Billing code 69727: Implant removalMedicare rate & RVUs in Delaware
Removal of a transcutaneous osseointegrated skull implant for auditory rehabilitation, reported when the documented procedure meets this code’s under-100 category.
CMS doesn’t publish an office rate for 69727 in Delaware.
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 69727 covers
An otologist or neurotologist reports this code for surgical removal of a transcutaneous osseointegrated implant in the skull used for auditory rehabilitation. The implant couples through the skin rather than through a percutaneous abutment. Removal may be needed when the implant is no longer used or requires surgical management. This is an operative service, commonly performed in a hospital or ambulatory surgery facility; removal of an external sound processor alone is not the implant-removal service.
Choose this code when the operative documentation supports the transcutaneous approach and the code’s under-100 category. The record should identify the implant and approach, the work performed to remove it, and the relevant measurement supporting the category; use the corresponding sibling when documentation supports the 100-or-greater category. The service 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 at 50%. Modifier 50 bilateral reporting 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.
69727 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $464.59 |
How the 69727 rate is calculated
Each of 69727’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 · 69727
RVUs × geographic indexes × conversion factor
Work7.20
7.20 RVUs× 1.000 GPCI
Practice expense5.79
5.79 RVUs× 1.000 GPCI
Malpractice1.06
1.06 RVUs× 1.000 GPCI
Adjusted RVUs
14.0500
Conversion factor
$33.4009
Medicare rate
$469.28
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 69727
69727 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69727
Implant removal
| 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 · 69727
Implant removal
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
69727 without 50 · national facility
$469.28
Implant removal
69727-50 · Bilateral: 150%
$703.92
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).
69727 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 69726Implant removal
- 69726 is for removal by a percutaneous approach. Use 69727 for transcutaneous removal in the under-100 category.
- 69728Implant removal
- Both codes describe transcutaneous implant removal; the category is under 100 for 69727 and 100 or greater for 69728.
- 69719Hearing implant replacement
- 69719 describes replacement of a transcutaneous implant, rather than removal without replacement.
69727 billing questions
How does this differ from 69726?
69727 is for removal of a transcutaneous osseointegrated implant in the under-100 category. 69726 describes removal using a percutaneous approach.
When should 69728 be used instead?
Use 69728 when the transcutaneous removal falls in the 100-or-greater category. The operative record should support the category used.
Does removal of the external sound processor qualify?
No. This code describes surgical removal of the transcutaneous implant, not removal of the external processor by itself.
How is bilateral removal reported?
Report bilateral work with modifier 50 under the CMS bilateral rule; payment is at 150%.
What postoperative care is included?
The 90-day global 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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