Billing code 69990Medicare rate & RVUs in Delaware
Compare 69990 physician payment amounts across CMS localities, including office and facility settings.
CMS doesn’t publish an office rate for 69990 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 5 sections
69990 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | Unavailable |
How the 69990 rate is calculated
Each of 69990’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 · 69990
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.37Practice expense 1.17Malpractice 1.39
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 69990
The CMS indicators that decide how 69990 is paid alongside other services.
CMS payment indicators · 69990
Code 69990
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
69990 without 80 · national facility
$0.00
69990-80 · Assistant: 16%
$0.00
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
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
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