No office rate
This code describes mastoid air-cell removal, while 69602 is for revision mastoidectomy with a complete-mastoidectomy result. The operative report should establish whether the surgery is a revision.
On this page
CMS RVU26D · Effective 2026-10-01
69670 Mastoidectomy Medicare reimbursement rates in Arkansas
Reports operative removal of mastoid air cells, typically by an otolaryngologist treating disease involving the mastoid behind the ear. Compare 69670 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 69670 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$756.28
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Otolaryngology surgery
About 69670: Mastoid air-cell removal procedure
Reports operative removal of mastoid air cells, typically by an otolaryngologist treating disease involving the mastoid behind the ear.
An otolaryngologist performs this operation in a surgical setting to remove mastoid air cells affected by disease. It may be part of treatment for chronic mastoid infection or cholesteatoma. The operative report should identify the mastoid work performed and the condition prompting surgery; the code is not a label for a middle-ear repair alone.
Report the service for the documented mastoid air-cell removal, distinguishing a standalone mastoid operation from a procedure that includes tympanoplasty and mastoidectomy. 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 at 50%. For bilateral surgery, 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 69670
- 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 RVU11.44 · 45%
- Practice expense (office) RVU12.04 · 48%
- Malpractice RVU1.67 · 7%
125
Medicare services in 2024 · #4702 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.
69670 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
69604 is a revision mastoidectomy resulting in tympanoplasty. Use it for that revision circumstance rather than a standalone mastoid air-cell removal.
No office rate
69641 combines tympanoplasty and mastoidectomy. It is the closer fit when both middle-ear reconstruction and mastoid work are performed, rather than mastoid removal alone.
Compare 69670 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
Unavailable
Facility
$756.28
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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 69670 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
7,643
- Code
- 69670
- Physician work
- 11.44
- Practice expense
- 12.04
- Malpractice
- 1.67
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.44 | × 1.000 | 11.4400 |
| Practice expense | 12.04 | × 0.859 | 10.3424 |
| Malpractice | 1.67 | × 0.515 | 0.8600 |
| Total RVUs | 22.6424 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$756.28
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.44 | 1 |
| Practice expense | 12.04 | 0.859 |
| Malpractice | 1.67 | 0.515 |
(11.44 × 1 + 12.04 × 0.859 + 1.67 × 0.515) × $33.4009 = $756.28
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.
69670 billing questions
How is this code distinguished from revision mastoidectomy codes?
Use this code for the mastoid air-cell removal represented by the service. Codes 69602–69604 describe revision mastoidectomy situations, so the operative report must support revision rather than primary surgery.
Should this be reported separately with tympanoplasty and mastoidectomy?
When the operation includes tympanoplasty with mastoidectomy, consider the applicable combined tympanoplasty code, such as 69641 or 69642. Do not treat the mastoid work as a separate standalone service when it is part of that combined procedure.
What documentation supports reporting this service?
Document the indication, the mastoid air-cell work performed, and whether the operation was primary or a revision. The operative report should also make clear whether tympanoplasty was performed as part of the surgery.
What does the 90-day global period include?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery handled?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
CMS may pay an assistant at surgery for this procedure. Co-surgeons and team surgery are not permitted.
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.
7,64069662,,Revise middle ear bone,A,,15.21,13.02,NA,13.02,,2.32,30.55,30.55,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64169666,,Repair middle ear structures,A,,9.64,10.55,NA,10.55,,1.40,21.59,21.59,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64269667,,Repair middle ear structures,A,,9.65,10.58,NA,10.58,,1.44,21.67,21.67,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64369670,,Remove mastoid air cells,A,,11.44,12.04,NA,12.04,,1.67,25.15,25.15,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64469676,,Remove middle ear nerve,A,,9.45,11.55,NA,11.55,,1.36,22.36,22.36,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64569700,,Close mastoid fistula,A,,8.16,8.54,NA,8.54,,1.21,17.91,17.91,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64669705,,Nps surg dilat eust tube uni,A,,2.93,73.58,,1.08,,0.43,76.94,4.44,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541