No office rate
Both describe labyrinthectomy, but 69905 is for the transcanal approach. Use 69910 when the operation includes mastoidectomy.
On this page
CMS RVU26D · Effective 2026-10-01
69910 Labyrinthectomy Medicare reimbursement rates in Tennessee
Reports surgical removal of the inner-ear labyrinth through a mastoid approach, typically to control severe, persistent vertigo when hearing in that ear is not serviceable. Compare 69910 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 69910 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
$811.17
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 69910: Labyrinthectomy with mastoidectomy
Reports surgical removal of the inner-ear labyrinth through a mastoid approach, typically to control severe, persistent vertigo when hearing in that ear is not serviceable.
An otologist, neurotologist, or other otolaryngologic surgeon removes the inner-ear labyrinth through a mastoid approach. The operation is used for disabling vertigo that persists despite treatment, such as in selected patients with unilateral Ménière disease and nonserviceable hearing in the affected ear. It ablates vestibular function on that side and sacrifices any remaining hearing there. The procedure is generally performed in an operating room.
Report 69910 when the documented operation includes labyrinthectomy with mastoidectomy; the mastoid approach and removal of the labyrinth are represented together by this code. The operative report should identify the treated side, the mastoid approach, the labyrinth removal, and the clinical reason for surgery. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 for bilateral surgery 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 69910
- 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 RVU13.56 · 52%
- Practice expense (office) RVU10.63 · 41%
- Malpractice RVU1.98 · 8%
64
Medicare services in 2024 · #5204 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.
69910 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
69915 describes vestibular nerve section through a transcanal approach. It does not describe removal of the inner-ear labyrinth.
No office rate
69950 describes vestibular nerve section, not labyrinthectomy. Choose according to whether the surgeon cuts the vestibular nerve or removes the labyrinth.
Compare 69910 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
$811.17
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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 69910 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,668
- Code
- 69910
- Physician work
- 13.56
- Practice expense
- 10.63
- Malpractice
- 1.98
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.56 | × 1.000 | 13.5600 |
| Practice expense | 10.63 | × 0.909 | 9.6627 |
| Malpractice | 1.98 | × 0.537 | 1.0633 |
| Total RVUs | 24.2859 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$811.17
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.56 | 1 |
| Practice expense | 10.63 | 0.909 |
| Malpractice | 1.98 | 0.537 |
(13.56 × 1 + 10.63 × 0.909 + 1.98 × 0.537) × $33.4009 = $811.17
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.
69910 billing questions
How does 69910 differ from 69905?
69910 describes labyrinthectomy with a mastoid approach. 69905 is the transcanal labyrinthectomy code, so select based on the documented surgical approach.
Can the mastoidectomy be reported separately?
The mastoid approach and mastoidectomy are part of the service represented by 69910. Do not separately report the included mastoidectomy as though it were an independent service.
When is 69910 preferable to a vestibular nerve section code?
Use 69910 when the surgeon removes the labyrinth through the mastoid approach. A vestibular nerve section code describes cutting the vestibular nerve rather than removing the labyrinth.
How is bilateral surgery handled?
CMS pays bilateral surgery reported with modifier 50 at 150%. The operative documentation should support treatment of both sides.
What documentation supports assistant-at-surgery payment?
Document the assistant's role and the medical necessity for assistance with this operation. CMS permits assistant-at-surgery payment only when medical necessity is documented.
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.
7,66569805,,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
7,66869910,,Remove inner ear & mastoid,A,,13.56,10.63,NA,10.63,,1.98,26.17,26.17,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,66969915,,Incise inner ear nerve,A,,22.20,13.75,NA,13.75,,3.23,39.18,39.18,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,67069930,,Implant cochlear device,A,,17.29,11.90,NA,11.90,,2.54,31.73,31.73,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,67169949,,Unlisted px inner 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
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