Billing code 69730: Implant replacementMedicare rate & RVUs in Kansas
Reports replacement of a large transcutaneous osseointegrated skull implant that connects to an external speech processor, not initial implantation or removal alone.
CMS doesn’t publish an office rate for 69730 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 69730 covers
This operation replaces a previously implanted osseointegrated skull device that transmits sound through bone to an external speech processor. It is for a transcutaneous attachment and an implant measuring 100 square millimeters or greater. An otolaryngologist typically performs the surgery in an operating room when the implanted device requires replacement, rather than initial placement or removal alone.
Choose the code when the operative record supports replacement, the transcutaneous configuration, and the implant’s size threshold. CMS classifies it as major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. In a same-session multiple-procedure case, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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.
69730 in Kansas
| Payment locality | Office | Facility |
|---|---|---|
| Kansas | Unavailable | $553.44 |
How the 69730 rate is calculated
Each of 69730’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 · 69730
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 9.99Practice expense 6.47Malpractice 1.45
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 69730
69730 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69730
Implant replacement
| 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 · 69730
Implant replacement
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
69730 without 50 · national facility
$598.21
Implant replacement
69730-50 · Bilateral: 150%
$897.32
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).
69730 compared with similar codes
Compare codes
69730 vs 69719 vs 69717 vs 69729 vs 69728: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 69719Hearing implant replacement
- Both are transcutaneous implant replacement procedures. The size threshold distinguishes them: 69730 is for 100 square millimeters or greater, while 69719 is for under 100 square millimeters.
- 69717Implant replacement
- 69717 describes replacement with a percutaneous attachment. Choose 69730 when the attachment is transcutaneous and the implant is at least 100 square millimeters.
- 69729Hearing implant
- 69729 describes initial implantation of a transcutaneous implant measuring 100 square millimeters or greater; 69730 is for replacement of an existing implant.
- 69728Implant removal
- 69728 describes removal of a transcutaneous implant measuring 100 square millimeters or greater. Use 69730 when the procedure replaces the implant rather than removing it alone.
69730 billing questions
When should 69730 be chosen over 69719?
Use 69730 for replacement of a transcutaneous implant measuring 100 square millimeters or greater. Code 69719 is the corresponding replacement code for an implant under 100 square millimeters.
How does 69730 differ from 69717?
Both describe replacement, but 69730 is for a transcutaneous attachment and 69717 is for a percutaneous attachment.
Is 69730 used for the first implant placement?
No. It describes replacement. For initial placement of a transcutaneous implant measuring 100 square millimeters or greater, the related code is 69729.
What supports reporting 69730?
The operative documentation should identify the replacement procedure, the transcutaneous attachment configuration, and the implant size of at least 100 square millimeters.
How is bilateral surgery reported under the CMS rules?
For a bilateral procedure, modifier 50 applies; CMS pays the service at 150%.
What payment rules affect other procedures in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted, 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
Fee sheets
Put 69730 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →