$83.53
This is the simple mastoidectomy-cavity debridement code. Choose 69222 when the documented cavity cleaning is complicated.
On this page
CMS RVU26D · Effective 2026-10-01
69222 Mastoid cleaning Medicare reimbursement rates in Connecticut
Reports complicated debridement of a mastoidectomy cavity, such as an established mastoid bowl requiring more involved removal of accumulated debris. Compare 69222 office and facility rates across CMS payment localities in Connecticut.
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 69222 in Connecticut?
Connecticut 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
$231.71
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$133.87
1 of 1 localities have a supported rate.
Payment area: Connecticut
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
About 69222: Complicated mastoid cavity debridement
Reports complicated debridement of a mastoidectomy cavity, such as an established mastoid bowl requiring more involved removal of accumulated debris.
An otolaryngologist typically performs this service to clear accumulated material from a mastoidectomy cavity, often called a mastoid bowl, during an office visit. The work may involve removing keratin, crusting, or other debris from the surgically altered cavity. This is distinct from clearing wax or a foreign body from the external ear canal. The code is for complicated cavity debridement; a routine or simple cleaning belongs to the related lower-level service.
Select the code based on the documented complexity of the cavity debridement, not solely on the fact that the patient previously had mastoid surgery. Record the cavity findings, material removed, and work performed to support the service level. It has a 10-day global period, so related postoperative visits during that period are included. When performed with other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. For bilateral work, modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 69222
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.41 · 22%
- Practice expense (office) RVU4.87 · 75%
- Malpractice RVU0.21 · 3%
6.7K
Medicare services in 2024 · #1686 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.
69222 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$87.19
This code concerns removal of a foreign body from the external auditory canal without general anesthesia, not debridement of a mastoidectomy cavity.
No office rate
This code concerns external auditory canal foreign-body removal with general anesthesia; it does not describe mastoid cavity cleaning.
$50.63
This code is for impacted cerumen removal from the external auditory canal by instrumentation, rather than debridement of a mastoidectomy cavity.
Compare 69222 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
Connecticut →
Office / nonfacility
$231.71
Facility
$133.87
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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 69222 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,597
- Code
- 69222
- Physician work
- 1.41
- Practice expense
- 4.87
- Malpractice
- 0.21
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.41 | × 1.020 | 1.4382 |
| Practice expense | 4.87 | × 1.077 | 5.2450 |
| Malpractice | 0.21 | × 1.210 | 0.2541 |
| Total RVUs | 6.9373 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$231.71
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.41 | 1.02 |
| Practice expense | 4.87 | 1.077 |
| Malpractice | 0.21 | 1.21 |
(1.41 × 1.02 + 4.87 × 1.077 + 0.21 × 1.21) × $33.4009 = $231.71
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.41 | 1.02 |
| Practice expense | 2.15 | 1.077 |
| Malpractice | 0.21 | 1.21 |
(1.41 × 1.02 + 2.15 × 1.077 + 0.21 × 1.21) × $33.4009 = $133.87
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.
69222 billing questions
How do I choose between 69222 and 69220?
Use 69222 for complicated mastoidectomy-cavity debridement and 69220 for simple debridement. Document the cavity findings and work that support the selected level.
Is cleaning wax from the ear canal reported with 69222?
No. 69222 concerns a mastoidectomy cavity; cerumen removal from the external auditory canal is a different service and may be coded with 69209 or 69210, depending on the method.
Does 69222 have a postoperative global period?
Yes. It has a 10-day global period, which includes related postoperative visits during those 10 days.
How is bilateral mastoid cavity debridement reported?
For bilateral work, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be paid for this service?
Assistant-at-surgery payment is statutorily restricted. Co-surgeon and team-surgery payment are not permitted.
What happens if another procedure is performed in the same session?
The highest-valued procedure is paid in full, and the 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.
7,59469209,,Remove impacted ear wax uni,A,,0.00,0.50,,0.50,NA,0.01,0.51,0.51,5,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59569210,,Remove impacted ear wax uni,A,,0.59,0.77,,0.15,,0.07,1.43,0.81,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59669220,,Clean out mastoid cavity,A,,0.81,1.42,,0.40,,0.12,2.35,1.33,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59769222,,Clean out mastoid cavity,A,,1.41,4.87,,2.15,,0.21,6.49,3.77,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59869300,,Revise external ear,R,,6.44,12.18,,5.42,,0.93,19.55,12.79,0,YYY,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59969310,,Rebuild outer ear canal,A,,10.70,18.72,NA,18.72,,1.63,31.05,31.05,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60069320,,Rebuild outer ear canal,A,,16.75,23.52,NA,23.52,,2.44,42.71,42.71,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808