No office rate
Both describe intratemporal facial nerve repair. Choose 69745 when the repair includes the geniculate ganglion; 69740 identifies repair lateral to it.
On this page
CMS RVU26D · Effective 2026-10-01
69745 Facial nerve repair Medicare reimbursement rates in Tennessee
Reports operative repair of an intratemporal facial nerve injury involving the geniculate ganglion, such as repair after nerve transection. Compare 69745 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 69745 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
$1008.92
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 69745: Intratemporal facial nerve repair, geniculate
Reports operative repair of an intratemporal facial nerve injury involving the geniculate ganglion, such as repair after nerve transection.
An otolaryngologist, neurotologist, or other surgeon with relevant expertise uses this service to repair an injured facial nerve within the temporal bone when the repair includes the geniculate ganglion. The clinical situation may involve traumatic or operative nerve injury requiring direct repair or graft reconstruction. The procedure is performed in an operative setting, not as routine treatment for facial weakness alone.
Select this code when the documented repair includes the geniculate ganglion; code 69740 distinguishes repair lateral to the ganglion. The operative report should identify the injury, the intratemporal nerve segment repaired, the ganglion involvement, and the repair method. CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 identifies bilateral surgery and is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 69745
- 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 RVU16.59 · 51%
- Practice expense (office) RVU13.55 · 42%
- Malpractice RVU2.42 · 7%
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.
69745 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
69720 describes decompression lateral to the geniculate ganglion, not repair of an injured nerve.
No office rate
69725 describes decompression that includes the geniculate ganglion. Use 69745 for repair involving that region.
Compare 69745 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
$1008.92
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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 69745 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,662
- Code
- 69745
- Physician work
- 16.59
- Practice expense
- 13.55
- Malpractice
- 2.42
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.59 | × 1.000 | 16.5900 |
| Practice expense | 13.55 | × 0.909 | 12.3170 |
| Malpractice | 2.42 | × 0.537 | 1.2995 |
| Total RVUs | 30.2065 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1008.92
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.59 | 1 |
| Practice expense | 13.55 | 0.909 |
| Malpractice | 2.42 | 0.537 |
(16.59 × 1 + 13.55 × 0.909 + 2.42 × 0.537) × $33.4009 = $1008.92
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.
69745 billing questions
How does 69745 differ from 69740?
Use 69745 when the intratemporal repair includes the geniculate ganglion. Code 69740 is for repair lateral to the ganglion.
Is this code for facial nerve decompression?
No. It represents repair of an injured nerve, such as direct repair or graft reconstruction. Decompression codes 69720 and 69725 describe a different procedure for releasing the nerve.
What documentation supports selecting 69745?
The operative report should establish the nerve injury and show that the intratemporal repair included the geniculate ganglion. It should also describe the repair performed.
How is bilateral repair reported?
CMS identifies this as a bilateral procedure; report modifier 50 for bilateral surgery. The CMS payment rule for modifier 50 is 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
Are postoperative visits 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.
7,65969729,,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
7,66569805,,Explore inner ear,A,,14.34,10.72,NA,10.72,,2.09,27.15,27.15,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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