No office rate
Use 69511 for radical mastoid surgery when the operative report supports that procedure. Use 69535 when the documented work is temporal bone resection.
On this page
CMS RVU26D · Effective 2026-10-01
69535 Temporal bone surgery Medicare reimbursement rates in Missouri
Reports extensive temporal bone removal, generally for disease requiring resection beyond a mastoidectomy, performed by an otologic or skull-base surgeon. Compare 69535 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 69535 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
No supported rate
Facility setting
$2225.59–$2317.67
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 69535 pays more and less in Missouri
Otolaryngology surgery
About 69535: Radical temporal bone resection
Reports extensive temporal bone removal, generally for disease requiring resection beyond a mastoidectomy, performed by an otologic or skull-base surgeon.
This operation removes temporal bone as part of an extensive ear or skull-base resection. The operative field may include the external auditory canal, middle ear, and mastoid, depending on the disease and planned extent. Otologists, neurotologists, and other surgeons experienced in skull-base procedures typically perform it in an operating room, often for destructive or malignant disease involving these structures. The operative report should identify the involved anatomy and describe the resection performed.
Select this code for the temporal bone resection itself, not simply because a mastoid operation is extensive. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery under the statutory restriction; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 69535
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU36.48 · 52%
- Practice expense (office) RVU28.98 · 41%
- Malpractice RVU5.31 · 8%
184
Medicare services in 2024 · #4400 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.
69535 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
69530 describes an extensive mastoid operation; 69535 is for temporal bone removal. The operative anatomy and extent, not a general label of extensive surgery, distinguish them.
No office rate
69552 identifies transmastoid excision of an aural glomus tumor. 69535 describes temporal bone resection rather than that tumor- and approach-specific procedure.
Compare 69535 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
Unavailable
Facility
$2300.66
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$2317.67
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$2225.59
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69535 billing questions
How is this different from a mastoidectomy code?
This code describes resection of temporal bone, potentially involving more than the mastoid. Choose a mastoidectomy code when the documented operation is a mastoid procedure rather than temporal bone resection.
What documentation supports reporting this code?
The operative report should establish the disease being treated and specify the temporal bone structures removed. It should make clear why the operation was a temporal bone resection rather than a mastoidectomy alone.
Is related postoperative care included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery under the statutory restriction. Co-surgeons are paid only when supporting documentation is provided; team surgery is 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.
7,61169505,,Remove mastoid structures,A,,12.84,19.07,NA,19.07,,1.87,33.78,33.78,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61269511,,Extensive mastoid surgery,A,,13.36,19.20,NA,19.20,,1.95,34.51,34.51,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61369530,,Extensive mastoid surgery,A,,19.87,22.67,NA,22.67,,3.04,45.58,45.58,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61469535,,Remove part of temporal bone,A,,36.48,28.98,NA,28.98,,5.31,70.77,70.77,0,090,0.07,0.79,0.14,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61569540,,Excision aural polyp,A,,1.22,4.89,,2.20,,0.18,6.29,3.60,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61669550,,Exc aurl glomus tum trnscanl,A,,10.87,16.86,NA,16.86,,1.58,29.31,29.31,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61769552,,Exc aurl glomus tum trnsmstd,A,,19.31,20.65,NA,20.65,,2.82,42.78,42.78,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00