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CMS RVU26D · Effective 2026-10-01

69705 Eustachian tube dilation Medicare reimbursement rates in Wisconsin

Endoscopic surgical dilation of one eustachian tube, typically performed by an otolaryngologist to treat obstructive eustachian tube dysfunction. Compare 69705 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 69705 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

$2456.71

1 of 1 localities have a supported rate.

Payment area: Wisconsin

One mapped payment locality.

Facility setting

$136.85

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.

Find 69705 in your payment locality →

Otolaryngology procedure

About 69705: Unilateral eustachian tube dilation

Endoscopic surgical dilation of one eustachian tube, typically performed by an otolaryngologist to treat obstructive eustachian tube dysfunction.

An otolaryngologist uses a nasal endoscope to visualize the opening of one eustachian tube in the nasopharynx and guide a dilation device into the tube. The procedure is performed for obstructive eustachian tube dysfunction, often in patients with persistent ear pressure, difficulty equalizing pressure, or related middle-ear symptoms. It may be performed in an operating room or an appropriately equipped outpatient setting.

Report 69705 for one treated side. When both tubes are dilated in the same session, use the bilateral code 69706 rather than modifier 50. The operative note should identify the side, describe endoscopic guidance and dilation, and support the clinical reason for treatment. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeon and team-surgery payment are not permitted.

CMS billing rules for 69705

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Endoscopy family pricing applies when related endoscopies are performed together.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
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 RVU2.93 · 4%
  • Practice expense (office) RVU73.58 · 96%
  • Malpractice RVU0.43 · 1%

2.1K

Medicare services in 2024 · #2426 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.

69705 compared with similar codes

Office rates for Wisconsin, from the same CMS release.

69706

Eustachian tube dilation

Bilateral, endoscopic

$2,541.78

69705 describes dilation on one side; 69706 is for bilateral dilation in the same session.

69433

Ear tube placement

Local or topical anesthesia

$191.50

69433 places a ventilating tube through the eardrum under local or topical anesthesia; 69705 dilates the eustachian tube endoscopically.

69436

Tympanostomy

Tube insertion, general anesthesia

No office rate

69436 places a ventilating tube through the eardrum under general anesthesia, rather than dilating the eustachian tube.

Compare 69705 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

Office and facility base rates · shared scale starting at $0

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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 69705 in Wisconsin.

PPRRVU2026_Oct_nonQPP.csv

7,646

Code
69705
Physician work
2.93
Practice expense
73.58
Malpractice
0.43

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Office / nonfacility calculation for 69705 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0002.9300
Practice expense73.58× 0.95870.4896
Malpractice0.43× 0.3080.1324
Total RVUs73.5521
Conversion factor× 33.4009

Office / nonfacility rate, Wisconsin$2456.71

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.931
Practice expense73.580.958
Malpractice0.430.308

(2.93 × 1 + 73.58 × 0.958 + 0.43 × 0.308) × $33.4009 = $2456.71

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.931
Practice expense1.080.958
Malpractice0.430.308

(2.93 × 1 + 1.08 × 0.958 + 0.43 × 0.308) × $33.4009 = $136.85

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.

69705 billing questions

When should 69705 be used instead of 69706?

Use 69705 when dilation is performed on one eustachian tube. Use 69706 when both tubes are treated in the same session.

Should modifier 50 be added when both sides are treated?

No. Report the bilateral code 69706 for treatment of both sides rather than applying modifier 50 to 69705.

What documentation supports 69705?

Document the treated side, the endoscopic approach and dilation performed, and the clinical findings and symptoms supporting treatment of obstructive eustachian tube dysfunction.

Is same-day care included in the procedure payment?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

Can an assistant surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery payment are not permitted for this procedure.

How is another related endoscopy priced when performed in the same session?

CMS applies endoscopy-family pricing when related endoscopies are performed together. The operative record should identify the procedures performed.

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.

RVUs for 69705PPRRVU2026_Oct_nonQPP.csv, line 7,646 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet