No office rate
This code is for a round window fistula; 69666 is for an oval window fistula. Use the documented repair site to distinguish them.
On this page
CMS RVU26D · Effective 2026-10-01
69667 Window repair Medicare reimbursement rates in Oklahoma
Reports operative closure of a round window fistula, typically performed by an otolaryngologist to seal a suspected perilymph leak in the middle ear. Compare 69667 office and facility rates across CMS payment localities in Oklahoma.
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 69667 in Oklahoma?
Oklahoma 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
$675.26
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 69667: Round window fistula repair
Reports operative closure of a round window fistula, typically performed by an otolaryngologist to seal a suspected perilymph leak in the middle ear.
An otolaryngologist, often an otologist or neurotologist, uses an operative approach through the ear canal to expose and seal a fistula at the round window. The procedure may address suspected perilymph leakage associated with hearing or balance symptoms, including after pressure-related injury. A graft or other sealing material may be placed over the defect. The service is generally performed in an operating room under surgical conditions.
Report this code when the operative work specifically repairs the round window fistula; the operative note should identify the site and describe the repair. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple procedure reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 69667
- 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 RVU9.65 · 45%
- Practice expense (office) RVU10.58 · 49%
- Malpractice RVU1.44 · 7%
356
Medicare services in 2024 · #3838 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.
69667 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
69631 addresses tympanic membrane repair by tympanoplasty, not an isolated round window fistula repair.
No office rate
69632 is a tympanoplasty code that includes ossicular chain reconstruction; 69667 identifies repair at the round window.
Compare 69667 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
Oklahoma →
Office / nonfacility
Unavailable
Facility
$675.26
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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 69667 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
7,642
- Code
- 69667
- Physician work
- 9.65
- Practice expense
- 10.58
- Malpractice
- 1.44
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.65 | × 1.000 | 9.6500 |
| Practice expense | 10.58 | × 0.893 | 9.4479 |
| Malpractice | 1.44 | × 0.777 | 1.1189 |
| Total RVUs | 20.2168 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$675.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.65 | 1 |
| Practice expense | 10.58 | 0.893 |
| Malpractice | 1.44 | 0.777 |
(9.65 × 1 + 10.58 × 0.893 + 1.44 × 0.777) × $33.4009 = $675.26
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.
69667 billing questions
How is 69667 distinguished from 69666?
69667 is for repair at the round window; 69666 is for repair at the oval window. The operative report should identify which window was repaired.
Does a suspected perilymph leak alone support reporting 69667?
The operative documentation should show that the surgeon repaired a fistula at the round window. A suspected leak without that documented repair does not establish the service.
Is the preoperative visit included in the global period?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How does Medicare handle bilateral repair?
For a bilateral procedure, modifier 50 is paid at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
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.
7,63969661,,Revise middle ear bone,A,,15.52,14.09,NA,14.09,,2.26,31.87,31.87,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64069662,,Revise middle ear bone,A,,15.21,13.02,NA,13.02,,2.32,30.55,30.55,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64169666,,Repair middle ear structures,A,,9.64,10.55,NA,10.55,,1.40,21.59,21.59,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64269667,,Repair middle ear structures,A,,9.65,10.58,NA,10.58,,1.44,21.67,21.67,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64369670,,Remove mastoid air cells,A,,11.44,12.04,NA,12.04,,1.67,25.15,25.15,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64469676,,Remove middle ear nerve,A,,9.45,11.55,NA,11.55,,1.36,22.36,22.36,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64569700,,Close mastoid fistula,A,,8.16,8.54,NA,8.54,,1.21,17.91,17.91,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193