Billing code 69719: Hearing implant replacementMedicare rate & RVUs in Oklahoma
Report this code when a surgeon replaces an existing skull-anchored hearing implant that couples through intact skin and falls below the 100 cm² threshold.
CMS doesn’t publish an office rate for 69719 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 69719 covers
This procedure replaces the implanted portion of a skull-anchored hearing system that transmits sound through intact skin to an external processor. An otologic surgeon typically performs it in an operating room when an existing implant must be replaced. The replacement removes the existing internal implant and places a new one; exchanging only the external processor is a different service.
Select 69719 for a replacement involving the transcutaneous design in the less-than-100 cm² category. The operative report should identify the existing and new implants, the side treated, the transcutaneous attachment, and the measurement supporting that category. The day-before preoperative visit and 90 days of related postoperative care are included in the surgical global period. When other procedures are performed in the same session, the standard multiple-procedure reduction pays the highest-valued procedure in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. 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.
69719 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $529.79 |
How the 69719 rate is calculated
Each of 69719’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 · 69719
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 9.22Practice expense 6.28Malpractice 1.33
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 69719
69719 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69719
Hearing implant replacement
| 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 · 69719
Hearing implant replacement
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
69719 without 50 · national facility
$562.14
Hearing implant replacement
69719-50 · Bilateral: 150%
$843.21
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).
69719 compared with similar codes
Compare codes
69719 vs 69716 vs 69730 vs 69717 vs 69727: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 69716Bone conduction implant
- Choose 69719 when an existing internal transcutaneous implant is replaced; choose 69716 for initial placement in the less-than-100 cm² category.
- 69730Implant replacement
- Both describe replacement of a transcutaneous skull implant. The documented size category separates them: less than 100 cm² for 69719 versus 100 cm² or greater for 69730.
- 69717Implant replacement
- 69717 replaces a skull implant that connects to its external processor through the skin. 69719 replaces one that couples across intact skin.
- 69727Implant removal
- 69727 describes removal of a less-than-100 cm² transcutaneous implant without replacement. Use 69719 when the existing internal implant is removed and a new one is placed.
69719 billing questions
How does 69719 differ from 69716?
69719 is for replacement of an existing transcutaneous skull implant in the less-than-100 cm² category. 69716 is for initial implantation in that category.
When should 69730 be considered instead?
Use the documented size category: 69719 is for less than 100 cm², while 69730 is the transcutaneous replacement code for 100 cm² or greater.
Is removing the old implant billed separately during replacement?
Removal of the existing internal implant is part of the replacement described by 69719. A removal-only procedure is a different service.
How is a bilateral replacement reported?
Modifier 50 identifies bilateral surgery for 69719. The CMS bilateral payment rule is 150%.
Can an assistant surgeon, co-surgeon, or surgical team be paid for 69719?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes related postoperative care for 90 days and the day-before preoperative visit.
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
Fee sheets
Put 69719 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →