$88.22
69100 is for biopsy of the external ear. Use 69110 when the operative service removes part of the auricle rather than taking a diagnostic sample.
On this page
CMS RVU26D · Effective 2026-10-01
69110 Auricular excision Medicare reimbursement rates in Wisconsin
Reports surgical removal of part of the external ear, such as when a localized auricular lesion requires excision rather than diagnostic sampling. Compare 69110 office and facility rates across CMS payment localities in Wisconsin.
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 69110 in Wisconsin?
Wisconsin 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
$443.54
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$281.95
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 69110: Partial external ear excision
Reports surgical removal of part of the external ear, such as when a localized auricular lesion requires excision rather than diagnostic sampling.
This service removes a portion of the auricle, the visible external ear, when the affected area cannot be treated by a small diagnostic sample alone. An otolaryngologist, plastic surgeon, or other qualified surgeon may perform it in an office procedure room, ambulatory surgery center, or hospital. A typical clinical situation is a localized pinna lesion for which definitive treatment requires removal of part of the ear.
Choose this code for partial removal of the external ear, not a biopsy alone or removal of the entire auricle. The operative report should identify the affected ear and site, the extent of tissue removed, and the reason for excision. 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 is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 69110
- 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 RVU3.44 · 24%
- Practice expense (office) RVU10.11 · 72%
- Malpractice RVU0.50 · 4%
1.6K
Medicare services in 2024 · #2622 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.
69110 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
69120 represents complete external-ear removal; 69110 is for partial removal.
No office rate
69140 addresses a lesion in the external auditory canal. This code is for partial removal of the visible external ear.
Compare 69110 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
Wisconsin →
Office / nonfacility
$443.54
Facility
$281.95
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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 69110 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
7,586
- Code
- 69110
- Physician work
- 3.44
- Practice expense
- 10.11
- Malpractice
- 0.50
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.44 | × 1.000 | 3.4400 |
| Practice expense | 10.11 | × 0.958 | 9.6854 |
| Malpractice | 0.50 | × 0.308 | 0.1540 |
| Total RVUs | 13.2794 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$443.54
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.44 | 1 |
| Practice expense | 10.11 | 0.958 |
| Malpractice | 0.5 | 0.308 |
(3.44 × 1 + 10.11 × 0.958 + 0.5 × 0.308) × $33.4009 = $443.54
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.44 | 1 |
| Practice expense | 5.06 | 0.958 |
| Malpractice | 0.5 | 0.308 |
(3.44 × 1 + 5.06 × 0.958 + 0.5 × 0.308) × $33.4009 = $281.95
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.
69110 billing questions
When is this code appropriate instead of an external ear biopsy?
Use this code when the surgeon removes part of the auricle as treatment, rather than taking tissue primarily for diagnostic examination. A limited diagnostic sample is reported with 69100.
How does this differ from complete external ear removal?
This code represents partial removal of the auricle. Code 69120 is the related code for complete removal.
Does the 90-day global period include related postoperative visits?
Yes. The CMS global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
For bilateral procedures, modifier 50 is paid at 150% under the CMS rule for this code.
Can an assistant or co-surgeon be billed for this procedure?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
7,58369090,,Ear piercing,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
7,58469100,,Biopsy of external ear,A,,0.79,1.91,,0.26,,0.07,2.77,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,58569105,,Biopsy of external ear canal,A,,0.83,3.37,,0.78,,0.11,4.31,1.72,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,58669110,,Remove external ear partial,A,,3.44,10.11,,5.06,,0.50,14.05,9.00,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,58769120,,Removal of external ear,A,,4.04,6.19,NA,6.19,,0.57,10.80,10.80,0,090,0.07,0.79,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,58869140,,Remove ear canal lesion(s),A,,7.94,16.13,NA,16.13,,1.16,25.23,25.23,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,58969145,,Remove ear canal lesion(s),A,,2.63,9.10,,4.08,,0.39,12.12,7.10,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,