No office rate
Use 69602 when the revision results in a modified radical mastoidectomy; 69601 identifies a complete mastoidectomy result.
On this page
CMS RVU26D · Effective 2026-10-01
69601 Mastoid revision Medicare reimbursement rates in Tennessee
Reports revision of a previously operated mastoid when the surgeon completes the procedure to the extent of a complete mastoidectomy. Compare 69601 office and facility rates across CMS payment localities in Tennessee.
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 69601 in Tennessee?
Tennessee has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$838.91
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
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.
Otolaryngology surgery
About 69601: Revision mastoidectomy to complete extent
Reports revision of a previously operated mastoid when the surgeon completes the procedure to the extent of a complete mastoidectomy.
An otologist revises a mastoid that has undergone prior surgery and extends the work to a complete mastoidectomy. The operation addresses mastoid disease or anatomy requiring further surgical clearance; it is performed in an operating room, commonly in a hospital facility. The operative report should establish the prior mastoid procedure and describe the extent of the revision and the resulting complete mastoidectomy.
Select this code based on the operative result, not simply because the patient has a history of mastoid surgery. The related preoperative visit on the day before surgery and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 69601
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.11 · 48%
- Practice expense (office) RVU12.08 · 45%
- Malpractice RVU1.91 · 7%
56
Medicare services in 2024 · #5290 by national volume
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.
69601 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
Use 69603 when the revision results in a radical mastoidectomy, rather than the complete mastoidectomy result represented by 69601.
No office rate
Use 69604 for a revision mastoidectomy resulting in tympanoplasty. Use 69601 when the documented result is a complete mastoidectomy.
No office rate
69502 describes a complete mastoidectomy without the revision context. Choose 69601 when the procedure revises a previously operated mastoid and results in a complete mastoidectomy.
Compare 69601 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.
1 of 1 payment localities
Tennessee →
Office / nonfacility
Unavailable
Facility
$838.91
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 69601 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,619
- Code
- 69601
- Physician work
- 13.11
- Practice expense
- 12.08
- Malpractice
- 1.91
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.11 | × 1.000 | 13.1100 |
| Practice expense | 12.08 | × 0.909 | 10.9807 |
| Malpractice | 1.91 | × 0.537 | 1.0257 |
| Total RVUs | 25.1164 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$838.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.11 | 1 |
| Practice expense | 12.08 | 0.909 |
| Malpractice | 1.91 | 0.537 |
(13.11 × 1 + 12.08 × 0.909 + 1.91 × 0.537) × $33.4009 = $838.91
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
69601 billing questions
How does this differ from 69602 or 69603?
Choose among these revision codes according to the extent of the resulting mastoidectomy: 69601 is the complete mastoidectomy outcome, while 69602 and 69603 represent modified radical and radical outcomes.
When is 69604 a better choice?
Use 69604 when the revision mastoidectomy results in tympanoplasty. For 69601, the documented result is a complete mastoidectomy.
What should the operative report establish?
Document the prior mastoid surgery, the revision performed, and the extent of the resulting mastoidectomy. The final operative result supports selection among the revision codes.
How is bilateral surgery reported?
For bilateral procedures reported with modifier 50, CMS pays this code at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when documentation supports medical necessity. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
What postoperative care is included?
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.
7,61669550,,Exc aurl glomus tum trnscanl,A,,10.87,16.86,NA,16.86,,1.58,29.31,29.31,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61769552,,Exc aurl glomus tum trnsmstd,A,,19.31,20.65,NA,20.65,,2.82,42.78,42.78,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61869554,,Exc aurl glomus tum extended,A,,35.07,26.74,NA,26.74,,5.11,66.92,66.92,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61969601,,Revj mstdc rsltg compl mstdc,A,,13.11,12.08,NA,12.08,,1.91,27.10,27.10,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62069602,,Rev mstdc rslt mod rad mstdc,A,,13.42,13.55,NA,13.55,,1.96,28.93,28.93,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62169603,,Revj mstdc rsltg rad mstdc,A,,13.85,19.32,NA,19.32,,2.02,35.19,35.19,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62269604,,Revj mstdc rsltg tympanplsty,A,,13.85,13.66,NA,13.66,,2.02,29.53,29.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780