$134.64–$142.54
69105 describes biopsy of the external auditory canal. Use 69140 when the surgeon excises the lesion rather than taking a diagnostic sample.
On this page
CMS RVU26D · Effective 2026-10-01
69140 Ear canal excision Medicare reimbursement rates in Michigan
Removal of a lesion from the external auditory canal, reported when the surgeon excises the lesion rather than taking a diagnostic sample. Compare 69140 office and facility rates across CMS payment localities in Michigan.
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 69140 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$800.83–$850.43
2 of 2 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.
Otolaryngology surgery
About 69140: External auditory canal lesion excision
Removal of a lesion from the external auditory canal, reported when the surgeon excises the lesion rather than taking a diagnostic sample.
This code covers surgical removal of a lesion located in the external auditory canal. Otolaryngologists typically perform the procedure when a canal lesion needs to be excised, rather than sampled for diagnosis alone. The operative setting depends on the lesion and the planned procedure; Medicare service data show use in both office and facility settings.
Report the code for the documented excision, distinguishing removal from a biopsy that obtains tissue for diagnosis. The operative note should identify the canal site, lesion, and work performed, including laterality when relevant. CMS assigns 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 are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 69140
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.94 · 31%
- Practice expense (office) RVU16.13 · 64%
- Malpractice RVU1.16 · 5%
254
Medicare services in 2024 · #4129 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.
69140 compared with similar codes
Office rates for Michigan, from the same CMS release.
$380.06–$403.12
Both codes concern external auditory canal lesion excision. Select between them according to the specific operative service documented and the applicable CPT descriptor.
No office rate
69150 is for extensive external auditory canal surgery; 69140 describes removal of an ear canal lesion without characterizing the service as extensive.
Compare 69140 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
Unavailable
Facility
$850.43
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$800.83
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69140 billing questions
When should this code be used instead of an ear canal biopsy code?
Use this code when the surgeon excises the canal lesion. A biopsy code describes sampling tissue for diagnostic examination rather than removal of the lesion.
What documentation supports reporting the excision?
Document that the lesion was in the external auditory canal and describe the excision performed. Include laterality and the operative details needed to distinguish the service from diagnostic sampling.
How is bilateral excision reported?
CMS identifies this as a bilateral procedure; reporting modifier 50 results in payment at 150%.
What does the 90-day global period include?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon be reported?
CMS payment for an assistant at surgery requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
7,58569105,,Biopsy of external ear canal,A,,0.83,3.37,,0.78,,0.11,4.31,1.72,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,58669110,,Remove external ear partial,A,,3.44,10.11,,5.06,,0.50,14.05,9.00,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,58769120,,Removal of external ear,A,,4.04,6.19,NA,6.19,,0.57,10.80,10.80,0,090,0.07,0.79,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,58869140,,Remove ear canal lesion(s),A,,7.94,16.13,NA,16.13,,1.16,25.23,25.23,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,58969145,,Remove ear canal lesion(s),A,,2.63,9.10,,4.08,,0.39,12.12,7.10,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59069150,,Extensive ear canal surgery,A,,13.27,11.62,NA,11.62,,2.06,26.95,26.95,0,090,0.07,0.79,0.14,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59169155,,Extensive ear/neck surgery,A,,22.77,16.76,NA,16.76,,3.32,42.85,42.85,0,090,0.07,0.79,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00