No office rate
Choose 69716 for a processor that couples through intact skin; choose 69714 when the system uses a percutaneous, skin-penetrating abutment.
On this page
CMS RVU26D · Effective 2026-10-01
69716 Bone conduction implant Medicare reimbursement rates in Tennessee
Reports initial placement of a small-site skull implant that couples through intact skin to an external processor for bone-conduction hearing. Compare 69716 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 69716 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
$505.36
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 69716: Small-site transcutaneous bone conduction implant
Reports initial placement of a small-site skull implant that couples through intact skin to an external processor for bone-conduction hearing.
An otolaryngologist places an osseointegrated implant in the skull to support a bone-conduction hearing system. The transcutaneous design couples the external sound processor to the implant through intact skin, commonly using magnetic attraction; it does not use a skin-penetrating abutment. The code is for a recipient site under 100 mm². This surgery may be considered for patients with conductive or mixed hearing loss, or single-sided deafness, when bone-conduction amplification is appropriate. It is typically performed in an operating room or ambulatory surgical setting.
Report this code for initial implantation, not replacement or removal. The operative report should support the transcutaneous configuration, the prepared recipient-site area, the implant placement, and the treated side or sides. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 69716
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.80 · 54%
- Practice expense (office) RVU6.19 · 38%
- Malpractice RVU1.31 · 8%
362
Medicare services in 2024 · #3821 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.
69716 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
69716 is for initial implantation in the under-100-mm² group. 69719 is for replacement in that same transcutaneous size group.
No office rate
Both codes describe initial transcutaneous implantation. The recipient-site area separates them: under 100 mm² for 69716 and 100 mm² or greater for 69729.
No office rate
69727 reports removal of a transcutaneous implant in the under-100-mm² group, rather than initial placement.
Compare 69716 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
$505.36
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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 69716 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,651
- Code
- 69716
- Physician work
- 8.80
- Practice expense
- 6.19
- Malpractice
- 1.31
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.80 | × 1.000 | 8.8000 |
| Practice expense | 6.19 | × 0.909 | 5.6267 |
| Malpractice | 1.31 | × 0.537 | 0.7035 |
| Total RVUs | 15.1302 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$505.36
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.8 | 1 |
| Practice expense | 6.19 | 0.909 |
| Malpractice | 1.31 | 0.537 |
(8.8 × 1 + 6.19 × 0.909 + 1.31 × 0.537) × $33.4009 = $505.36
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.
69716 billing questions
How does this differ from 69714?
69716 describes a transcutaneous connection through intact skin. 69714 describes a percutaneous system with an abutment that passes through the skin.
When should 69719 be used instead?
Use 69719 for replacement of a transcutaneous implant in the under-100-mm² size group. Code 69716 represents initial implantation.
What distinguishes 69716 from 69729?
Both describe initial transcutaneous implantation, but 69716 is for a recipient site under 100 mm² and 69729 is for a site of 100 mm² or greater.
What documentation supports 69716?
Document initial implant placement, the transcutaneous processor connection, recipient-site area under 100 mm², and the operative side or sides.
How is bilateral implantation reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
CMS statutorily restricts assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
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.
7,64869710,,Implant/replace hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64969711,,Remove/repair hearing aid,A,,10.35,10.60,NA,10.60,,1.50,22.45,22.45,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65069714,,Impl oi implt skull perq esp,A,,6.51,5.63,NA,5.63,,0.96,13.10,13.10,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65169716,,Impl oi implt sk tc esp<100,A,,8.80,6.19,NA,6.19,,1.31,16.30,16.30,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65269717,,Rplcmt oi implt skl prq esp,A,,7.71,5.91,NA,5.91,,1.13,14.75,14.75,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65369719,,Rplcm oi implt sk tc esp<100,A,,9.22,6.28,NA,6.28,,1.33,16.83,16.83,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65469720,,Release facial nerve,A,,14.34,15.11,NA,15.11,,2.28,31.73,31.73,0,090,0.07,0.79,0.14,2,1,0,1,0,9,,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