CPT code 69662: Stapes revision2026 Medicare rate & RVUs in Nevada
Revision stapes surgery addresses a problem after prior stapedectomy or stapedotomy, such as recurrent conductive hearing loss from prosthesis displacement or refixation.
CMS doesn’t publish an office rate for 69662 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 69662 covers
An otologist or other otolaryngologic surgeon revises a previously operated stapes when the earlier stapedectomy or stapedotomy has not produced durable hearing improvement or a later problem requires surgical correction. Examples include a displaced prosthesis or recurrent fixation affecting sound transmission. The procedure is generally performed in an operating room with microscopic visualization, often for a patient with recurrent conductive hearing loss after prior stapes surgery.
Report 69662 for revision of the prior stapes operation, rather than for an initial stapedectomy or stapedotomy. The operative report should identify the prior procedure, the reason for revision, and the stapes or prosthesis findings and corrective work. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
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.
69662 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,007.89 |
How the 69662 rate is calculated
Each of 69662’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 69662
RVUs × geographic indexes × conversion factor
Work15.21
15.21 RVUs× 1.000 GPCI
Practice expense13.02
13.02 RVUs× 1.000 GPCI
Malpractice2.32
2.32 RVUs× 1.000 GPCI
Adjusted RVUs
30.5500
Conversion factor
$33.4009
Medicare rate
$1,020.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 69662
69662 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69662
Stapes revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.07/0.79/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 69662
Stapes revision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
69662 without 50 · national facility
$1,020.40
Stapes revision
69662-50 · Bilateral: 150%
$1,530.60
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
69662 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 69660Stapes surgery
- Use 69660 for a stapedectomy that is not revision of a prior stapes operation; use 69662 when revising prior stapedectomy or stapedotomy.
- 69661Stapes revision
- This code describes a nonrevision stapes operation. The key distinction for 69662 is that the surgeon is revising an earlier stapedectomy or stapedotomy.
- 69650Stapes mobilization
- 69650 is stapes mobilization, rather than revision of a prior stapes operation.
- 69666Fistula repair
- 69666 addresses repair of an oval window fistula; 69662 is for revision of prior stapes surgery.
69662 billing questions
When should 69662 be chosen instead of 69660 or 69661?
Use 69662 when the surgeon is revising a prior stapedectomy or stapedotomy. Codes 69660 and 69661 describe stapes operations that are not revisions.
What documentation supports reporting a revision?
Document the prior stapes procedure, the reason for reoperation, relevant operative findings, and the corrective work performed. Findings such as prosthesis displacement or recurrent fixation help explain the revision.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period. Routine follow-up for the revision is not separately reported during that period.
How is bilateral performance reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%. The operative documentation should support work on both ears.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for 69662. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. The operative record should support each separately reported service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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