$194.14–$208.98
Both address mastoid cavity cleaning. Choose 69220 for routine, simple work and 69222 when the cleaning is complicated.
On this page
CMS RVU26D · Effective 2026-10-01
69220 Mastoid cleaning Medicare reimbursement rates in Missouri
Reports routine cleaning of a postmastoidectomy cavity, typically by an otolaryngologist removing debris during an office visit. Compare 69220 office and facility rates across CMS payment localities in Missouri.
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 69220 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$71.84–$76.22
3 of 3 localities have a supported rate.
Facility setting
$42.48–$43.79
3 of 3 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.
Where 69220 pays more and less in Missouri
3 payment localities
$71.84 to $76.22
Otolaryngology procedure
About 69220: Simple mastoid cavity cleaning
Reports routine cleaning of a postmastoidectomy cavity, typically by an otolaryngologist removing debris during an office visit.
An otolaryngologist typically uses direct visualization to remove debris, crusting, or accumulated material from a mastoid cavity created by prior surgery. This is the routine, simple cleaning service for a patient who returns for ongoing cavity care; it is not a procedure to remove impacted cerumen from the external ear canal. The service is commonly performed in an office, though it may also occur in a facility setting.
Document the mastoid cavity being treated, the material removed, and the work performed so the record supports simple rather than complicated cleaning. The code has a 0-day global period, so same-day preoperative and postoperative care is included. 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 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 69220
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU0.81 · 34%
- Practice expense (office) RVU1.42 · 60%
- Malpractice RVU0.12 · 5%
36.3K
Medicare services in 2024 · #906 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.
69220 compared with similar codes
Office rates for Missouri, from the same CMS release.
$44.15–$46.53
69210 is for impacted cerumen removed from the external ear canal using instrumentation; 69220 is for a postmastoidectomy cavity.
$14.72–$16.23
69209 addresses impacted external-canal cerumen removed by irrigation or lavage. It does not describe cleaning a mastoid cavity.
Compare 69220 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$75.51
Facility
$43.52
Metropolitan St. Louis →
Office / nonfacility
$76.22
Facility
$43.79
Rest Of Missouri →
Office / nonfacility
$71.84
Facility
$42.48
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69220 billing questions
When should 69220 be selected instead of 69222?
Use 69220 for routine, simple cleaning of a mastoid cavity. Use 69222 when the documented cavity cleaning is complicated.
Is cleaning a mastoid cavity the same as removing earwax?
No. 69220 addresses debris or material in a postmastoidectomy cavity; 69209 and 69210 address impacted cerumen in the external ear canal.
How is bilateral cleaning reported?
The CMS payment rule specifies modifier 50 for bilateral treatment, paid at 150%. Document treatment of both mastoid cavities.
Is same-day evaluation or postoperative care separately included?
The 0-day global period includes same-day preoperative and postoperative care. The rule does not extend that inclusion to care on a later date.
Can an assistant or co-surgeon be paid for 69220?
Medicare does not pay an assistant at surgery for this service. 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.
7,59369205,,Clear outer ear canal,A,,1.18,1.27,NA,1.27,,0.17,2.62,2.62,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59469209,,Remove impacted ear wax uni,A,,0.00,0.50,,0.50,NA,0.01,0.51,0.51,5,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59569210,,Remove impacted ear wax uni,A,,0.59,0.77,,0.15,,0.07,1.43,0.81,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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