CPT code 69745: Facial nerve repair2026 Medicare rate & RVUs in Michigan
Reports operative repair of an intratemporal facial nerve injury involving the geniculate ganglion, such as repair after nerve transection.
CMS doesn’t publish an office rate for 69745 in Michigan.
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 69745 covers
An otolaryngologist, neurotologist, or other surgeon with relevant expertise uses this service to repair an injured facial nerve within the temporal bone when the repair includes the geniculate ganglion. The clinical situation may involve traumatic or operative nerve injury requiring direct repair or graft reconstruction. The procedure is performed in an operative setting, not as routine treatment for facial weakness alone.
Select this code when the documented repair includes the geniculate ganglion; code 69740 distinguishes repair lateral to the ganglion. The operative report should identify the injury, the intratemporal nerve segment repaired, the ganglion involvement, and the repair method. CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 identifies bilateral surgery and is paid at 150%. An assistant at surgery may be paid; 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.
Where 69745 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit | Unavailable | $1,127.14 |
| Rest Of Michigan | Unavailable | $1,058.59 |
How the 69745 rate is calculated
Each of 69745’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 · 69745
RVUs × geographic indexes × conversion factor
Work16.59
16.59 RVUs× 1.000 GPCI
Practice expense13.55
13.55 RVUs× 1.000 GPCI
Malpractice2.42
2.42 RVUs× 1.000 GPCI
Adjusted RVUs
32.5600
Conversion factor
$33.4009
Medicare rate
$1,087.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 69745
69745 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69745
Facial nerve repair
| 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) | 2 | Paid. |
| 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 · 69745
Facial nerve repair
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
69745 without 50 · national facility
$1,087.53
Facial nerve repair
69745-50 · Bilateral: 150%
$1,631.30
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).
69745 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 69740Facial nerve repair
- Both describe intratemporal facial nerve repair. Choose 69745 when the repair includes the geniculate ganglion; 69740 identifies repair lateral to it.
- 69720Facial nerve release
- 69720 describes decompression lateral to the geniculate ganglion, not repair of an injured nerve.
- 69725Facial nerve decompression
- 69725 describes decompression that includes the geniculate ganglion. Use 69745 for repair involving that region.
69745 billing questions
How does 69745 differ from 69740?
Use 69745 when the intratemporal repair includes the geniculate ganglion. Code 69740 is for repair lateral to the ganglion.
Is this code for facial nerve decompression?
No. It represents repair of an injured nerve, such as direct repair or graft reconstruction. Decompression codes 69720 and 69725 describe a different procedure for releasing the nerve.
What documentation supports selecting 69745?
The operative report should establish the nerve injury and show that the intratemporal repair included the geniculate ganglion. It should also describe the repair performed.
How is bilateral repair reported?
CMS identifies this as a bilateral procedure; report modifier 50 for bilateral surgery. The CMS payment rule for modifier 50 is 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
Are postoperative visits included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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
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