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See a sample rate comparisonCPT 69105 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Biopsy External Auditory Canal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 69105 |
| Medicaid Fee Schedule | View Medicaid rates for 69105 |
National average reimbursement for CPT 69105 by major payers:
$165.31
$177.04
$192.17
$118.19
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CPT 69105
5 of 25 sample ratesHigher to lower in this preview
Court Street Surgery Center, Lp
$3,513.00Published rateCrystal Run Ambulatory Surgery Center Of Middletown, LLC
$1,319.00Published rateMission Surgery Center LLC
$645.00Published rateInland Surgery Center Lp
$496.00Published rateSurgical Center Of Ponte Vedra Beach LLC, Ponte Vedra Beach Surgery Center
Surgical Center Of Ponte Vedra B
$330.00Published rate
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See a sample payer proposalCPT 69105 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69105 code is part of the Surgery services used for Surgical Procedures on the Auditory System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 69105 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 69000-CPT | Moderate | Drain Infection From The Ear, Surgery To Drain Blood Pus Or Fluid From An Abscess (Pocket Of Infection) Or Hematoma (Collection Of Blood Under The Skin) Located In The Ear. |
| 69005-CPT | Moderate | Drain Infection From The Ear, Surgery To Drain Blood Pus Or Fluid From An Abscess (Pocket Of Infection) Or Hematoma (Collection Of Blood Under The Skin) Located In The Ear. |
| 69100-CPT | Low | Biopsy External Ear |
| 69105-CPT | Low | Biopsy External Auditory Canal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69105. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69105 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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