No office rate
Both address external auditory canal reconstruction; 69320 is the graft-specific choice when a skin graft is part of the repair.
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CMS RVU26D · Effective 2026-10-01
69310 Ear canal reconstruction Medicare reimbursement rates in Michigan
Reconstructs a narrowed or damaged external auditory canal, such as stenosis following trauma or infection, without the skin graft specified by its sibling code. Compare 69310 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 69310 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
$989.72–$1052.56
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 69310: External auditory canal reconstruction
Reconstructs a narrowed or damaged external auditory canal, such as stenosis following trauma or infection, without the skin graft specified by its sibling code.
An otolaryngologist uses this procedure to restore the opening or contour of the external auditory canal when narrowing or damage interferes with the canal’s function. A typical clinical setting is acquired stenosis after trauma or infection. The reconstruction is performed as surgery, generally in an operating room; it is distinct from removing wax or a foreign body. When the reconstruction includes a skin graft, the graft-specific sibling code is the relevant choice instead.
The operative report should identify the affected canal, the condition prompting reconstruction, and the technique used, including whether a skin graft was part of the repair. Medicare assigns a 90-day global period: the day-before preoperative visit and related postoperative care during that period are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral work, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 69310
- 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 RVU10.70 · 34%
- Practice expense (office) RVU18.72 · 60%
- Malpractice RVU1.63 · 5%
814
Medicare services in 2024 · #3130 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.
69310 compared with similar codes
Office rates for Michigan, from the same CMS release.
69300
No office rateRevise external ear
69300 addresses correction of a protruding outer ear, or pinna. It does not describe reconstruction of the ear canal.
69399
No office rateUnlisted px external ear
Use 69399 for an external-ear procedure that lacks a specific code, rather than when the documented canal reconstruction fits 69310 or 69320.
Compare 69310 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
$1052.56
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$989.72
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69310 billing questions
When should 69310 be chosen instead of 69320?
Use 69310 for canal reconstruction without a skin graft. When the reconstruction includes a skin graft, use 69320 instead.
Is this code for routine earwax removal?
No. It describes surgical reconstruction for canal narrowing or damage, not removal of impacted cerumen or a foreign body.
What documentation supports reporting 69310?
Document the canal abnormality and its cause, the reconstructive work performed, and whether a skin graft was used.
How is bilateral canal reconstruction reported?
For bilateral work, Medicare pays this code with modifier 50 at 150%.
Are postoperative visits separately reported during the global period?
Related postoperative care for 90 days is included, along with the day-before preoperative visit.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code, 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 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.
7,59669220,,Clean out mastoid cavity,A,,0.81,1.42,,0.40,,0.12,2.35,1.33,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59769222,,Clean out mastoid cavity,A,,1.41,4.87,,2.15,,0.21,6.49,3.77,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59869300,,Revise external ear,R,,6.44,12.18,,5.42,,0.93,19.55,12.79,0,YYY,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59969310,,Rebuild outer ear canal,A,,10.70,18.72,NA,18.72,,1.63,31.05,31.05,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60069320,,Rebuild outer ear canal,A,,16.75,23.52,NA,23.52,,2.44,42.71,42.71,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60169399,,Unlisted px external ear,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60269420,,Incision of eardrum,A,,1.35,4.19,,1.76,,0.20,5.74,3.31,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00