No office rate
The key distinction is meatoplasty: 69320 includes enlargement of the canal opening, while 69310 is used when reconstruction is performed without it.
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CMS RVU26D · Effective 2026-10-01
69320 Ear canal reconstruction Medicare reimbursement rates in Utah
Reconstructs a narrowed or otherwise abnormal external auditory canal while enlarging its opening through meatoplasty, typically during otologic surgery. Compare 69320 office and facility rates across CMS payment localities in Utah.
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 69320 in Utah?
Utah 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
$1371.10
1 of 1 localities have a supported rate.
Payment area: Utah
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 69320: External auditory canal reconstruction with meatoplasty
Reconstructs a narrowed or otherwise abnormal external auditory canal while enlarging its opening through meatoplasty, typically during otologic surgery.
This operation rebuilds the external auditory canal and includes meatoplasty, which enlarges the canal entrance. Otolaryngologists, often with otologic expertise, perform it for conditions such as canal stenosis that require surgical reconstruction. The work is typically done in an operating room rather than as an office procedure; Medicare recorded facility services for this code in 2024.
Report 69320 when the operative record supports canal reconstruction with meatoplasty. Distinguish it from 69310 when reconstruction is performed without meatoplasty. Documentation should identify the canal problem and describe the reconstruction and enlargement of the opening. Medicare 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons and team surgery are not permitted.
CMS billing rules for 69320
- 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 RVU16.75 · 39%
- Practice expense (office) RVU23.52 · 55%
- Malpractice RVU2.44 · 6%
30
Medicare services in 2024 · #5679 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.
69320 compared with similar codes
Office rates for Utah, from the same CMS release.
69300
No office rateRevise external ear
69300 addresses revision of the external ear itself. It is not the canal reconstruction with meatoplasty represented by 69320.
69399
No office rateUnlisted px external ear
Use 69399 for an external ear procedure that lacks a specific listed code, not for canal reconstruction with meatoplasty that fits 69320.
Compare 69320 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
Utah →
Office / nonfacility
Unavailable
Facility
$1371.10
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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 69320 in Utah.
PPRRVU2026_Oct_nonQPP.csv
7,600
- Code
- 69320
- Physician work
- 16.75
- Practice expense
- 23.52
- Malpractice
- 2.44
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.75 | × 1.000 | 16.7500 |
| Practice expense | 23.52 | × 0.940 | 22.1088 |
| Malpractice | 2.44 | × 0.898 | 2.1911 |
| Total RVUs | 41.0499 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$1371.10
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.75 | 1 |
| Practice expense | 23.52 | 0.94 |
| Malpractice | 2.44 | 0.898 |
(16.75 × 1 + 23.52 × 0.94 + 2.44 × 0.898) × $33.4009 = $1371.10
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.
69320 billing questions
How do I choose between 69320 and 69310?
Use 69320 when the canal reconstruction includes meatoplasty to enlarge the opening. Use 69310 when reconstruction is performed without meatoplasty.
What operative documentation supports 69320?
Document the canal condition, the reconstruction performed, and the meatoplasty that enlarged the canal entrance. The record should make clear that the opening was addressed as part of the operation.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 69320 handled when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%.
Can 69320 be reported bilaterally, and may an assistant participate?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%. Assistant-at-surgery payment may be available, but 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.
7,59769222,,Clean out mastoid cavity,A,,1.41,4.87,,2.15,,0.21,6.49,3.77,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59869300,,Revise external ear,R,,6.44,12.18,,5.42,,0.93,19.55,12.79,0,YYY,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,59969310,,Rebuild outer ear canal,A,,10.70,18.72,NA,18.72,,1.63,31.05,31.05,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60069320,,Rebuild outer ear canal,A,,16.75,23.52,NA,23.52,,2.44,42.71,42.71,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60169399,,Unlisted px external ear,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60269420,,Incision of eardrum,A,,1.35,4.19,,1.76,,0.20,5.74,3.31,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60369421,,Incision of eardrum,A,,1.74,2.14,NA,2.14,,0.25,4.13,4.13,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985