No office rate
69905 describes removal of inner-ear structures, not placement of a cochlear implant.
On this page
CMS RVU26D · Effective 2026-10-01
69930 Cochlear implant Medicare reimbursement rates in Ohio
Reports surgery to place a cochlear implant for a patient with severe-to-profound sensorineural hearing loss who is a candidate for implantation. Compare 69930 office and facility rates across CMS payment localities in Ohio.
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 69930 in Ohio?
Ohio 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
$1025.91
1 of 1 localities have a supported rate.
Payment area: Ohio
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.
Otolaryngology surgery
About 69930: Cochlear implant electrode placement
Reports surgery to place a cochlear implant for a patient with severe-to-profound sensorineural hearing loss who is a candidate for implantation.
An otolaryngologist places the implant’s receiver-stimulator beneath the skin and inserts its electrode array into the cochlea. The operation is generally performed in a hospital or other surgical facility for an adult or child with severe-to-profound sensorineural hearing loss who has not obtained adequate benefit from hearing aids. The operative report should identify the ear, document the implant placement, and describe the approach and relevant findings.
Report 69930 for the surgical implantation, not for later implant programming or audiologic testing. When both ears are treated, CMS identifies the service as bilateral and pays with modifier 50 at 150%. If other procedures are 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 day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 69930
- 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 RVU17.29 · 54%
- Practice expense (office) RVU11.90 · 38%
- Malpractice RVU2.54 · 8%
5.9K
Medicare services in 2024 · #1768 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.
69930 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
69910 describes removal involving the inner ear and mastoid; 69930 is for implant placement.
69949
No office rateUnlisted px inner ear
Use 69949 for an unlisted inner-ear procedure when no specific code describes the surgery; 69930 specifically describes cochlear device implantation.
Compare 69930 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
Ohio →
Office / nonfacility
Unavailable
Facility
$1025.91
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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 69930 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
7,670
- Code
- 69930
- Physician work
- 17.29
- Practice expense
- 11.90
- Malpractice
- 2.54
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.29 | × 1.000 | 17.2900 |
| Practice expense | 11.90 | × 0.913 | 10.8647 |
| Malpractice | 2.54 | × 1.008 | 2.5603 |
| Total RVUs | 30.7150 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1025.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.29 | 1 |
| Practice expense | 11.9 | 0.913 |
| Malpractice | 2.54 | 1.008 |
(17.29 × 1 + 11.9 × 0.913 + 2.54 × 1.008) × $33.4009 = $1025.91
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.
69930 billing questions
When is 69930 the right code rather than an inner-ear removal code?
Use 69930 when the operation implants a cochlear device. Codes for removing inner-ear structures describe a different surgical objective, not implant placement.
How is bilateral cochlear implant surgery reported?
CMS identifies 69930 as bilateral with modifier 50 and pays it at 150%. Document the implantation of both ears.
Does the 90-day global period include postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included.
Can an assistant-at-surgery or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures.
What documentation supports reporting 69930?
Document the indication for implantation, the ear treated, the device placement, and operative details such as the surgical approach and findings.
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.
7,66769905,,Remove inner ear,A,,10.98,11.92,NA,11.92,,1.61,24.51,24.51,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66869910,,Remove inner ear & mastoid,A,,13.56,10.63,NA,10.63,,1.98,26.17,26.17,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66969915,,Incise inner ear nerve,A,,22.20,13.75,NA,13.75,,3.23,39.18,39.18,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,67069930,,Implant cochlear device,A,,17.29,11.90,NA,11.90,,2.54,31.73,31.73,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,67169949,,Unlisted px inner 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
7,67269950,,Incise inner ear nerve,A,,26.94,14.37,NA,14.37,,3.93,45.24,45.24,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,67369955,,Release facial nerve,A,,28.68,18.26,NA,18.26,,4.18,51.12,51.12,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703