No office rate
69726 is for removal by a percutaneous approach. Use 69727 for transcutaneous removal in the under-100 category.
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CMS RVU26D · Effective 2026-10-01
69727 Implant removal Medicare reimbursement rates in Kansas
Removal of a transcutaneous osseointegrated skull implant for auditory rehabilitation, reported when the documented procedure meets this code’s under-100 category. Compare 69727 office and facility rates across CMS payment localities in Kansas.
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 69727 in Kansas?
Kansas 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
$433.16
1 of 1 localities have a supported rate.
Payment area: Kansas
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.
Otolaryngology surgery
About 69727: Transcutaneous osseointegrated implant removal, under-100 category
Removal of a transcutaneous osseointegrated skull implant for auditory rehabilitation, reported when the documented procedure meets this code’s under-100 category.
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.
CMS billing rules for 69727
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.20 · 51%
- Practice expense (office) RVU5.79 · 41%
- Malpractice RVU1.06 · 8%
22
Medicare services in 2024 · #5881 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.
69727 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Both codes describe transcutaneous implant removal; the category is under 100 for 69727 and 100 or greater for 69728.
No office rate
69719 describes replacement of a transcutaneous implant, rather than removal without replacement.
Compare 69727 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
Kansas →
Office / nonfacility
Unavailable
Facility
$433.16
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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 69727 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
7,657
- Code
- 69727
- Physician work
- 7.20
- Practice expense
- 5.79
- Malpractice
- 1.06
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.20 | × 1.000 | 7.2000 |
| Practice expense | 5.79 | × 0.904 | 5.2342 |
| Malpractice | 1.06 | × 0.504 | 0.5342 |
| Total RVUs | 12.9684 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$433.16
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.2 | 1 |
| Practice expense | 5.79 | 0.904 |
| Malpractice | 1.06 | 0.504 |
(7.2 × 1 + 5.79 × 0.904 + 1.06 × 0.504) × $33.4009 = $433.16
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.
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 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.
7,65469720,,Release facial nerve,A,,14.34,15.11,NA,15.11,,2.28,31.73,31.73,0,090,0.07,0.79,0.14,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65569725,,Release facial nerve,A,,26.95,17.80,NA,17.80,,3.93,48.68,48.68,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65669726,,Rmv ntr oi implt skl prq esp,A,,6.20,5.54,NA,5.54,,0.91,12.65,12.65,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65769727,,Rmv ntr oi imp sk tc esp<100,A,,7.20,5.79,NA,5.79,,1.06,14.05,14.05,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65869728,,Rmv ntr oi imp sk tc>=100,A,,8.29,6.06,NA,6.06,,1.21,15.56,15.56,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65969729,,Impl oi implt sk tc esp>=100,A,,9.72,6.43,NA,6.43,,1.47,17.62,17.62,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66069730,,Rplc oi implt sk tc esp>=100,A,,9.99,6.47,NA,6.47,,1.45,17.91,17.91,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958