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CPT 69145 Fee Schedule

Last Verified: December 2025

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.

Exc Skin Lesion Ext Auditory Canal
Key FactDetail
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 LevelModerate

National average reimbursement for CPT 69145 by major payers:

bcbs

$494.03

uhc

$496.07

aetna

$545.72

cigna

$661.31

Preview provider-level rates for...
For billing codeCPT 69145
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 69145

United
69145$450.001982074001 - CLINICAL ASSOCIATES P A, CLINICAL ASSOCIATES, ASC465765243 - (MD) CLINICAL ASSOCIATES, P.A.MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$473.001841733326 - AU SURGERY CENTER, LLC814545748 - (GA) AU SURGERY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$1276.001962714154 - SURGCENTER OF WHITE MARSH, LLC272873637 - (MD) SURGCENTER OF WHITE MARSH, LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$558.001891295275 - FRESENIUS VASCULAR CARE MONTGOMERY ASC LLC815391782 - (AL) FRESENIUS VASCULAR CARE MONTGOMERY ASC LLCALAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$415.001841605318 - FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER, LLC, FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER-CITRUS PARK593646134 - (FL) FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$789.001700854072 - SULLIVAN SURGICENTER,LLC352124714 - (IN) SULLIVAN SURGICENTER LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$313.851306395439 - VIRGINIA LATOUCHE350593390 - DEACONESS HOSPITAL INCINNurse Practitioner (363L00000X)
United
69145$775.001104457274 - TEXAS MIDWEST ENDOSCOPY CENTER, LLC842574842 - (TX) TEXAS MIDWEST ENDOSCOPY CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$1528.001215492061 - ADVANCED SPINE CENTER OF WISCONSIN, LLC832438541 - (WI) ADVANCED SPINE CENTER OF WISCONSINWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$1258.001154956928 - ADVANCED SURGICAL CARE OF CLEARWATER LLC833698204 - (FL) ADVANCED SURGICAL CARE OF CLEARWATER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$926.001790066876 - CAROMONT HEALTH SERVICES, INC., CAROMONT ENDOSCOPY CENTER561455630 - (NC) CAROMONT HEALTH SERVICES INCNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$343.001013011162 - BAY AREA ENDOSCOPY CENTER LIMITED PARTNERSHIP593213374 - (FL) BAY AREA ENDOSCOPY CENTER LIMITED PARTNERSHIPFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$1886.001477516961 - CENTRUM SURGERY CENTER LTD752546712 - (CO) CENTRUM SURGERY CENTER LTDCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$1233.001811515034 - SALMON SURGERY CENTER LLC844895716 - (WA) SALMON SURGERY CENTER LLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69145$616.001346240751 - ROSWELL CENTER FOR FOOT & ANKLE SURGERY, LLC201549920GAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 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.

CodeComplexityDescription
69090-CPTLowPiercing Of Ear
69100-CPTLowBiopsy External Ear
69120-CPTModerateAmputation Auricle Complete
69145-CPTModerateExc Skin Lesion Ext 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 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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