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See a sample rate comparisonCPT 69145 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.
Remove Ear Canal Lesion, Surgery To Remove Abnormal Tissue (Lesion) From The External Ear Canal (Passageway From Outer Ear To Eardrum).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 69145 |
| Medicaid Fee Schedule | View Medicaid rates for 69145 |
National average reimbursement for CPT 69145 by major payers:
$494.03
$496.07
$545.72
$636.18
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CPT 69145
5 of 25 sample ratesHigher to lower in this preview
St. Mary'S Surgical Center LLC, St. Mary'S Surgical Center
St Marys Surgical Center LLC
$2,912.00Published rateCvp Surgery Center Ivy Pointe, LLC
Cincinnati Eye Institute
$1,298.00Published rateTexas Midwest Endoscopy Center, LLC
Texas Midwest Endoscopy Center LLC
$775.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$536.00Published rateWilliam Boone
Deaconess Hospital Inc
$313.85Published rate
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See a sample payer proposalCPT 69145 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69145 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 69145 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 |
|---|---|---|
| 69090-CPT | Low | Cosmetic Ear Piercing, A Standard Ear Piercing With A Sterile Needle Or Piercing Gun Performed By A Medical Professional. |
| 69100-CPT | Low | Biopsy External Ear |
| 69120-CPT | Moderate | Amputation Auricle Complete |
| 69145-CPT | Moderate | Remove Ear Canal Lesion, Surgery To Remove Abnormal Tissue (Lesion) From The External Ear Canal (Passageway From Outer Ear To Eardrum). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69145. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69145 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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