No office rate
Code 69650 describes mobilization of the stapes. Use 69676 when the operative service is neurectomy of a middle-ear nerve.
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CMS RVU26D · Effective 2026-10-01
69676 Tympanic neurectomy Medicare reimbursement rates in Utah
Report tympanic neurectomy when an otologic surgeon excises or divides a nerve in the middle ear as a distinct operative service. Compare 69676 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 69676 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
$719.06
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.
Otologic surgery
About 69676: Tympanic nerve neurectomy
Report tympanic neurectomy when an otologic surgeon excises or divides a nerve in the middle ear as a distinct operative service.
This procedure removes or divides a nerve within the middle ear. It is typically performed by an otolaryngologist or otologist in an operating room, with surgical access to the middle ear. The operative report should identify the nerve treated and describe the neurectomy, rather than documenting only general middle-ear exposure or work on the eardrum, ossicles, or mastoid.
Report the code for the neurectomy itself, and document the treated side and any other procedures performed during the session. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 69676
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.45 · 42%
- Practice expense (office) RVU11.55 · 52%
- Malpractice RVU1.36 · 6%
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.
69676 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
Code 69666 describes repair of a middle-ear structure. It represents repair work, not removal or division of a nerve.
No office rate
Code 69670 addresses removal of mastoid air cells. It is a mastoid procedure, unlike neurectomy within the middle ear.
Compare 69676 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
$719.06
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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 69676 in Utah.
PPRRVU2026_Oct_nonQPP.csv
7,644
- Code
- 69676
- Physician work
- 9.45
- Practice expense
- 11.55
- Malpractice
- 1.36
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.45 | × 1.000 | 9.4500 |
| Practice expense | 11.55 | × 0.940 | 10.8570 |
| Malpractice | 1.36 | × 0.898 | 1.2213 |
| Total RVUs | 21.5283 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$719.06
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.45 | 1 |
| Practice expense | 11.55 | 0.94 |
| Malpractice | 1.36 | 0.898 |
(9.45 × 1 + 11.55 × 0.94 + 1.36 × 0.898) × $33.4009 = $719.06
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.
69676 billing questions
How is this different from stapes surgery?
Tympanic neurectomy treats a middle-ear nerve. Code 69650 describes stapes mobilization, which addresses the stapes rather than nerve tissue.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How should bilateral treatment be reported?
For bilateral treatment, report modifier 50; CMS pays the procedure at 150%.
What operative documentation supports this code?
Document the nerve treated, the side, and the excision or division performed. If other ear procedures were done in the same session, describe each separately.
Can an assistant or co-surgeon be reported?
CMS does not pay assistant-at-surgery services for this code. 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.
7,64169666,,Repair middle ear structures,A,,9.64,10.55,NA,10.55,,1.40,21.59,21.59,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64269667,,Repair middle ear structures,A,,9.65,10.58,NA,10.58,,1.44,21.67,21.67,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64369670,,Remove mastoid air cells,A,,11.44,12.04,NA,12.04,,1.67,25.15,25.15,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64469676,,Remove middle ear nerve,A,,9.45,11.55,NA,11.55,,1.36,22.36,22.36,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64569700,,Close mastoid fistula,A,,8.16,8.54,NA,8.54,,1.21,17.91,17.91,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64669705,,Nps surg dilat eust tube uni,A,,2.93,73.58,,1.08,,0.43,76.94,4.44,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
7,64769706,,Nps surg dilat eust tube bi,A,,4.16,74.90,,1.39,,0.60,79.66,6.15,0,000,0.00,0.00,0.00,3,2,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
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