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See a sample rate comparisonCPT 69110 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.
Excis External Ear;Part,Smpl Repair
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 69110 |
| Medicaid Fee Schedule | View Medicaid rates for 69110 |
National average reimbursement for CPT 69110 by major payers:
$594.83
$578.50
$635.65
$547.64
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CPT 69110
5 of 25 sample ratesHigher to lower in this preview
Optimum Spine Center, LLC, Peachtree Spine & Pain Physicians
$1,528.00Published rateWilton Surgery Center LLC
$1,281.00Published rateMonterey Peninsula Surgery Center Capitola, Capitola Surgery Center
Monterey Peninsula Surgery Center, LLC
$1,155.00Published rateJefferson Ambulatory Surgery Center LLC
Jefferson Ambulatory Surgery C
$625.00Published rateFlorida Endoscopy And Surgery Center, LLC, Hernando Endoscopy & Surgery Center
Florida Endoscopy And Surgery Center, LLC
$459.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 69110 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69110 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 69110 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69110. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69110 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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