69710
No office rateImplant/replace hearing aid
69710 applies when an implantable hearing device is implanted or replaced. Use 69711 when the operative service is removal or repair of the implanted device.
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CMS RVU26D · Effective 2026-10-01
69711 Hearing device surgery Medicare reimbursement rates in Guam
Report this otologic operation when a surgeon removes or repairs an implanted hearing device, rather than servicing an external hearing aid or processor. Compare 69711 office and facility rates across CMS payment localities in Guam.
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 69711 in Guam?
Guam 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
$777.26
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Otologic surgery
About 69711: Implantable hearing device removal or repair
Report this otologic operation when a surgeon removes or repairs an implanted hearing device, rather than servicing an external hearing aid or processor.
An otologist or other ear surgeon reports this service for operative removal or repair of an implanted hearing device, typically a middle-ear hearing system. The work addresses the implanted device itself; routine adjustment or repair of an external hearing aid or sound processor is not this operation. These procedures are generally performed in a surgical setting, with the operative report identifying the device and the removal or repair performed.
Choose the code when documentation supports surgical work on the implant, not implantation or replacement of the device. The record should describe the reason for surgery, the implanted system, the operative steps, and whether one or both sides were treated. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with 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 69711
- 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 RVU10.35 · 46%
- Practice expense (office) RVU10.60 · 47%
- Malpractice RVU1.50 · 7%
31
Medicare services in 2024 · #5658 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.
69711 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
69714 is for implanting an osseointegrated system with a percutaneous processor attachment, not removing or repairing an implanted middle-ear hearing device.
No office rate
69726 describes removal of an osseointegrated implant with a percutaneous attachment. Choose 69711 for removal or repair of the implantable hearing device addressed by this code.
Compare 69711 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$777.26
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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 69711 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,649
- Code
- 69711
- Physician work
- 10.35
- Practice expense
- 10.60
- Malpractice
- 1.50
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.35 | × 1.000 | 10.3500 |
| Practice expense | 10.60 | × 1.137 | 12.0522 |
| Malpractice | 1.50 | × 0.579 | 0.8685 |
| Total RVUs | 23.2707 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$777.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.35 | 1 |
| Practice expense | 10.6 | 1.137 |
| Malpractice | 1.5 | 0.579 |
(10.35 × 1 + 10.6 × 1.137 + 1.5 × 0.579) × $33.4009 = $777.26
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.
69711 billing questions
How is this different from code 69710?
Use 69711 for operative removal or repair of an implanted hearing device. Code 69710 describes implanting or replacing the device.
Does routine repair of an external hearing aid qualify?
No. This code concerns surgery on an implanted hearing device, not adjustment, maintenance, or repair of an external hearing aid or processor.
What documentation supports reporting this service?
Document the implanted device and side, the clinical reason for surgery, and the specific removal or repair performed. The operative note should distinguish work on the implant from work limited to external equipment.
How are bilateral procedures reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
Are postoperative visits separately payable during the global period?
Related postoperative care for 90 days is included, as is the day-before preoperative visit. The global period begins with the major surgery.
Can an assistant or another surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
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.
7,64669705,,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
7,64769706,,Nps surg dilat eust tube bi,A,,4.16,74.90,,1.39,,0.60,79.66,6.15,0,000,0.00,0.00,0.00,3,2,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
7,64869710,,Implant/replace hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64969711,,Remove/repair hearing aid,A,,10.35,10.60,NA,10.60,,1.50,22.45,22.45,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65069714,,Impl oi implt skull perq esp,A,,6.51,5.63,NA,5.63,,0.96,13.10,13.10,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65169716,,Impl oi implt sk tc esp<100,A,,8.80,6.19,NA,6.19,,1.31,16.30,16.30,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65269717,,Rplcmt oi implt skl prq esp,A,,7.71,5.91,NA,5.91,,1.13,14.75,14.75,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014