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See a sample rate comparisonCPT 69210 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 Impacted Cerumen Requir Instrumentat Unilat, Removal Impacted Cerumen Requiring Instrumentation Unilateral
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | None 50 - Bilateral Procedure 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 69210 |
| Medicaid Fee Schedule | View Medicaid rates for 69210 |
National average reimbursement for CPT 69210 by major payers:
$62.52
$62.55
$65.62
$77.17
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CPT 69210
5 of 25 sample ratesHigher to lower in this preview
Robert Wooton
Summit Medical Group, P.A.
$99.12Published rateAngelo Bellardini
Medical Associates Of Englewood PC
$67.52Published rateHector Aguilar
Premier Care Associates Of West Hudson
$32.81Published rateRobert Clarke
East Orange Medical Practice
$27.35Published rateErinn Beagin
Princeton Internal Medicine An
$23.70Published rate
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See a sample payer proposalCPT 69210 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69210 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 69210 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. |
| 69209-CPT | Low | Removal Impacted Cerumen Using, Removal Impacted Cerumen Using Irrigationlavage Unilateral |
| 69210-CPT | Low | Remval Impacted Cerumen Requir Instrumentat Unilat, Removal Impacted Cerumen Requiring Instrumentation Unilateral |
| 69220-CPT | Low | Debride Mastoidect Cav Simpl Unilat |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69210. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69210 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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