No office rate
Use 69601 when the revision results in a complete mastoidectomy. This code is for a revision resulting in a radical mastoidectomy.
On this page
CMS RVU26D · Effective 2026-10-01
69603 Mastoid revision Medicare reimbursement rates in Minnesota
Revision mastoid surgery reported when an earlier mastoidectomy is revised and the resulting operation creates a radical mastoidectomy. Compare 69603 office and facility rates across CMS payment localities in Minnesota.
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 69603 in Minnesota?
Minnesota 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
$1146.59
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 69603: Revision mastoidectomy to radical extent
Revision mastoid surgery reported when an earlier mastoidectomy is revised and the resulting operation creates a radical mastoidectomy.
An otolaryngologist or otologist reports this service when revising a previously operated mastoid and the completed procedure results in a radical mastoidectomy. It is associated with complex ear disease, such as persistent or recurrent cholesteatoma, when the surgeon must revise the mastoid cavity and establish the radical surgical result. The operative report should describe the prior mastoid surgery, the work performed, and the resulting anatomy and extent of the revision.
Select this code based on the final operative result, not the diagnosis alone; a revision ending in a different mastoidectomy result belongs to a different code in the revision series. 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 69603
- 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 RVU13.85 · 39%
- Practice expense (office) RVU19.32 · 55%
- Malpractice RVU2.02 · 6%
35
Medicare services in 2024 · #5572 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.
69603 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
Use 69602 when the revision results in a modified radical mastoidectomy; use 69603 for the radical mastoidectomy result.
No office rate
69604 describes revision resulting in tympanoplasty. Choose 69603 when the documented revision results in a radical mastoidectomy.
Compare 69603 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$1146.59
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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 69603 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
7,621
- Code
- 69603
- Physician work
- 13.85
- Practice expense
- 19.32
- Malpractice
- 2.02
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.85 | × 1.000 | 13.8500 |
| Practice expense | 19.32 | × 1.029 | 19.8803 |
| Malpractice | 2.02 | × 0.296 | 0.5979 |
| Total RVUs | 34.3282 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$1146.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.85 | 1 |
| Practice expense | 19.32 | 1.029 |
| Malpractice | 2.02 | 0.296 |
(13.85 × 1 + 19.32 × 1.029 + 2.02 × 0.296) × $33.4009 = $1146.59
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.
69603 billing questions
What distinguishes this code from 69601 or 69602?
Choose among the revision codes according to the resulting mastoidectomy: 69601 represents a complete mastoidectomy result, 69602 a modified radical result, and 69603 a radical result.
How is 69603 distinguished from 69604?
Use 69603 when the revision results in a radical mastoidectomy. Use 69604 when the revision results in tympanoplasty instead.
What documentation supports reporting 69603?
Document the prior mastoid operation, the revision work performed, and the final surgical result establishing a radical mastoidectomy. The diagnosis by itself does not establish the appropriate revision code.
Does the 90-day global period include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule supplied for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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.
7,61869554,,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
7,62269604,,Revj mstdc rsltg tympanplsty,A,,13.85,13.66,NA,13.66,,2.02,29.53,29.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62369610,,Tympanic membrane repair,A,,4.36,6.46,,2.49,,0.62,11.44,7.47,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62469620,,Myringoplasty,A,,5.88,15.44,,6.78,,0.87,22.19,13.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002