No office rate
This code is for transcanal excision; 69552 is selected when the operative report documents a transtemporal approach.
On this page
CMS RVU26D · Effective 2026-10-01
69550 Glomus tumor excision Medicare reimbursement rates in Utah
Reports removal of an aural glomus tumor through the ear canal when the surgeon uses a transcanal approach. Compare 69550 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 69550 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
$939.81
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 69550: Transcanal aural glomus tumor excision
Reports removal of an aural glomus tumor through the ear canal when the surgeon uses a transcanal approach.
This service covers surgical removal of an aural glomus tumor through the external auditory canal. These vascular tumors commonly arise in the middle ear, where they may appear as a reddish mass behind the tympanic membrane. An otolaryngologist, often an otologist or neurotologist, performs the operation in a surgical setting. The operative approach matters: this code identifies transcanal excision, not a transtemporal or extended approach.
Select the code from the documented tumor excision and surgical approach, not simply the tumor’s location or diagnosis. The operative report should support the glomus tumor, the transcanal route, and the work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed 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 made; co-surgeons and team surgery are not permitted.
CMS billing rules for 69550
- 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 RVU10.87 · 37%
- Practice expense (office) RVU16.86 · 58%
- Malpractice RVU1.58 · 5%
55
Medicare services in 2024 · #5307 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.
69550 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
69554 represents an extended approach to aural glomus tumor excision, rather than the transcanal approach described here.
$199.68
69540 describes excision of an aural polyp. This code is for excision of a diagnosed aural glomus tumor through the ear canal.
Compare 69550 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
$939.81
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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 69550 in Utah.
PPRRVU2026_Oct_nonQPP.csv
7,616
- Code
- 69550
- Physician work
- 10.87
- Practice expense
- 16.86
- Malpractice
- 1.58
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.87 | × 1.000 | 10.8700 |
| Practice expense | 16.86 | × 0.940 | 15.8484 |
| Malpractice | 1.58 | × 0.898 | 1.4188 |
| Total RVUs | 28.1372 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$939.81
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.87 | 1 |
| Practice expense | 16.86 | 0.94 |
| Malpractice | 1.58 | 0.898 |
(10.87 × 1 + 16.86 × 0.94 + 1.58 × 0.898) × $33.4009 = $939.81
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.
69550 billing questions
How does this differ from 69552?
69550 is for transcanal excision. Use 69552 when the operative report documents a transtemporal approach.
How does this differ from 69554?
69554 identifies an extended approach. The documented surgical approach, rather than tumor diagnosis alone, distinguishes it from this transcanal service.
Can a separately removed aural polyp be reported with this code?
Aural polyp excision is described by 69540, not by this glomus tumor code. The record should establish what lesion was removed and the work performed.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can the surgeon report bilateral work with modifier 50?
Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
Can an assistant surgeon be paid for this procedure?
Assistant-at-surgery payment may be made. CMS does not permit co-surgeons or team surgery for this code.
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.
7,61369530,,Extensive mastoid surgery,A,,19.87,22.67,NA,22.67,,3.04,45.58,45.58,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61469535,,Remove part of temporal bone,A,,36.48,28.98,NA,28.98,,5.31,70.77,70.77,0,090,0.07,0.79,0.14,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61569540,,Excision aural polyp,A,,1.22,4.89,,2.20,,0.18,6.29,3.60,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61669550,,Exc aurl glomus tum trnscanl,A,,10.87,16.86,NA,16.86,,1.58,29.31,29.31,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61769552,,Exc aurl glomus tum trnsmstd,A,,19.31,20.65,NA,20.65,,2.82,42.78,42.78,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61869554,,Exc aurl glomus tum extended,A,,35.07,26.74,NA,26.74,,5.11,66.92,66.92,0,090,0.07,0.79,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,61969601,,Revj mstdc rsltg compl mstdc,A,,13.11,12.08,NA,12.08,,1.91,27.10,27.10,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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