No office rate
Use 69716 for a transcutaneous implant configuration with an implant area under 100 square millimeters. 69714 describes a percutaneous connection.
On this page
CMS RVU26D · Effective 2026-10-01
69714 Hearing implant Medicare reimbursement rates in Nevada
Reports initial skull placement of an osseointegrated hearing implant with a skin-penetrating connector for an external sound processor. Compare 69714 office and facility rates across CMS payment localities in Nevada.
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 69714 in Nevada?
Nevada 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
$432.39
1 of 1 localities have a supported rate.
Payment area: Nevada**
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.
Otology surgery
About 69714: Percutaneous osseointegrated hearing implant
Reports initial skull placement of an osseointegrated hearing implant with a skin-penetrating connector for an external sound processor.
An otolaryngologist, often an otologist or neurotologist, surgically anchors an osseointegrated fixture in the skull and provides a percutaneous connection for an external sound processor. The approach may be selected for a patient with conductive or mixed hearing loss, or single-sided deafness, when bone-conduction hearing is appropriate. The connector passes through the skin, distinguishing this procedure from systems that transmit sound through intact skin.
Report 69714 for initial placement with the percutaneous configuration, not for replacement or removal of an existing implant. The operative report should support the implant placement and the percutaneous connection; the connection type helps distinguish this service from transcutaneous implant codes. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is paid at 150% for bilateral procedures. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 69714
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.51 · 50%
- Practice expense (office) RVU5.63 · 43%
- Malpractice RVU0.96 · 7%
498
Medicare services in 2024 · #3567 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.
69714 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
Use 69729 for a transcutaneous implant configuration with an implant area of 100 square millimeters or greater. 69714 describes a percutaneous connection.
No office rate
69717 reports replacement of an existing percutaneous osseointegrated implant; 69714 is for initial placement.
Compare 69714 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
Nevada** →
Office / nonfacility
Unavailable
Facility
$432.39
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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 69714 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
7,650
- Code
- 69714
- Physician work
- 6.51
- Practice expense
- 5.63
- Malpractice
- 0.96
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.51 | × 1.000 | 6.5100 |
| Practice expense | 5.63 | × 1.001 | 5.6356 |
| Malpractice | 0.96 | × 0.833 | 0.7997 |
| Total RVUs | 12.9453 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$432.39
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.51 | 1 |
| Practice expense | 5.63 | 1.001 |
| Malpractice | 0.96 | 0.833 |
(6.51 × 1 + 5.63 × 1.001 + 0.96 × 0.833) × $33.4009 = $432.39
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.
69714 billing questions
How is 69714 distinguished from the transcutaneous implant codes?
69714 is for an implant with a percutaneous connection that passes through the skin. Codes 69716 and 69729 describe transcutaneous configurations, with the code selection also depending on implant size.
Should 69714 be reported for replacing an existing percutaneous implant?
No. For replacement of an existing percutaneous osseointegrated implant, consider 69717; 69714 represents initial placement.
What documentation supports reporting 69714?
The operative report should establish that an osseointegrated skull implant was placed and that it uses a percutaneous connection for an external sound processor.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period.
How is 69714 paid when performed with another procedure in the same session?
Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures.
Can an assistant or co-surgeon be reported for 69714?
Medicare does not pay an assistant at surgery for this code. 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.
7,64769706,,Nps surg dilat eust tube bi,A,,4.16,74.90,,1.39,,0.60,79.66,6.15,0,000,0.00,0.00,0.00,3,2,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
7,64869710,,Implant/replace hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64969711,,Remove/repair hearing aid,A,,10.35,10.60,NA,10.60,,1.50,22.45,22.45,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65069714,,Impl oi implt skull perq esp,A,,6.51,5.63,NA,5.63,,0.96,13.10,13.10,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65169716,,Impl oi implt sk tc esp<100,A,,8.80,6.19,NA,6.19,,1.31,16.30,16.30,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65269717,,Rplcmt oi implt skl prq esp,A,,7.71,5.91,NA,5.91,,1.13,14.75,14.75,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65369719,,Rplcm oi implt sk tc esp<100,A,,9.22,6.28,NA,6.28,,1.33,16.83,16.83,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097