CPT code 69310: Ear canal reconstruction2026 Medicare rate & RVUs in Florida
Reconstructs a narrowed or damaged external auditory canal, such as stenosis following trauma or infection, without the skin graft specified by its sibling code.
CMS doesn’t publish an office rate for 69310 in Florida.
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 69310 covers
An otolaryngologist uses this procedure to restore the opening or contour of the external auditory canal when narrowing or damage interferes with the canal’s function. A typical clinical setting is acquired stenosis after trauma or infection. The reconstruction is performed as surgery, generally in an operating room; it is distinct from removing wax or a foreign body. When the reconstruction includes a skin graft, the graft-specific sibling code is the relevant choice instead.
The operative report should identify the affected canal, the condition prompting reconstruction, and the technique used, including whether a skin graft was part of the repair. Medicare assigns a 90-day global period: the day-before preoperative visit and related postoperative care during that period are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral work, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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.
Where 69310 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,089.22 |
| Miami | Unavailable | $1,145.98 |
| Rest Of Florida | Unavailable | $1,036.97 |
How the 69310 rate is calculated
Each of 69310’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 · 69310
RVUs × geographic indexes × conversion factor
Work10.70
10.70 RVUs× 1.000 GPCI
Practice expense18.72
18.72 RVUs× 1.000 GPCI
Malpractice1.63
1.63 RVUs× 1.000 GPCI
Adjusted RVUs
31.0500
Conversion factor
$33.4009
Medicare rate
$1,037.10
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 69310
69310 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69310
Ear canal reconstruction
| 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 · 69310
Ear canal reconstruction
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
69310 without 50 · national facility
$1,037.10
Ear canal reconstruction
69310-50 · Bilateral: 150%
$1,555.65
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).
69310 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 69320Ear canal reconstruction
- Both address external auditory canal reconstruction; 69320 is the graft-specific choice when a skin graft is part of the repair.
- 69300Revise external ear
- 69300 addresses correction of a protruding outer ear, or pinna. It does not describe reconstruction of the ear canal.
- 69399Unlisted px external ear
- Use 69399 for an external-ear procedure that lacks a specific code, rather than when the documented canal reconstruction fits 69310 or 69320.
69310 billing questions
When should 69310 be chosen instead of 69320?
Use 69310 for canal reconstruction without a skin graft. When the reconstruction includes a skin graft, use 69320 instead.
Is this code for routine earwax removal?
No. It describes surgical reconstruction for canal narrowing or damage, not removal of impacted cerumen or a foreign body.
What documentation supports reporting 69310?
Document the canal abnormality and its cause, the reconstructive work performed, and whether a skin graft was used.
How is bilateral canal reconstruction reported?
For bilateral work, Medicare pays this code with modifier 50 at 150%.
Are postoperative visits separately reported during the global period?
Related postoperative care for 90 days is included, along with the day-before preoperative visit.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code, and 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 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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