Billing code 69714: Hearing implantMedicare rate & RVUs in Oklahoma
Reports initial skull placement of an osseointegrated hearing implant with a skin-penetrating connector for an external sound processor.
CMS doesn’t publish an office rate for 69714 in Oklahoma.
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 69714 covers
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.
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 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $410.28 |
How the 69714 rate is calculated
Each of 69714’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 · 69714
RVUs × geographic indexes × conversion factor
Work6.51
6.51 RVUs× 1.000 GPCI
Practice expense5.63
5.63 RVUs× 1.000 GPCI
Malpractice0.96
0.96 RVUs× 1.000 GPCI
Adjusted RVUs
13.1000
Conversion factor
$33.4009
Medicare rate
$437.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 69714
69714 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69714
Hearing implant
| 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 · 69714
Hearing implant
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
69714 without 50 · national facility
$437.55
Hearing implant
69714-50 · Bilateral: 150%
$656.33
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).
69714 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 69716Bone conduction implant
- Use 69716 for a transcutaneous implant configuration with an implant area under 100 square millimeters. 69714 describes a percutaneous connection.
- 69729Hearing implant
- Use 69729 for a transcutaneous implant configuration with an implant area of 100 square millimeters or greater. 69714 describes a percutaneous connection.
- 69717Implant replacement
- 69717 reports replacement of an existing percutaneous osseointegrated implant; 69714 is for initial placement.
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 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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