Billing code 69711: Hearing device surgeryMedicare rate & RVUs in Rhode Island
Report this otologic operation when a surgeon removes or repairs an implanted hearing device, rather than servicing an external hearing aid or processor.
CMS doesn’t publish an office rate for 69711 in Rhode Island.
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 69711 covers
An otologist or other ear surgeon reports this service for operative removal or repair of an implanted hearing device, typically a middle-ear hearing system. The work addresses the implanted device itself; routine adjustment or repair of an external hearing aid or sound processor is not this operation. These procedures are generally performed in a surgical setting, with the operative report identifying the device and the removal or repair performed.
Choose the code when documentation supports surgical work on the implant, not implantation or replacement of the device. The record should describe the reason for surgery, the implanted system, the operative steps, and whether one or both sides were treated. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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.
69711 in Rhode Island
| Payment locality | Office | Facility |
|---|---|---|
| Rhode Island | Unavailable | $762.69 |
How the 69711 rate is calculated
Each of 69711’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 · 69711
RVUs × geographic indexes × conversion factor
Work10.35
10.35 RVUs× 1.000 GPCI
Practice expense10.60
10.60 RVUs× 1.000 GPCI
Malpractice1.50
1.50 RVUs× 1.000 GPCI
Adjusted RVUs
22.4500
Conversion factor
$33.4009
Medicare rate
$749.85
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 69711
69711 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69711
Hearing device surgery
| 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 · 69711
Hearing device surgery
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
69711 without 50 · national facility
$749.85
Hearing device surgery
69711-50 · Bilateral: 150%
$1,124.78
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).
69711 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 69710Implant/replace hearing aid
- 69710 applies when an implantable hearing device is implanted or replaced. Use 69711 when the operative service is removal or repair of the implanted device.
- 69714Hearing implant
- 69714 is for implanting an osseointegrated system with a percutaneous processor attachment, not removing or repairing an implanted middle-ear hearing device.
- 69726Implant removal
- 69726 describes removal of an osseointegrated implant with a percutaneous attachment. Choose 69711 for removal or repair of the implantable hearing device addressed by this code.
69711 billing questions
How is this different from code 69710?
Use 69711 for operative removal or repair of an implanted hearing device. Code 69710 describes implanting or replacing the device.
Does routine repair of an external hearing aid qualify?
No. This code concerns surgery on an implanted hearing device, not adjustment, maintenance, or repair of an external hearing aid or processor.
What documentation supports reporting this service?
Document the implanted device and side, the clinical reason for surgery, and the specific removal or repair performed. The operative note should distinguish work on the implant from work limited to external equipment.
How are bilateral procedures reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
Are postoperative visits separately payable during the global period?
Related postoperative care for 90 days is included, as is the day-before preoperative visit. The global period begins with the major surgery.
Can an assistant or another surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery 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 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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