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CMS RVU26D · Effective 2026-10-01

69601 Mastoid revision Medicare reimbursement rates in Mississippi

Reports revision of a previously operated mastoid when the surgeon completes the procedure to the extent of a complete mastoidectomy. Compare 69601 office and facility rates across CMS payment localities in Mississippi.

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 69601 in Mississippi?

Mississippi 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

$832.43

1 of 1 localities have a supported rate.

Payment area: Mississippi

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.

Find 69601 in your payment locality →

Otolaryngology surgery

About 69601: Revision mastoidectomy to complete extent

Reports revision of a previously operated mastoid when the surgeon completes the procedure to the extent of a complete mastoidectomy.

An otologist revises a mastoid that has undergone prior surgery and extends the work to a complete mastoidectomy. The operation addresses mastoid disease or anatomy requiring further surgical clearance; it is performed in an operating room, commonly in a hospital facility. The operative report should establish the prior mastoid procedure and describe the extent of the revision and the resulting complete mastoidectomy.

Select this code based on the operative result, not simply because the patient has a history of mastoid surgery. The related preoperative visit on the day before surgery and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 69601

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 RVU13.11 · 48%
  • Practice expense (office) RVU12.08 · 45%
  • Malpractice RVU1.91 · 7%

56

Medicare services in 2024 · #5290 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.

69601 compared with similar codes

Office rates for Mississippi, from the same CMS release.

69602

Mastoid revision

Modified radical outcome

No office rate

Use 69602 when the revision results in a modified radical mastoidectomy; 69601 identifies a complete mastoidectomy result.

69603

Mastoid revision

Resulting in radical mastoidectomy

No office rate

Use 69603 when the revision results in a radical mastoidectomy, rather than the complete mastoidectomy result represented by 69601.

69604

Mastoid revision

Resulting in tympanoplasty

No office rate

Use 69604 for a revision mastoidectomy resulting in tympanoplasty. Use 69601 when the documented result is a complete mastoidectomy.

69502

Mastoidectomy

Complete mastoid dissection

No office rate

69502 describes a complete mastoidectomy without the revision context. Choose 69601 when the procedure revises a previously operated mastoid and results in a complete mastoidectomy.

Compare 69601 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

Office and facility base rates · shared scale starting at $0

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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 69601 in Mississippi.

PPRRVU2026_Oct_nonQPP.csv

7,619

Code
69601
Physician work
13.11
Practice expense
12.08
Malpractice
1.91

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 69601 in Mississippi
ComponentRVULocality factorAdjusted
Physician work13.11× 1.00013.1100
Practice expense12.08× 0.86110.4009
Malpractice1.91× 0.7391.4115
Total RVUs24.9224
Conversion factor× 33.4009

Facility rate, Mississippi$832.43

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work13.111
Practice expense12.080.861
Malpractice1.910.739

(13.11 × 1 + 12.08 × 0.861 + 1.91 × 0.739) × $33.4009 = $832.43

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.

69601 billing questions

How does this differ from 69602 or 69603?

Choose among these revision codes according to the extent of the resulting mastoidectomy: 69601 is the complete mastoidectomy outcome, while 69602 and 69603 represent modified radical and radical outcomes.

When is 69604 a better choice?

Use 69604 when the revision mastoidectomy results in tympanoplasty. For 69601, the documented result is a complete mastoidectomy.

What should the operative report establish?

Document the prior mastoid surgery, the revision performed, and the extent of the resulting mastoidectomy. The final operative result supports selection among the revision codes.

How is bilateral surgery reported?

For bilateral procedures reported with modifier 50, CMS pays this code at 150%.

Can an assistant surgeon be reported?

Assistant-at-surgery payment is allowed only when documentation supports medical necessity. Co-surgeons and team surgery are not permitted under the CMS rules for this code.

What postoperative care is 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 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.

RVUs for 69601PPRRVU2026_Oct_nonQPP.csv, line 7,619 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)