No office rate
Choose 69550 for the transcanal route. Choose 69552 when the surgeon reaches the tumor through a mastoid exposure.
On this page
CMS RVU26D · Effective 2026-10-01
69552 Aural tumor excision Medicare reimbursement rates in Kentucky
Removal of an aural glomus tumor through a mastoid approach, reported when the operative route—not the transcanal or extended route—is transmastoid. Compare 69552 office and facility rates across CMS payment localities in Kentucky.
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 69552 in Kentucky?
Kentucky 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
$1344.32
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 69552: Transmastoid aural glomus tumor excision
Removal of an aural glomus tumor through a mastoid approach, reported when the operative route—not the transcanal or extended route—is transmastoid.
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.
CMS billing rules for 69552
- 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 RVU19.31 · 45%
- Practice expense (office) RVU20.65 · 48%
- Malpractice RVU2.82 · 7%
28
Medicare services in 2024 · #5719 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.
69552 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
Choose 69554 when the operative report identifies an extended approach; 69552 describes the transmastoid approach.
No office rate
This code describes partial temporal-bone removal. It is a different procedure from excision of an aural glomus tumor through a transmastoid approach.
Compare 69552 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$1344.32
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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 69552 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
7,617
- Code
- 69552
- Physician work
- 19.31
- Practice expense
- 20.65
- Malpractice
- 2.82
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.31 | × 1.000 | 19.3100 |
| Practice expense | 20.65 | × 0.889 | 18.3578 |
| Malpractice | 2.82 | × 0.915 | 2.5803 |
| Total RVUs | 40.2482 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$1344.32
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.31 | 1 |
| Practice expense | 20.65 | 0.889 |
| Malpractice | 2.82 | 0.915 |
(19.31 × 1 + 20.65 × 0.889 + 2.82 × 0.915) × $33.4009 = $1344.32
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.
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 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.
7,61469535,,Remove part of temporal bone,A,,36.48,28.98,NA,28.98,,5.31,70.77,70.77,0,090,0.07,0.79,0.14,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61569540,,Excision aural polyp,A,,1.22,4.89,,2.20,,0.18,6.29,3.60,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61669550,,Exc aurl glomus tum trnscanl,A,,10.87,16.86,NA,16.86,,1.58,29.31,29.31,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61769552,,Exc aurl glomus tum trnsmstd,A,,19.31,20.65,NA,20.65,,2.82,42.78,42.78,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61869554,,Exc aurl glomus tum extended,A,,35.07,26.74,NA,26.74,,5.11,66.92,66.92,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61969601,,Revj mstdc rsltg compl mstdc,A,,13.11,12.08,NA,12.08,,1.91,27.10,27.10,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62069602,,Rev mstdc rslt mod rad mstdc,A,,13.42,13.55,NA,13.55,,1.96,28.93,28.93,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631