No office rate
69550 is the transcanal approach. Choose 69554 only when the documented operation is extended rather than limited to that approach.
On this page
CMS RVU26D · Effective 2026-10-01
69554 Glomus tumor excision Medicare reimbursement rates in Maryland
Reports extended surgical removal of an aural glomus tumor when the operative work exceeds the limited transcanal or transmastoid approaches. Compare 69554 office and facility rates across CMS payment localities in Maryland.
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 69554 in Maryland?
Maryland has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2243.62–$2476.71
3 of 3 localities have a supported rate.
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.
Where 69554 pays more and less in Maryland
Otologic surgery
About 69554: Extended aural glomus tumor excision
Reports extended surgical removal of an aural glomus tumor when the operative work exceeds the limited transcanal or transmastoid approaches.
An otologist or neurotologist performs an extended operation to remove an aural glomus tumor, a vascular tumor arising in the ear region. These operations take place in the operating room and may involve broader exposure than removal through the ear canal or a transmastoid approach. The operative report should describe the tumor site, surgical approach, exposure, and extent of removal so the extended service is distinguishable from the more limited procedures in this code family.
Report this code for the extended operation, not simply because a tumor is large or difficult; the documented surgical work and approach support the code choice. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery reported with modifier 50, CMS pays 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 69554
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU35.07 · 52%
- Practice expense (office) RVU26.74 · 40%
- Malpractice RVU5.11 · 8%
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.
69554 compared with similar codes
Office rates for Maryland, from the same CMS release.
No office rate
69552 describes a transmastoid approach. The operative extent and exposure distinguish it from the extended operation reported with 69554.
$211.97–$242.04
69540 is for excision of an aural polyp, not an aural glomus tumor. The diagnosis and operative findings distinguish these services.
Compare 69554 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.
3 of 3 payment localities
Baltimore/Surr. Cntys →
Office / nonfacility
Unavailable
Facility
$2359.58
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$2476.71
Rest Of Maryland →
Office / nonfacility
Unavailable
Facility
$2243.62
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69554 billing questions
How does this differ from codes 69550 and 69552?
Those codes describe more limited transcanal and transmastoid approaches, respectively. Use 69554 when the operative report supports an extended operation rather than either limited approach.
Does the 90-day global period include related postoperative visits?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can modifier 50 be used for bilateral surgery?
CMS identifies this as a bilateral procedure. When modifier 50 is reported for bilateral surgery, payment is 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports choosing the extended procedure?
The operative report should identify the tumor site and describe the approach, exposure, and extent of the removal, showing why the work was extended rather than transcanal or transmastoid.
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.
7,61569540,,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
7,62169603,,Revj mstdc rsltg rad mstdc,A,,13.85,19.32,NA,19.32,,2.02,35.19,35.19,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00