No office rate
69660 describes primary stapedectomy or stapedotomy. Choose 69661 when the operation revises a prior stapes procedure.
On this page
CMS RVU26D · Effective 2026-10-01
69661 Stapes revision Medicare reimbursement rates in Missouri
Reports revision stapes surgery to restore sound transmission after prior stapedectomy or stapedotomy, such as for recurrent conductive hearing loss. Compare 69661 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 69661 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
$997.58–$1042.05
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 69661 pays more and less in Missouri
Otologic surgery
About 69661: Revision stapedectomy or stapedotomy
Reports revision stapes surgery to restore sound transmission after prior stapedectomy or stapedotomy, such as for recurrent conductive hearing loss.
An otologist or other otolaryngologist performs revision stapedectomy or stapedotomy when a prior operation on the stapes requires surgical correction. The procedure addresses the stapes and ossicular sound-conduction pathway, often in a patient with recurrent conductive hearing loss after earlier stapes surgery. It is generally performed in an operating room; the operative report should establish that this is revision surgery rather than a first-time stapes procedure.
Report 69661 for the revision service, not the primary stapes procedure. Documentation should describe the prior operation, the reason for revision, and the work performed to restore ossicular continuity. Medicare 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 other procedures 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 69661
- 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 RVU15.52 · 49%
- Practice expense (office) RVU14.09 · 44%
- Malpractice RVU2.26 · 7%
193
Medicare services in 2024 · #4355 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.
69661 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
This is another revision stapes code. Distinguish it from 69661 using the operative details and the applicable CPT descriptor.
No office rate
69650 is stapes mobilization. It is not the revision stapedectomy or stapedotomy reported with 69661.
Compare 69661 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
$1034.04
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$1042.05
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$997.58
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69661 billing questions
When should 69661 be chosen instead of 69660?
Use 69661 for revision stapes surgery after a prior stapedectomy or stapedotomy. Code 69660 describes the primary procedure.
Does using a prosthesis make this a different code?
The choice of 69661 is based on the revision nature of the operation, not simply whether a prosthesis is used. The operative report should support that prior stapes surgery is being revised.
Can a separate tympanoplasty be reported in the same session?
A distinct tympanoplasty may be reported when it is separately performed and documented. When multiple procedures are performed in the same session, Medicare applies the standard multiple procedure reduction.
How should bilateral revision stapes surgery be reported?
Report bilateral surgery with modifier 50; CMS pays the bilateral procedure at 150%.
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.
7,63669646,,Revise middle ear & mastoid,A,,17.91,22.21,NA,22.21,,2.73,42.85,42.85,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63769650,,Stapes mobilization,A,,9.56,10.53,NA,10.53,,1.39,21.48,21.48,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63869660,,Revise middle ear bone,A,,11.73,11.07,NA,11.07,,1.72,24.52,24.52,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63969661,,Revise middle ear bone,A,,15.52,14.09,NA,14.09,,2.26,31.87,31.87,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64069662,,Revise middle ear bone,A,,15.21,13.02,NA,13.02,,2.32,30.55,30.55,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64169666,,Repair middle ear structures,A,,9.64,10.55,NA,10.55,,1.40,21.59,21.59,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64269667,,Repair middle ear structures,A,,9.65,10.58,NA,10.58,,1.44,21.67,21.67,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00