No office rate
69970 describes removal of a focal lesion. 69905 applies when the surgeon performs a labyrinthectomy rather than excising a lesion.
On this page
CMS RVU26D · Effective 2026-10-01
69970 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1849.65
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 69970: Inner ear lesion excision
Surgical removal of a focal lesion involving the inner-ear region, reported when the operative service is lesion excision rather than treatment of inner-ear function.
This service involves surgically removing a focal lesion involving the inner-ear region, often through an operation that requires exposure of the temporal bone or mastoid. It is typically performed by an otologist or neurotologist in a hospital operating room; complex skull-base cases may involve a neurosurgeon as well. The operative target is a lesion, not simply removal or destruction of inner-ear structures to treat a functional disorder.
Report the code when the operative report supports excision of an inner-ear lesion and describes its site, extent, and surgical work. A description of the approach and any mastoid or temporal-bone work helps distinguish lesion excision from a labyrinthectomy or nerve procedure. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 69970
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU31.60 · 57%
- Practice expense (office) RVU18.95 · 34%
- Malpractice RVU4.61 · 8%
28
Medicare services in 2024 · #5721 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.
69970 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
Choose 69910 for inner-ear removal that includes mastoid work; choose 69970 when the documented service is focal lesion excision.
69949
No office rateUnlisted px inner ear
69949 is the unlisted option for an inner-ear procedure without a specific listed code. Use 69970 when its defined lesion-removal service matches the operation.
69979
No office rateUnlisted px temporal bone
69979 covers an unlisted temporal-bone procedure. It is not the specific lesion-removal code when the operative service is described by 69970.
The same code, a different location
How does Redding compare?
69970 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 69970
Office
Unavailable
Facility
$1849.65
No comparable office rate is available.
Merced
California · 69970
Office
Unavailable
Facility
$1849.65
No comparable office rate is available.
Modesto
California · 69970
Office
Unavailable
Facility
$1849.65
No comparable office rate is available.
Napa
California · 69970
Office
Unavailable
Facility
$2034.41
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69970
Office
Unavailable
Facility
$1929.09
No comparable office rate is available.
Rest Of California
California · 69970
Office
Unavailable
Facility
$1849.65
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69970
Office
Unavailable
Facility
$1899.52
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69970
Office
Unavailable
Facility
$1912.12
No comparable office rate is available.
Salinas
California · 69970
Office
Unavailable
Facility
$1904.31
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69970
Office
Unavailable
Facility
$1927.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69970
Office
Unavailable
Facility
$2118.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69970
Office
Unavailable
Facility
$2113.63
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69970
Office
Unavailable
Facility
$2166.81
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69970
Office
Unavailable
Facility
$2145.41
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69970
Office
Unavailable
Facility
$1876.87
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69970
Office
Unavailable
Facility
$1929.20
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69970
Office
Unavailable
Facility
$1905.57
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69970
Office
Unavailable
Facility
$1946.92
No comparable office rate is available.
Stockton
California · 69970
Office
Unavailable
Facility
$1849.65
No comparable office rate is available.
Vallejo
California · 69970
Office
Unavailable
Facility
$2026.86
No comparable office rate is available.
Visalia
California · 69970
Office
Unavailable
Facility
$1849.65
No comparable office rate is available.
Yuba City
California · 69970
Office
Unavailable
Facility
$1849.65
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 69970
Office
Unavailable
Facility
$2029.45
No comparable office rate is available.
Miami
Florida · 69970
Office
Unavailable
Facility
$2103.78
No comparable office rate is available.
Chicago
Illinois · 69970
Office
Unavailable
Facility
$2052.35
No comparable office rate is available.
Manhattan
New York · 69970
Office
Unavailable
Facility
$2102.71
No comparable office rate is available.
Alaska*
Alaska · 69970
Office
Unavailable
Facility
$2342.13
No comparable office rate is available.
Alabama
Alabama · 69970
Office
Unavailable
Facility
$1696.45
No comparable office rate is available.
Arkansas
Arkansas · 69970
Office
Unavailable
Facility
$1678.47
No comparable office rate is available.
Arizona
Arizona · 69970
Office
Unavailable
Facility
$1800.60
No comparable office rate is available.
Colorado
Colorado · 69970
Office
Unavailable
Facility
$1861.85
No comparable office rate is available.
Connecticut
Connecticut · 69970
Office
Unavailable
Facility
$1944.58
No comparable office rate is available.
Delaware
Delaware · 69970
Office
Unavailable
Facility
$1824.52
No comparable office rate is available.
Fort Lauderdale
Florida · 69970
Office
Unavailable
Facility
$1975.04
No comparable office rate is available.
Rest Of Florida
Florida · 69970
Office
Unavailable
Facility
$1891.99
No comparable office rate is available.
Atlanta
Georgia · 69970
Office
Unavailable
Facility
$1886.64
No comparable office rate is available.
Rest Of Georgia
Georgia · 69970
Office
Unavailable
Facility
$1803.60
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69970
Office
Unavailable
Facility
$1864.28
No comparable office rate is available.
Iowa
Iowa · 69970
Office
Unavailable
Facility
$1695.74
No comparable office rate is available.
Idaho
Idaho · 69970
Office
Unavailable
Facility
$1710.61
No comparable office rate is available.
East St. Louis
Illinois · 69970
Office
Unavailable
Facility
$1947.89
No comparable office rate is available.
Rest Of Illinois
Illinois · 69970
Office
Unavailable
Facility
$1874.02
No comparable office rate is available.
Suburban Chicago
Illinois · 69970
Office
Unavailable
Facility
$1985.74
No comparable office rate is available.
Indiana
Indiana · 69970
Office
Unavailable
Facility
$1717.04
No comparable office rate is available.
Kansas
Kansas · 69970
Office
Unavailable
Facility
$1705.26
No comparable office rate is available.
Kentucky
Kentucky · 69970
Office
Unavailable
Facility
$1759.05
No comparable office rate is available.
New Orleans
Louisiana · 69970
Office
Unavailable
Facility
$1825.99
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69970
Office
Unavailable
Facility
$1763.14
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69970
Office
Unavailable
Facility
$1991.52
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69970
Office
Unavailable
Facility
$1861.57
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69970
Office
Unavailable
Facility
$1941.98
No comparable office rate is available.
Rest Of Maryland
Maryland · 69970
Office
Unavailable
Facility
$1847.92
No comparable office rate is available.
Rest Of Maine
Maine · 69970
Office
Unavailable
Facility
$1733.55
No comparable office rate is available.
Southern Maine
Maine · 69970
Office
Unavailable
Facility
$1779.88
No comparable office rate is available.
Detroit
Michigan · 69970
Office
Unavailable
Facility
$1925.87
No comparable office rate is available.
Rest Of Michigan
Michigan · 69970
Office
Unavailable
Facility
$1807.19
No comparable office rate is available.
Minnesota
Minnesota · 69970
Office
Unavailable
Facility
$1752.35
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69970
Office
Unavailable
Facility
$1800.24
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69970
Office
Unavailable
Facility
$1812.32
No comparable office rate is available.
Rest Of Missouri
Missouri · 69970
Office
Unavailable
Facility
$1751.04
No comparable office rate is available.
Mississippi
Mississippi · 69970
Office
Unavailable
Facility
$1714.23
No comparable office rate is available.
Montana**
Montana · 69970
Office
Unavailable
Facility
$1842.09
No comparable office rate is available.
North Carolina
North Carolina · 69970
Office
Unavailable
Facility
$1744.40
No comparable office rate is available.
North Dakota**
North Dakota · 69970
Office
Unavailable
Facility
$1750.93
No comparable office rate is available.
Nebraska
Nebraska · 69970
Office
Unavailable
Facility
$1697.88
No comparable office rate is available.
New Hampshire
New Hampshire · 69970
Office
Unavailable
Facility
$1849.10
No comparable office rate is available.
Northern Nj
New Jersey · 69970
Office
Unavailable
Facility
$2020.63
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69970
Office
Unavailable
Facility
$1957.78
No comparable office rate is available.
New Mexico
New Mexico · 69970
Office
Unavailable
Facility
$1820.81
No comparable office rate is available.
Nevada**
Nevada · 69970
Office
Unavailable
Facility
$1817.31
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69970
Office
Unavailable
Facility
$2161.53
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69970
Office
Unavailable
Facility
$1982.36
No comparable office rate is available.
Queens
New York · 69970
Office
Unavailable
Facility
$2093.20
No comparable office rate is available.
Rest Of New York
New York · 69970
Office
Unavailable
Facility
$1765.01
No comparable office rate is available.
Ohio
Ohio · 69970
Office
Unavailable
Facility
$1788.56
No comparable office rate is available.
Oklahoma
Oklahoma · 69970
Office
Unavailable
Facility
$1740.33
No comparable office rate is available.
Portland
Oregon · 69970
Office
Unavailable
Facility
$1890.12
No comparable office rate is available.
Rest Of Oregon
Oregon · 69970
Office
Unavailable
Facility
$1794.13
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69970
Office
Unavailable
Facility
$1917.06
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69970
Office
Unavailable
Facility
$1782.02
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69970
Office
Unavailable
Facility
$1847.05
No comparable office rate is available.
Rhode Island
Rhode Island · 69970
Office
Unavailable
Facility
$1866.71
No comparable office rate is available.
South Carolina
South Carolina · 69970
Office
Unavailable
Facility
$1771.19
No comparable office rate is available.
South Dakota**
South Dakota · 69970
Office
Unavailable
Facility
$1740.15
No comparable office rate is available.
Tennessee
Tennessee · 69970
Office
Unavailable
Facility
$1713.50
No comparable office rate is available.
Austin
Texas · 69970
Office
Unavailable
Facility
$1863.66
No comparable office rate is available.
Beaumont
Texas · 69970
Office
Unavailable
Facility
$1774.50
No comparable office rate is available.
Brazoria
Texas · 69970
Office
Unavailable
Facility
$1811.27
No comparable office rate is available.
Dallas
Texas · 69970
Office
Unavailable
Facility
$1827.50
No comparable office rate is available.
Fort Worth
Texas · 69970
Office
Unavailable
Facility
$1823.17
No comparable office rate is available.
Galveston
Texas · 69970
Office
Unavailable
Facility
$1819.92
No comparable office rate is available.
Houston
Texas · 69970
Office
Unavailable
Facility
$1904.30
No comparable office rate is available.
Rest Of Texas
Texas · 69970
Office
Unavailable
Facility
$1795.18
No comparable office rate is available.
Utah
Utah · 69970
Office
Unavailable
Facility
$1788.71
No comparable office rate is available.
Virginia
Virginia · 69970
Office
Unavailable
Facility
$1786.36
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69970
Office
Unavailable
Facility
$1847.05
No comparable office rate is available.
Vermont
Vermont · 69970
Office
Unavailable
Facility
$1760.00
No comparable office rate is available.
Rest Of Washington
Washington · 69970
Office
Unavailable
Facility
$1852.86
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69970
Office
Unavailable
Facility
$2010.67
No comparable office rate is available.
Wisconsin
Wisconsin · 69970
Office
Unavailable
Facility
$1709.26
No comparable office rate is available.
West Virginia
West Virginia · 69970
Office
Unavailable
Facility
$1825.84
No comparable office rate is available.
Wyoming**
Wyoming · 69970
Office
Unavailable
Facility
$1802.36
No comparable office rate is available.
See how rates vary across the country
69970 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 69970 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2034.62
$1849.65 × 110% = $2034.62
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 69970 in Redding.
PPRRVU2026_Oct_nonQPP.csv
7,675
- Code
- 69970
- Physician work
- 31.60
- Practice expense
- 18.95
- Malpractice
- 4.61
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 31.60 | × 1.017 | 32.1372 |
| Practice expense | 18.95 | × 1.096 | 20.7692 |
| Malpractice | 4.61 | × 0.536 | 2.4710 |
| Total RVUs | 55.3774 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$1849.65
Open 69970 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 31.6 | 1.017 |
| Practice expense | 18.95 | 1.096 |
| Malpractice | 4.61 | 0.536 |
(31.6 × 1.017 + 18.95 × 1.096 + 4.61 × 0.536) × $33.4009 = $1849.65
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
69970 · 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 | $1849.65 | RVU26D |
| 2026-07-01 | Not available in this setting | $1849.65 | RVU26C |
| 2026-04-01 | Not available in this setting | $1849.65 | RVU26B |
| 2026-01-01 | Not available in this setting | $1849.65 | RVU26A |
| 2025-10-01 | Not available in this setting | $2088.41 | RVU25D |
| 2025-07-01 | Not available in this setting | $2088.41 | RVU25C |
| 2025-04-01 | Not available in this setting | $2088.41 | RVU25B |
| 2025-01-01 | Not available in this setting | $2088.41 | RVU25A |
69970 billing questions
How is this distinguished from a labyrinthectomy?
This code is for removal of a focal lesion. A labyrinthectomy removes inner-ear structures; select the code that matches the operation actually performed and documented.
What operative documentation supports the code?
Document the lesion's location and extent, the structures involved, the approach, and the excision performed. Include related mastoid or temporal-bone work when present.
Can modifier 50 be reported for bilateral surgery?
Yes. CMS treats the procedure as bilateral with modifier 50 and pays it at 150%.
How does the global period affect postoperative billing?
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 reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to 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.
7,67269950,,Incise inner ear nerve,A,,26.94,14.37,NA,14.37,,3.93,45.24,45.24,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,67369955,,Release facial nerve,A,,28.68,18.26,NA,18.26,,4.18,51.12,51.12,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,67469960,,Release inner ear canal,A,,28.68,16.02,NA,16.02,,4.18,48.88,48.88,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,67569970,,Remove inner ear lesion,A,,31.60,18.95,NA,18.95,,4.61,55.16,55.16,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,67669979,,Unlisted px temporal bone,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
7,67769990,,Microsurgery add-on,R,,3.37,1.17,NA,1.17,,1.39,5.93,5.93,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,67870010,,Contrast x-ray of brain,A,,1.16,0.21,NA,0.21,,0.11,1.48,1.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536