Billing code 69740: Facial nerve repairMedicare rate & RVUs in Oklahoma
Reports surgical repair of the facial nerve within the temporal bone, including graft reconstruction, for a disrupted or injured intratemporal nerve.
CMS doesn’t publish an office rate for 69740 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 69740 covers
An otolaryngologist or neurotologist uses this code when repairing the facial nerve along its course within the temporal bone. Typical situations include a nerve transection or major injury associated with temporal bone trauma or otologic surgery. Repair may join the nerve ends directly or use a graft to bridge a defect. The procedure is generally performed in an operating room, with the operative report identifying the injury site and the repair performed.
Choose this code for an intratemporal repair; a repair outside the temporal bone is reported with a different code. Documentation should establish the nerve’s location and describe the repair, including graft use when applicable. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral repair, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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.
69740 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $957.72 |
How the 69740 rate is calculated
Each of 69740’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 · 69740
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 15.86Practice expense 12.33Malpractice 2.32
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 69740
69740 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69740
Facial nerve repair
| 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) | 2 | Paid. |
| 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 · 69740
Facial nerve repair
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
69740 without 50 · national facility
$1,019.06
Facial nerve repair
69740-50 · Bilateral: 150%
$1,528.59
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).
69740 compared with similar codes
Compare codes
69740 vs 69745 vs 69720 vs 69725: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 69745Facial nerve repair
- The distinction is anatomical: 69740 repairs the facial nerve within the temporal bone, while 69745 addresses extracranial repair.
- 69720Facial nerve release
- Use 69720 for facial nerve release or decompression, not repair of a disrupted intratemporal nerve.
- 69725Facial nerve decompression
- This is a facial nerve release code that includes the geniculate ganglion; 69740 is for repairing an injured nerve within the temporal bone.
69740 billing questions
How is 69740 distinguished from 69745?
Use 69740 when the repair is within the temporal bone. Code 69745 is for repair of the extracranial facial nerve.
Does this code include graft reconstruction?
Yes. The code covers intratemporal facial nerve repair whether the surgeon joins the nerve ends directly or uses a graft.
Is decompression reported instead of repair?
When the procedure releases a compressed facial nerve rather than repairing an injured or disrupted nerve, consider the applicable decompression code, such as 69720 or 69725.
What documentation supports 69740?
The operative report should identify the facial nerve injury within the temporal bone and describe how the nerve was repaired, including whether a graft was used.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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