No office rate
The distinction is anatomical: 69740 repairs the facial nerve within the temporal bone, while 69745 addresses extracranial repair.
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CMS RVU26D · Effective 2026-10-01
69740 Facial nerve repair Medicare reimbursement rates in Oregon
Reports surgical repair of the facial nerve within the temporal bone, including graft reconstruction, for a disrupted or injured intratemporal nerve. Compare 69740 office and facility rates across CMS payment localities in Oregon.
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 69740 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$994.40–$1053.41
2 of 2 localities have a supported rate.
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.
Neurotologic surgery
About 69740: Intratemporal facial nerve repair
Reports surgical repair of the facial nerve within the temporal bone, including graft reconstruction, for a disrupted or injured intratemporal nerve.
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.
CMS billing rules for 69740
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.86 · 52%
- Practice expense (office) RVU12.33 · 40%
- Malpractice RVU2.32 · 8%
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 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
Use 69720 for facial nerve release or decompression, not repair of a disrupted intratemporal nerve.
No office rate
This is a facial nerve release code that includes the geniculate ganglion; 69740 is for repairing an injured nerve within the temporal bone.
Compare 69740 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.
2 of 2 payment localities
Portland →
Office / nonfacility
Unavailable
Facility
$1053.41
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$994.40
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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 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.
7,65869728,,Rmv ntr oi imp sk tc>=100,A,,8.29,6.06,NA,6.06,,1.21,15.56,15.56,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65969729,,Impl oi implt sk tc esp>=100,A,,9.72,6.43,NA,6.43,,1.47,17.62,17.62,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66069730,,Rplc oi implt sk tc esp>=100,A,,9.99,6.47,NA,6.47,,1.45,17.91,17.91,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66169740,,Repair facial nerve,A,,15.86,12.33,NA,12.33,,2.32,30.51,30.51,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66269745,,Repair facial nerve,A,,16.59,13.55,NA,13.55,,2.42,32.56,32.56,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66369799,,Unlisted px middle 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
7,66469801,,Incise inner ear,A,,2.01,4.38,,0.92,,0.29,6.68,3.22,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00