No office rate
69550 is the transcanal approach. Choose 69554 only when the documented operation is extended rather than limited to that approach.
On this page
CMS RVU26D · Effective 2026-10-01
69554 in Visalia
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2261.65
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.
Otologic surgery
About 69554: Extended aural glomus tumor excision
Reports extended surgical removal of an aural glomus tumor when the operative work exceeds the limited transcanal or transmastoid approaches.
An otologist or neurotologist performs an extended operation to remove an aural glomus tumor, a vascular tumor arising in the ear region. These operations take place in the operating room and may involve broader exposure than removal through the ear canal or a transmastoid approach. The operative report should describe the tumor site, surgical approach, exposure, and extent of removal so the extended service is distinguishable from the more limited procedures in this code family.
Report this code for the extended operation, not simply because a tumor is large or difficult; the documented surgical work and approach support the code choice. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery reported with modifier 50, CMS pays 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 69554
- 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 RVU35.07 · 52%
- Practice expense (office) RVU26.74 · 40%
- Malpractice RVU5.11 · 8%
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.
69554 compared with similar codes
Office rates for Visalia, from the same CMS release.
No office rate
69552 describes a transmastoid approach. The operative extent and exposure distinguish it from the extended operation reported with 69554.
$223.67
69540 is for excision of an aural polyp, not an aural glomus tumor. The diagnosis and operative findings distinguish these services.
The same code, a different location
How does Visalia compare?
69554 across payment areas
Same release and payment basis · bars start at $0
Visalia · 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 · 69554
Office
Unavailable
Facility
$2261.65
No comparable office rate is available.
Merced
California · 69554
Office
Unavailable
Facility
$2261.65
No comparable office rate is available.
Modesto
California · 69554
Office
Unavailable
Facility
$2261.65
No comparable office rate is available.
Napa
California · 69554
Office
Unavailable
Facility
$2509.03
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69554
Office
Unavailable
Facility
$2366.19
No comparable office rate is available.
Redding
California · 69554
Office
Unavailable
Facility
$2261.65
No comparable office rate is available.
Rest Of California
California · 69554
Office
Unavailable
Facility
$2261.65
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69554
Office
Unavailable
Facility
$2316.92
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69554
Office
Unavailable
Facility
$2343.74
No comparable office rate is available.
Salinas
California · 69554
Office
Unavailable
Facility
$2334.32
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69554
Office
Unavailable
Facility
$2367.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69554
Office
Unavailable
Facility
$2620.32
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69554
Office
Unavailable
Facility
$2614.52
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69554
Office
Unavailable
Facility
$2679.61
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69554
Office
Unavailable
Facility
$2655.89
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69554
Office
Unavailable
Facility
$2300.05
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69554
Office
Unavailable
Facility
$2372.62
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69554
Office
Unavailable
Facility
$2337.05
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69554
Office
Unavailable
Facility
$2394.77
No comparable office rate is available.
Stockton
California · 69554
Office
Unavailable
Facility
$2261.65
No comparable office rate is available.
Vallejo
California · 69554
Office
Unavailable
Facility
$2500.67
No comparable office rate is available.
Yuba City
California · 69554
Office
Unavailable
Facility
$2261.65
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 69554
Office
Unavailable
Facility
$2476.71
No comparable office rate is available.
Miami
Florida · 69554
Office
Unavailable
Facility
$2532.77
No comparable office rate is available.
Chicago
Illinois · 69554
Office
Unavailable
Facility
$2468.88
No comparable office rate is available.
Manhattan
New York · 69554
Office
Unavailable
Facility
$2554.86
No comparable office rate is available.
Alaska*
Alaska · 69554
Office
Unavailable
Facility
$2802.29
No comparable office rate is available.
Alabama
Alabama · 69554
Office
Unavailable
Facility
$2049.47
No comparable office rate is available.
Arkansas
Arkansas · 69554
Office
Unavailable
Facility
$2026.48
No comparable office rate is available.
Arizona
Arizona · 69554
Office
Unavailable
Facility
$2182.92
No comparable office rate is available.
Colorado
Colorado · 69554
Office
Unavailable
Facility
$2269.03
No comparable office rate is available.
Connecticut
Connecticut · 69554
Office
Unavailable
Facility
$2363.23
No comparable office rate is available.
Delaware
Delaware · 69554
Office
Unavailable
Facility
$2213.09
No comparable office rate is available.
Fort Lauderdale
Florida · 69554
Office
Unavailable
Facility
$2384.71
No comparable office rate is available.
Rest Of Florida
Florida · 69554
Office
Unavailable
Facility
$2281.74
No comparable office rate is available.
Atlanta
Georgia · 69554
Office
Unavailable
Facility
$2287.30
No comparable office rate is available.
Rest Of Georgia
Georgia · 69554
Office
Unavailable
Facility
$2171.50
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69554
Office
Unavailable
Facility
$2285.69
No comparable office rate is available.
Iowa
Iowa · 69554
Office
Unavailable
Facility
$2056.35
No comparable office rate is available.
Idaho
Idaho · 69554
Office
Unavailable
Facility
$2073.79
No comparable office rate is available.
East St. Louis
Illinois · 69554
Office
Unavailable
Facility
$2336.81
No comparable office rate is available.
Rest Of Illinois
Illinois · 69554
Office
Unavailable
Facility
$2253.58
No comparable office rate is available.
Suburban Chicago
Illinois · 69554
Office
Unavailable
Facility
$2399.27
No comparable office rate is available.
Indiana
Indiana · 69554
Office
Unavailable
Facility
$2082.26
No comparable office rate is available.
Kansas
Kansas · 69554
Office
Unavailable
Facility
$2064.79
No comparable office rate is available.
Kentucky
Kentucky · 69554
Office
Unavailable
Facility
$2121.54
No comparable office rate is available.
New Orleans
Louisiana · 69554
Office
Unavailable
Facility
$2205.71
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69554
Office
Unavailable
Facility
$2125.31
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69554
Office
Unavailable
Facility
$2437.71
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69554
Office
Unavailable
Facility
$2266.62
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69554
Office
Unavailable
Facility
$2359.58
No comparable office rate is available.
Rest Of Maryland
Maryland · 69554
Office
Unavailable
Facility
$2243.62
No comparable office rate is available.
Rest Of Maine
Maine · 69554
Office
Unavailable
Facility
$2099.22
No comparable office rate is available.
Southern Maine
Maine · 69554
Office
Unavailable
Facility
$2164.17
No comparable office rate is available.
Detroit
Michigan · 69554
Office
Unavailable
Facility
$2321.01
No comparable office rate is available.
Rest Of Michigan
Michigan · 69554
Office
Unavailable
Facility
$2179.50
No comparable office rate is available.
Minnesota
Minnesota · 69554
Office
Unavailable
Facility
$2140.93
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69554
Office
Unavailable
Facility
$2176.78
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69554
Office
Unavailable
Facility
$2192.66
No comparable office rate is available.
Rest Of Missouri
Missouri · 69554
Office
Unavailable
Facility
$2107.50
No comparable office rate is available.
Mississippi
Mississippi · 69554
Office
Unavailable
Facility
$2066.49
No comparable office rate is available.
Montana**
Montana · 69554
Office
Unavailable
Facility
$2234.85
No comparable office rate is available.
North Carolina
North Carolina · 69554
Office
Unavailable
Facility
$2113.73
No comparable office rate is available.
North Dakota**
North Dakota · 69554
Office
Unavailable
Facility
$2133.81
No comparable office rate is available.
Nebraska
Nebraska · 69554
Office
Unavailable
Facility
$2060.25
No comparable office rate is available.
New Hampshire
New Hampshire · 69554
Office
Unavailable
Facility
$2250.47
No comparable office rate is available.
Northern Nj
New Jersey · 69554
Office
Unavailable
Facility
$2463.49
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69554
Office
Unavailable
Facility
$2380.77
No comparable office rate is available.
New Mexico
New Mexico · 69554
Office
Unavailable
Facility
$2195.36
No comparable office rate is available.
Nevada**
Nevada · 69554
Office
Unavailable
Facility
$2207.58
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69554
Office
Unavailable
Facility
$2625.23
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69554
Office
Unavailable
Facility
$2408.59
No comparable office rate is available.
Queens
New York · 69554
Office
Unavailable
Facility
$2548.15
No comparable office rate is available.
Rest Of New York
New York · 69554
Office
Unavailable
Facility
$2139.84
No comparable office rate is available.
Ohio
Ohio · 69554
Office
Unavailable
Facility
$2158.85
No comparable office rate is available.
Oklahoma
Oklahoma · 69554
Office
Unavailable
Facility
$2101.56
No comparable office rate is available.
Portland
Oregon · 69554
Office
Unavailable
Facility
$2309.37
No comparable office rate is available.
Rest Of Oregon
Oregon · 69554
Office
Unavailable
Facility
$2180.92
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69554
Office
Unavailable
Facility
$2325.83
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69554
Office
Unavailable
Facility
$2152.56
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69554
Office
Unavailable
Facility
$2242.45
No comparable office rate is available.
Rhode Island
Rhode Island · 69554
Office
Unavailable
Facility
$2268.48
No comparable office rate is available.
South Carolina
South Carolina · 69554
Office
Unavailable
Facility
$2141.71
No comparable office rate is available.
South Dakota**
South Dakota · 69554
Office
Unavailable
Facility
$2121.86
No comparable office rate is available.
Tennessee
Tennessee · 69554
Office
Unavailable
Facility
$2074.89
No comparable office rate is available.
Austin
Texas · 69554
Office
Unavailable
Facility
$2269.88
No comparable office rate is available.
Beaumont
Texas · 69554
Office
Unavailable
Facility
$2142.69
No comparable office rate is available.
Brazoria
Texas · 69554
Office
Unavailable
Facility
$2198.97
No comparable office rate is available.
Dallas
Texas · 69554
Office
Unavailable
Facility
$2217.92
No comparable office rate is available.
Fort Worth
Texas · 69554
Office
Unavailable
Facility
$2211.21
No comparable office rate is available.
Galveston
Texas · 69554
Office
Unavailable
Facility
$2208.95
No comparable office rate is available.
Houston
Texas · 69554
Office
Unavailable
Facility
$2302.48
No comparable office rate is available.
Rest Of Texas
Texas · 69554
Office
Unavailable
Facility
$2173.08
No comparable office rate is available.
Utah
Utah · 69554
Office
Unavailable
Facility
$2164.19
No comparable office rate is available.
Virginia
Virginia · 69554
Office
Unavailable
Facility
$2169.83
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69554
Office
Unavailable
Facility
$2242.45
No comparable office rate is available.
Vermont
Vermont · 69554
Office
Unavailable
Facility
$2141.94
No comparable office rate is available.
Rest Of Washington
Washington · 69554
Office
Unavailable
Facility
$2256.96
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69554
Office
Unavailable
Facility
$2465.27
No comparable office rate is available.
Wisconsin
Wisconsin · 69554
Office
Unavailable
Facility
$2079.57
No comparable office rate is available.
West Virginia
West Virginia · 69554
Office
Unavailable
Facility
$2191.75
No comparable office rate is available.
Wyoming**
Wyoming · 69554
Office
Unavailable
Facility
$2190.81
No comparable office rate is available.
See how rates vary across the country
69554 · 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?
Visalia is a Medicare payment area. Our Census mapping connects it to 70 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 69554 in Visalia. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2487.82
$2261.65 × 110% = $2487.82
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 69554 in Visalia.
PPRRVU2026_Oct_nonQPP.csv
7,618
- Code
- 69554
- Physician work
- 35.07
- Practice expense
- 26.74
- Malpractice
- 5.11
GPCI2026.csv
34
- Locality
- Visalia
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 35.07 | × 1.017 | 35.6662 |
| Practice expense | 26.74 | × 1.096 | 29.3070 |
| Malpractice | 5.11 | × 0.536 | 2.7390 |
| Total RVUs | 67.7122 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Visalia$2261.65
Open 69554 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 35.07 | 1.017 |
| Practice expense | 26.74 | 1.096 |
| Malpractice | 5.11 | 0.536 |
(35.07 × 1.017 + 26.74 × 1.096 + 5.11 × 0.536) × $33.4009 = $2261.65
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
69554 · 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 | $2261.65 | RVU26D |
| 2026-07-01 | Not available in this setting | $2261.65 | RVU26C |
| 2026-04-01 | Not available in this setting | $2261.65 | RVU26B |
| 2026-01-01 | Not available in this setting | $2261.65 | RVU26A |
| 2025-10-01 | Not available in this setting | $2504.86 | RVU25D |
| 2025-07-01 | Not available in this setting | $2504.86 | RVU25C |
| 2025-04-01 | Not available in this setting | $2504.86 | RVU25B |
| 2025-01-01 | Not available in this setting | $2504.86 | RVU25A |
69554 billing questions
How does this differ from codes 69550 and 69552?
Those codes describe more limited transcanal and transmastoid approaches, respectively. Use 69554 when the operative report supports an extended operation rather than either limited approach.
Does the 90-day global period include related postoperative visits?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can modifier 50 be used for bilateral surgery?
CMS identifies this as a bilateral procedure. When modifier 50 is reported for bilateral surgery, payment is 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports choosing the extended procedure?
The operative report should identify the tumor site and describe the approach, exposure, and extent of the removal, showing why the work was extended rather than transcanal or transmastoid.
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.
7,61569540,,Excision aural polyp,A,,1.22,4.89,,2.20,,0.18,6.29,3.60,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61669550,,Exc aurl glomus tum trnscanl,A,,10.87,16.86,NA,16.86,,1.58,29.31,29.31,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61769552,,Exc aurl glomus tum trnsmstd,A,,19.31,20.65,NA,20.65,,2.82,42.78,42.78,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61869554,,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
3101112,CA,67,SANTA ROSA-PETALUMA,1.030,1.228,0.536
3201112,CA,68,STOCKTON,1.017,1.096,0.536
3301112,CA,53,VALLEJO,1.063,1.318,0.459
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781