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See a sample rate comparisonCPT 69155 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-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). The Procedure Includes The Removal Of Lymph Nodes In The Neck And May Include The Removal Of Muscle Nerves And Blood Vessels In The Neck.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body GC - Service performed by resident under supervision 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69155 |
| Medicaid Fee Schedule | View Medicaid rates for 69155 |
National average reimbursement for CPT 69155 by major payers:
$2,195.41
$2,132.12
$2,160.37
$2,659.02
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CPT 69155
5 of 25 sample ratesHigher to lower in this preview
Parkview Ortho Center, LLC
Parkview Ortho Center LLC
$3,046.00Published ratePacific Endoscopy Center LLC
Pacific Endoscopy Center, LLC
$1,064.00Published rateGem State Endoscopy
$650.00Published rateEndoscopy Center At St Mary
$520.00Published rateNorthwest Eye Specialists,LLC
Northwest Eye Specialists, P.L.L.C.
$100.00Published rate
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See a sample payer proposalCPT 69155 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69155 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 69155 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 |
|---|---|---|
| 69155-CPT | High | Remove Ear Canal Lesion, Surgery To Remove Abnormal Tissue (Lesion) From The External Ear Canal (Passageway From Outer Ear To Eardrum). The Procedure Includes The Removal Of Lymph Nodes In The Neck And May Include The Removal Of Muscle Nerves And Blood Vessels In The Neck. |
| 69200-CPT | Low | Remval Foreign Body From Xtrnal Auditory Canal; W/O Gnral Ane, Removal Foreign Body From External Auditory Canal; Without General Ane |
| 69205-CPT | Low | Remval Foreign Body From Xtrnal Auditory Canal; W/ Gnral Anesth, Removal Foreign Body From External Auditory Canal; With General Anesth |
| 69209-CPT | Low | Removal Impacted Cerumen Using, Removal Impacted Cerumen Using Irrigationlavage Unilateral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69155. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69155 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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