$890.02
No comparable office rate is available.
Wyoming**
Wyoming · 69805
Office
Unavailable
Facility
$888.68
No comparable office rate is available.
See how rates vary across the country
69805 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 69805 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1008.66
$916.96 × 110% = $1008.66
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 69805 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
7,665
- Code
- 69805
- Physician work
- 14.34
- Practice expense
- 10.72
- Malpractice
- 2.09
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.34 | × 1.017 | 14.5838 |
| Practice expense | 10.72 | × 1.096 | 11.7491 |
| Malpractice | 2.09 | × 0.536 | 1.1202 |
| Total RVUs | 27.4531 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$916.96
Open 69805 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.34 | 1.017 |
| Practice expense | 10.72 | 1.096 |
| Malpractice | 2.09 | 0.536 |
(14.34 × 1.017 + 10.72 × 1.096 + 2.09 × 0.536) × $33.4009 = $916.96
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
69805 · 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 | $916.96 | RVU26D |
| 2026-07-01 | Not available in this setting | $916.96 | RVU26C |
| 2026-04-01 | Not available in this setting | $916.96 | RVU26B |
| 2026-01-01 | Not available in this setting | $916.96 | RVU26A |
| 2025-10-01 | Not available in this setting | $1018.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $1018.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $1018.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $1018.15 | RVU25A |
69805 billing questions
How is this code distinguished from 69806?
This code describes the transcanal approach. Code 69806 is the labyrinthectomy performed with mastoidectomy; the operative report should support the approach used.
When would 69801 be considered instead?
Code 69801 describes transcanal labyrinthotomy with perfusion of vestibuloactive drug or drugs. It is a less destructive treatment approach, not a labyrinthectomy.
What documentation supports reporting this code?
Document the vertigo indication, affected side, transcanal approach, and the labyrinthine structures treated. The operative note should distinguish the procedure from one performed with mastoidectomy.
How should bilateral labyrinthectomy be reported?
CMS identifies this as a bilateral procedure reported with modifier 50, paid at 150%. The record should support surgery on both sides.
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.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
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.
7,66269745,,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
7,66369799,,Unlisted px middle ear,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66469801,,Incise inner ear,A,,2.01,4.38,,0.92,,0.29,6.68,3.22,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66569805,,Explore inner ear,A,,14.34,10.72,NA,10.72,,2.09,27.15,27.15,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66669806,,Explore inner ear,A,,12.31,10.33,NA,10.33,,1.78,24.42,24.42,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66769905,,Remove inner ear,A,,10.98,11.92,NA,11.92,,1.61,24.51,24.51,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66869910,,Remove inner ear & mastoid,A,,13.56,10.63,NA,10.63,,1.98,26.17,26.17,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1901112,CA,61,REDDING,1.017,1.096,0.536