Billing code 69552: Aural tumor excisionMedicare rate & RVUs in Kansas
Removal of an aural glomus tumor through a mastoid approach, reported when the operative route—not the transcanal or extended route—is transmastoid.
CMS doesn’t publish an office rate for 69552 in Kansas.
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 69552 covers
An otolaryngologist, often a neurotologist, uses an opening through the mastoid to reach and remove a vascular paraganglioma, or aural glomus tumor, involving the middle ear or adjacent temporal-bone region. The operation is performed in an operating room; the transmastoid route, rather than an ear-canal route, is the defining feature. The operative report should identify the tumor location and describe the exposure and excision.
Select this code when the documented operation uses a transmastoid approach; use the transcanal or extended-approach sibling when that is the route performed. Documentation of the lesion’s extent and the surgical exposure supports the code choice. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple 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.
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.
69552 in Kansas
| Payment locality | Office | Facility |
|---|---|---|
| Kansas | Unavailable | $1,315.96 |
How the 69552 rate is calculated
Each of 69552’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 · 69552
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 19.31Practice expense 20.65Malpractice 2.82
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 69552
69552 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69552
Aural tumor excision
| 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) | 2 | Paid. |
| 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 · 69552
Aural tumor excision
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
69552 without 50 · national facility
$1,428.89
Aural tumor excision
69552-50 · Bilateral: 150%
$2,143.34
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).
69552 compared with similar codes
Compare codes
69552 vs 69550 vs 69554 vs 69535: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 69550Glomus tumor excision
- Choose 69550 for the transcanal route. Choose 69552 when the surgeon reaches the tumor through a mastoid exposure.
- 69554Glomus tumor excision
- Choose 69554 when the operative report identifies an extended approach; 69552 describes the transmastoid approach.
- 69535Temporal bone surgery
- This code describes partial temporal-bone removal. It is a different procedure from excision of an aural glomus tumor through a transmastoid approach.
69552 billing questions
How does this code differ from 69550?
The approach determines the choice: 69552 is for a transmastoid route, while 69550 is for a transcanal route. The operative report should make the actual exposure clear.
When would 69554 be considered instead?
Use 69554 when the operation is documented as using an extended approach rather than the transmastoid approach represented by 69552.
What documentation supports reporting 69552?
Document the aural glomus tumor’s location, the transmastoid exposure, and the excision performed. The operative description should distinguish this route from a transcanal or extended approach.
How is bilateral surgery reported?
For bilateral procedures, modifier 50 applies; CMS pays the bilateral procedure at 150%.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted 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 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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