No office rate
Choose 69550 for the transcanal route. Choose 69552 when the surgeon reaches the tumor through a mastoid exposure.
On this page
CMS RVU26D · Effective 2026-10-01
69552 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1404.40
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 69552: Transmastoid aural glomus tumor excision
Removal of an aural glomus tumor through a mastoid approach, reported when the operative route—not the transcanal or extended route—is transmastoid.
An otolaryngologist, often a neurotologist, uses an opening through the mastoid to reach and remove a vascular paraganglioma, or aural glomus tumor, involving the middle ear or adjacent temporal-bone region. The operation is performed in an operating room; the transmastoid route, rather than an ear-canal route, is the defining feature. The operative report should identify the tumor location and describe the exposure and excision.
Select this code when the documented operation uses a transmastoid approach; use the transcanal or extended-approach sibling when that is the route performed. Documentation of the lesion’s extent and the surgical exposure supports the code choice. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 69552
- 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 RVU19.31 · 45%
- Practice expense (office) RVU20.65 · 48%
- Malpractice RVU2.82 · 7%
28
Medicare services in 2024 · #5719 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.
69552 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
Choose 69554 when the operative report identifies an extended approach; 69552 describes the transmastoid approach.
No office rate
This code describes partial temporal-bone removal. It is a different procedure from excision of an aural glomus tumor through a transmastoid approach.
The same code, a different location
How does Wyoming** compare?
69552 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 69552
Office
Unavailable
Facility
$1301.80
No comparable office rate is available.
Arkansas
Arkansas · 69552
Office
Unavailable
Facility
$1285.96
No comparable office rate is available.
Arizona
Arizona · 69552
Office
Unavailable
Facility
$1393.95
No comparable office rate is available.
Bakersfield
California · 69552
Office
Unavailable
Facility
$1470.53
No comparable office rate is available.
Chico
California · 69552
Office
Unavailable
Facility
$1462.36
No comparable office rate is available.
El Centro
California · 69552
Office
Unavailable
Facility
$1462.84
No comparable office rate is available.
Fresno
California · 69552
Office
Unavailable
Facility
$1462.36
No comparable office rate is available.
Hanford-Corcoran
California · 69552
Office
Unavailable
Facility
$1462.36
No comparable office rate is available.
Madera
California · 69552
Office
Unavailable
Facility
$1462.36
No comparable office rate is available.
Merced
California · 69552
Office
Unavailable
Facility
$1462.36
No comparable office rate is available.
Modesto
California · 69552
Office
Unavailable
Facility
$1462.36
No comparable office rate is available.
Napa
California · 69552
Office
Unavailable
Facility
$1642.52
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69552
Office
Unavailable
Facility
$1536.97
No comparable office rate is available.
Redding
California · 69552
Office
Unavailable
Facility
$1462.36
No comparable office rate is available.
Rest Of California
California · 69552
Office
Unavailable
Facility
$1462.36
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69552
Office
Unavailable
Facility
$1492.87
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69552
Office
Unavailable
Facility
$1520.83
No comparable office rate is available.
Salinas
California · 69552
Office
Unavailable
Facility
$1514.85
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69552
Office
Unavailable
Facility
$1540.29
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69552
Office
Unavailable
Facility
$1721.99
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69552
Office
Unavailable
Facility
$1718.79
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69552
Office
Unavailable
Facility
$1760.99
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69552
Office
Unavailable
Facility
$1747.90
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69552
Office
Unavailable
Facility
$1492.02
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69552
Office
Unavailable
Facility
$1547.02
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69552
Office
Unavailable
Facility
$1517.74
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69552
Office
Unavailable
Facility
$1561.79
No comparable office rate is available.
Stockton
California · 69552
Office
Unavailable
Facility
$1462.36
No comparable office rate is available.
Vallejo
California · 69552
Office
Unavailable
Facility
$1637.90
No comparable office rate is available.
Visalia
California · 69552
Office
Unavailable
Facility
$1462.36
No comparable office rate is available.
Yuba City
California · 69552
Office
Unavailable
Facility
$1462.36
No comparable office rate is available.
Colorado
Colorado · 69552
Office
Unavailable
Facility
$1460.15
No comparable office rate is available.
Connecticut
Connecticut · 69552
Office
Unavailable
Facility
$1514.68
No comparable office rate is available.
Delaware
Delaware · 69552
Office
Unavailable
Facility
$1414.33
No comparable office rate is available.
Fort Lauderdale
Florida · 69552
Office
Unavailable
Facility
$1513.96
No comparable office rate is available.
Rest Of Florida
Florida · 69552
Office
Unavailable
Facility
$1445.92
No comparable office rate is available.
Atlanta
Georgia · 69552
Office
Unavailable
Facility
$1460.79
No comparable office rate is available.
Rest Of Georgia
Georgia · 69552
Office
Unavailable
Facility
$1372.48
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69552
Office
Unavailable
Facility
$1483.73
No comparable office rate is available.
Iowa
Iowa · 69552
Office
Unavailable
Facility
$1313.47
No comparable office rate is available.
Idaho
Idaho · 69552
Office
Unavailable
Facility
$1324.07
No comparable office rate is available.
East St. Louis
Illinois · 69552
Office
Unavailable
Facility
$1469.22
No comparable office rate is available.
Rest Of Illinois
Illinois · 69552
Office
Unavailable
Facility
$1421.91
No comparable office rate is available.
Suburban Chicago
Illinois · 69552
Office
Unavailable
Facility
$1524.74
No comparable office rate is available.
Indiana
Indiana · 69552
Office
Unavailable
Facility
$1330.13
No comparable office rate is available.
Kansas
Kansas · 69552
Office
Unavailable
Facility
$1315.96
No comparable office rate is available.
Kentucky
Kentucky · 69552
Office
Unavailable
Facility
$1344.32
No comparable office rate is available.
New Orleans
Louisiana · 69552
Office
Unavailable
Facility
$1401.01
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69552
Office
Unavailable
Facility
$1345.62
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69552
Office
Unavailable
Facility
$1578.78
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69552
Office
Unavailable
Facility
$1456.64
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69552
Office
Unavailable
Facility
$1511.88
No comparable office rate is available.
Rest Of Maryland
Maryland · 69552
Office
Unavailable
Facility
$1435.89
No comparable office rate is available.
Rest Of Maine
Maine · 69552
Office
Unavailable
Facility
$1338.11
No comparable office rate is available.
Southern Maine
Maine · 69552
Office
Unavailable
Facility
$1387.93
No comparable office rate is available.
Detroit
Michigan · 69552
Office
Unavailable
Facility
$1469.36
No comparable office rate is available.
Rest Of Michigan
Michigan · 69552
Office
Unavailable
Facility
$1381.03
No comparable office rate is available.
Minnesota
Minnesota · 69552
Office
Unavailable
Facility
$1382.58
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69552
Office
Unavailable
Facility
$1384.65
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69552
Office
Unavailable
Facility
$1395.97
No comparable office rate is available.
Rest Of Missouri
Missouri · 69552
Office
Unavailable
Facility
$1331.26
No comparable office rate is available.
Mississippi
Mississippi · 69552
Office
Unavailable
Facility
$1308.43
No comparable office rate is available.
Montana**
Montana · 69552
Office
Unavailable
Facility
$1428.70
No comparable office rate is available.
North Carolina
North Carolina · 69552
Office
Unavailable
Facility
$1348.68
No comparable office rate is available.
North Dakota**
North Dakota · 69552
Office
Unavailable
Facility
$1372.94
No comparable office rate is available.
Nebraska
Nebraska · 69552
Office
Unavailable
Facility
$1317.19
No comparable office rate is available.
New Hampshire
New Hampshire · 69552
Office
Unavailable
Facility
$1445.40
No comparable office rate is available.
Northern Nj
New Jersey · 69552
Office
Unavailable
Facility
$1586.29
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69552
Office
Unavailable
Facility
$1527.28
No comparable office rate is available.
New Mexico
New Mexico · 69552
Office
Unavailable
Facility
$1390.58
No comparable office rate is available.
Nevada**
Nevada · 69552
Office
Unavailable
Facility
$1413.85
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69552
Office
Unavailable
Facility
$1681.25
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69552
Office
Unavailable
Facility
$1543.22
No comparable office rate is available.
Queens
New York · 69552
Office
Unavailable
Facility
$1637.33
No comparable office rate is available.
Rest Of New York
New York · 69552
Office
Unavailable
Facility
$1366.43
No comparable office rate is available.
Ohio
Ohio · 69552
Office
Unavailable
Facility
$1369.64
No comparable office rate is available.
Oklahoma
Oklahoma · 69552
Office
Unavailable
Facility
$1334.09
No comparable office rate is available.
Portland
Oregon · 69552
Office
Unavailable
Facility
$1491.66
No comparable office rate is available.
Rest Of Oregon
Oregon · 69552
Office
Unavailable
Facility
$1398.16
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69552
Office
Unavailable
Facility
$1486.96
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69552
Office
Unavailable
Facility
$1367.15
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69552
Office
Unavailable
Facility
$1435.06
No comparable office rate is available.
Rhode Island
Rhode Island · 69552
Office
Unavailable
Facility
$1453.73
No comparable office rate is available.
South Carolina
South Carolina · 69552
Office
Unavailable
Facility
$1362.34
No comparable office rate is available.
South Dakota**
South Dakota · 69552
Office
Unavailable
Facility
$1366.35
No comparable office rate is available.
Tennessee
Tennessee · 69552
Office
Unavailable
Facility
$1322.51
No comparable office rate is available.
Austin
Texas · 69552
Office
Unavailable
Facility
$1459.45
No comparable office rate is available.
Beaumont
Texas · 69552
Office
Unavailable
Facility
$1360.13
No comparable office rate is available.
Brazoria
Texas · 69552
Office
Unavailable
Facility
$1407.12
No comparable office rate is available.
Dallas
Texas · 69552
Office
Unavailable
Facility
$1418.56
No comparable office rate is available.
Fort Worth
Texas · 69552
Office
Unavailable
Facility
$1412.89
No comparable office rate is available.
Galveston
Texas · 69552
Office
Unavailable
Facility
$1413.02
No comparable office rate is available.
Houston
Texas · 69552
Office
Unavailable
Facility
$1464.64
No comparable office rate is available.
Rest Of Texas
Texas · 69552
Office
Unavailable
Facility
$1384.58
No comparable office rate is available.
Utah
Utah · 69552
Office
Unavailable
Facility
$1377.90
No comparable office rate is available.
Virginia
Virginia · 69552
Office
Unavailable
Facility
$1389.47
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69552
Office
Unavailable
Facility
$1435.06
No comparable office rate is available.
Vermont
Vermont · 69552
Office
Unavailable
Facility
$1375.46
No comparable office rate is available.
Rest Of Washington
Washington · 69552
Office
Unavailable
Facility
$1451.32
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69552
Office
Unavailable
Facility
$1600.47
No comparable office rate is available.
Wisconsin
Wisconsin · 69552
Office
Unavailable
Facility
$1334.74
No comparable office rate is available.
West Virginia
West Virginia · 69552
Office
Unavailable
Facility
$1379.13
No comparable office rate is available.
See how rates vary across the country
69552 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 69552 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1544.84
$1404.40 × 110% = $1544.84
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 69552 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,617
- Code
- 69552
- Physician work
- 19.31
- Practice expense
- 20.65
- Malpractice
- 2.82
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.31 | × 1.000 | 19.3100 |
| Practice expense | 20.65 | × 1.000 | 20.6500 |
| Malpractice | 2.82 | × 0.740 | 2.0868 |
| Total RVUs | 42.0468 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1404.40
Open 69552 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.31 | 1 |
| Practice expense | 20.65 | 1 |
| Malpractice | 2.82 | 0.74 |
(19.31 × 1 + 20.65 × 1 + 2.82 × 0.74) × $33.4009 = $1404.40
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
69552 · 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 | $1404.40 | RVU26D |
| 2026-07-01 | Not available in this setting | $1404.40 | RVU26C |
| 2026-04-01 | Not available in this setting | $1404.40 | RVU26B |
| 2026-01-01 | Not available in this setting | $1404.40 | RVU26A |
| 2025-10-01 | Not available in this setting | $1516.52 | RVU25D |
| 2025-07-01 | Not available in this setting | $1516.52 | RVU25C |
| 2025-04-01 | Not available in this setting | $1516.52 | RVU25B |
| 2025-01-01 | Not available in this setting | $1516.52 | RVU25A |
69552 billing questions
How does this code differ from 69550?
The approach determines the choice: 69552 is for a transmastoid route, while 69550 is for a transcanal route. The operative report should make the actual exposure clear.
When would 69554 be considered instead?
Use 69554 when the operation is documented as using an extended approach rather than the transmastoid approach represented by 69552.
What documentation supports reporting 69552?
Document the aural glomus tumor’s location, the transmastoid exposure, and the excision performed. The operative description should distinguish this route from a transcanal or extended approach.
How is bilateral surgery reported?
For bilateral procedures, modifier 50 applies; CMS pays the bilateral procedure 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?
An assistant at surgery may be paid. 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.
7,61469535,,Remove part of temporal bone,A,,36.48,28.98,NA,28.98,,5.31,70.77,70.77,0,090,0.07,0.79,0.14,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,