No office rate
Choose 69801 for transcanal medication perfusion. Code 69805 describes transcanal labyrinthectomy, which surgically destroys labyrinthine function.
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CMS RVU26D · Effective 2026-10-01
69801 Inner-ear perfusion Medicare reimbursement rates in Tennessee
An otologist accesses the inner ear through the ear canal and perfuses a vestibuloactive drug, commonly to manage persistent vertigo from Ménière disease. Compare 69801 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 69801 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
$205.32
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
Facility setting
$100.27
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.
Otology procedure
About 69801: Transcanal labyrinth perfusion
An otologist accesses the inner ear through the ear canal and perfuses a vestibuloactive drug, commonly to manage persistent vertigo from Ménière disease.
This procedure uses a transcanal approach to reach the inner ear and deliver a vestibuloactive medication. Otologists commonly perform it for persistent vertigo associated with Ménière disease, including situations in which intratympanic medication is used to reduce vestibular function. The operative note should identify the treated ear, the medication and delivery method, and the clinical indication; documentation should support that the service involved inner-ear access and perfusion rather than a medication injection alone.
Report 69801 for the transcanal labyrinth perfusion, not for a destructive labyrinthectomy. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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 requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 69801
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU2.01 · 30%
- Practice expense (office) RVU4.38 · 66%
- Malpractice RVU0.29 · 4%
24.4K
Medicare services in 2024 · #1058 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.
69801 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
Code 69806 describes labyrinthectomy through a transmastoid approach. It is not the transcanal medication-perfusion service represented by 69801.
No office rate
Code 69910 describes vestibular nerve section through a transmastoid approach; 69801 involves transcanal inner-ear drug perfusion.
Compare 69801 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
$205.32
Facility
$100.27
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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 69801 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,664
- Code
- 69801
- Physician work
- 2.01
- Practice expense
- 4.38
- Malpractice
- 0.29
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.01 | × 1.000 | 2.0100 |
| Practice expense | 4.38 | × 0.909 | 3.9814 |
| Malpractice | 0.29 | × 0.537 | 0.1557 |
| Total RVUs | 6.1471 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$205.32
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.01 | 1 |
| Practice expense | 4.38 | 0.909 |
| Malpractice | 0.29 | 0.537 |
(2.01 × 1 + 4.38 × 0.909 + 0.29 × 0.537) × $33.4009 = $205.32
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.01 | 1 |
| Practice expense | 0.92 | 0.909 |
| Malpractice | 0.29 | 0.537 |
(2.01 × 1 + 0.92 × 0.909 + 0.29 × 0.537) × $33.4009 = $100.27
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.
69801 billing questions
How is 69801 different from a labyrinthectomy?
69801 describes transcanal inner-ear access with medication perfusion. Labyrinthectomy codes describe surgical destruction of labyrinthine function.
What documentation supports 69801?
Document the indication, treated ear, transcanal approach, and vestibuloactive medication perfused. The record should make clear that the service went beyond medication injection alone.
Does 69801 have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
How does Medicare handle 69801 with another procedure in the same session?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple procedure reduction and are paid at 50%.
Can 69801 be reported bilaterally?
CMS lists it as a bilateral procedure. Reporting modifier 50 results in payment at 150%.
When is an assistant-at-surgery paid for 69801?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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.
7,66169740,,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
7,66669806,,Explore inner ear,A,,12.31,10.33,NA,10.33,,1.78,24.42,24.42,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66769905,,Remove inner ear,A,,10.98,11.92,NA,11.92,,1.61,24.51,24.51,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,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