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See a sample rate comparisonCPT 69205 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.
Remval Foreign Body From Xtrnal Auditory Canal; W/ Gnral Anesth, Removal Foreign Body From External Auditory Canal; With General Anesth
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 24 - Ambulatory Surgical Center 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 69205 |
| Medicaid Fee Schedule | View Medicaid rates for 69205 |
National average reimbursement for CPT 69205 by major payers:
$133.90
$128.62
$137.08
$161.16
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CPT 69205
5 of 25 sample ratesHigher to lower in this preview
Lakeview Surgery Center Lc
$2,923.75Published rateCharlotte Endoscopic Surgery Center LLC, Charlotte Surgery Center
Charlotte Endoscopic Surgery Center, LLC
$1,179.00Published rateIntegrated Surgical Institute, LLC
Integrated Surgical Institute
$635.00Published rateGsi Asc, LLC
Gsi Asc LLC
$461.00Published rateAbisai Negron
Deaconess Hospital Inc
$79.58Published rate
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See a sample payer proposalCPT 69205 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69205 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 69205 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. |
| 69120-CPT | Moderate | Amputation Auricle Complete |
| 69205-CPT | Low | Remval Foreign Body From Xtrnal Auditory Canal; W/ Gnral Anesth, Removal Foreign Body From External Auditory Canal; With General Anesth |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69205. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69205 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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