No office rate
Both are transcutaneous implant replacement procedures. The size threshold distinguishes them: 69730 is for 100 square millimeters or greater, while 69719 is for under 100 square millimeters.
On this page
CMS RVU26D · Effective 2026-10-01
69730 Implant replacement Medicare reimbursement rates in New York
Reports replacement of a large transcutaneous osseointegrated skull implant that connects to an external speech processor, not initial implantation or removal alone. Compare 69730 office and facility rates across CMS payment localities in New York.
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 69730 in New York?
New York has 5 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 5 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$573.02–$701.91
5 of 5 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 69730 pays more and less in New York
Otolaryngology surgery
About 69730: Large transcutaneous hearing implant replacement
Reports replacement of a large transcutaneous osseointegrated skull implant that connects to an external speech processor, not initial implantation or removal alone.
This operation replaces a previously implanted osseointegrated skull device that transmits sound through bone to an external speech processor. It is for a transcutaneous attachment and an implant measuring 100 square millimeters or greater. An otolaryngologist typically performs the surgery in an operating room when the implanted device requires replacement, rather than initial placement or removal alone.
Choose the code when the operative record supports replacement, the transcutaneous configuration, and the implant’s size threshold. CMS classifies it as major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. In a same-session multiple-procedure case, 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 is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 69730
- 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 RVU9.99 · 56%
- Practice expense (office) RVU6.47 · 36%
- Malpractice RVU1.45 · 8%
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.
69730 compared with similar codes
Office rates for New York, from the same CMS release.
No office rate
69717 describes replacement with a percutaneous attachment. Choose 69730 when the attachment is transcutaneous and the implant is at least 100 square millimeters.
No office rate
69729 describes initial implantation of a transcutaneous implant measuring 100 square millimeters or greater; 69730 is for replacement of an existing implant.
No office rate
69728 describes removal of a transcutaneous implant measuring 100 square millimeters or greater. Use 69730 when the procedure replaces the implant rather than removing it alone.
Compare 69730 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.
5 of 5 payment localities
Manhattan →
Office / nonfacility
Unavailable
Facility
$682.95
Nyc Suburbs/Long Island →
Office / nonfacility
Unavailable
Facility
$701.91
Poughkpsie/N Nyc Suburbs →
Office / nonfacility
Unavailable
Facility
$643.93
Queens →
Office / nonfacility
Unavailable
Facility
$680.30
Rest Of New York →
Office / nonfacility
Unavailable
Facility
$573.02
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69730 billing questions
When should 69730 be chosen over 69719?
Use 69730 for replacement of a transcutaneous implant measuring 100 square millimeters or greater. Code 69719 is the corresponding replacement code for an implant under 100 square millimeters.
How does 69730 differ from 69717?
Both describe replacement, but 69730 is for a transcutaneous attachment and 69717 is for a percutaneous attachment.
Is 69730 used for the first implant placement?
No. It describes replacement. For initial placement of a transcutaneous implant measuring 100 square millimeters or greater, the related code is 69729.
What supports reporting 69730?
The operative documentation should identify the replacement procedure, the transcutaneous attachment configuration, and the implant size of at least 100 square millimeters.
How is bilateral surgery reported under the CMS rules?
For a bilateral procedure, modifier 50 applies; CMS pays the service at 150%.
What payment rules affect other procedures in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted, and 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.
7,65769727,,Rmv ntr oi imp sk tc esp<100,A,,7.20,5.79,NA,5.79,,1.06,14.05,14.05,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65869728,,Rmv ntr oi imp sk tc>=100,A,,8.29,6.06,NA,6.06,,1.21,15.56,15.56,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65969729,,Impl oi implt sk tc esp>=100,A,,9.72,6.43,NA,6.43,,1.47,17.62,17.62,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66069730,,Rplc oi implt sk tc esp>=100,A,,9.99,6.47,NA,6.47,,1.45,17.91,17.91,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66169740,,Repair facial nerve,A,,15.86,12.33,NA,12.33,,2.32,30.51,30.51,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66269745,,Repair facial nerve,A,,16.59,13.55,NA,13.55,,2.42,32.56,32.56,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66369799,,Unlisted px middle ear,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00