Billing code 69717: Implant replacementMedicare rate & RVUs in Alaska
Reports surgical replacement of a percutaneous osseointegrated skull implant that connects to an external speech processor in a bone-conduction hearing system.
CMS doesn’t publish an office rate for 69717 in Alaska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 69717 covers
An otologic surgeon replaces an existing osseointegrated implant in the skull that uses a percutaneous connection to an external speech processor. This setup is used in bone-conduction hearing systems for patients with conductive or mixed hearing loss or single-sided deafness. The procedure addresses the implanted component and its connection through the skin; it is not a routine replacement of the external processor alone. Medicare services reported for this code are performed in a facility setting.
Select this code when the operative record supports replacement of the percutaneous skull implant, rather than initial implantation or a transcutaneous system. Document the device configuration, side or sides treated, reason for replacement, and the work performed. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
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.
69717 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $617.31 |
How the 69717 rate is calculated
Each of 69717’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 69717
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.71Practice expense 5.91Malpractice 1.13
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 69717
69717 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69717
Implant replacement
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.07/0.79/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 69717
Implant replacement
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
69717 without 50 · national facility
$492.66
Implant replacement
69717-50 · Bilateral: 150%
$738.99
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
69717 compared with similar codes
Compare codes
69717 vs 69714 vs 69719 vs 69716: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 69714Hearing implant
- Choose 69714 for initial placement of a percutaneous osseointegrated skull implant. Choose 69717 when replacing an existing implant of that configuration.
- 69719Hearing implant replacement
- Both describe replacement, but 69719 is for a magnetic transcutaneous attachment; 69717 is for a percutaneous attachment.
- 69716Bone conduction implant
- 69716 describes initial placement of a magnetic transcutaneous implant, while 69717 describes replacement of a percutaneous implant.
69717 billing questions
How is this different from code 69714?
69717 is for replacing an existing percutaneous osseointegrated skull implant. Code 69714 is for initial implantation with a percutaneous connection.
When would 69719 be more appropriate?
Use 69719 for replacement in the transcutaneous magnetic-attachment system. Code 69717 describes the percutaneous configuration.
Does this code cover replacing only the external processor?
No. This code describes surgical replacement of the implanted percutaneous skull component, not replacement of the external speech processor alone.
What documentation supports reporting 69717?
The operative report should identify the existing percutaneous implant, the side treated, the reason for replacement, and the replacement work performed.
How is bilateral work reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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