Billing code 69726: Implant removalMedicare rate & RVUs in Nevada
Removal of a percutaneous osseointegrated hearing implant anchored to the skull, reported when an otologic surgeon removes the implanted fixture.
CMS doesn’t publish an office rate for 69726 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 69726 covers
This service covers surgical removal of a percutaneous osseointegrated implant anchored in the skull for a bone-conduction hearing system. An otologist or other ear, nose, and throat surgeon typically performs the procedure in an operating room or hospital outpatient setting. The percutaneous design has an abutment that passes through the skin; removal of that implanted hardware is distinct from taking off or servicing an external sound processor.
Choose this code for removal of the percutaneous implant, not removal of a transcutaneous implant, which is reported under a separate code family. The operative report should identify the implant configuration and document the removal performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; 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.
69726 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $417.63 |
How the 69726 rate is calculated
Each of 69726’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 · 69726
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.20Practice expense 5.54Malpractice 0.91
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 69726
69726 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69726
Implant removal
| 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 · 69726
Implant removal
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
69726 without 50 · national facility
$422.52
Implant removal
69726-50 · Bilateral: 150%
$633.78
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).
69726 compared with similar codes
Compare codes
69726 vs 69727 vs 69728 vs 69717: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 69727Implant removal
- Use 69727 for removal of a transcutaneous implant below 100 square millimeters. This code describes removal of a percutaneous implant.
- 69728Implant removal
- Use 69728 for removal of a transcutaneous implant measuring 100 square millimeters or more; this code is for the percutaneous configuration.
- 69717Implant replacement
- 69717 describes replacement of a percutaneous implant. Report this code when the service is removal rather than replacement.
69726 billing questions
How is this code distinguished from 69727 or 69728?
This code is for removal of a percutaneous implant with an abutment through the skin. Codes 69727 and 69728 describe removal of transcutaneous implants, with the code choice depending on implant size.
Does this code cover removal of the external sound processor?
It describes removal of the implanted percutaneous fixture, not routine removal or servicing of the external processor. The operative documentation should establish that the implanted hardware was removed.
What documentation supports reporting this service?
Document the percutaneous implant configuration, the indication for removal, and the operative work performed. The record should make clear that the implanted fixture, rather than only an external component, was removed.
How is bilateral removal reported?
For bilateral procedures, report modifier 50; CMS pays this code at 150% when billed bilaterally.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is barred by statutory restriction 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 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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