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CPT 69222 Fee Schedule

Last Verified: November 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.

Debride Mastoidect Cav Complx Unil
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Auditory System

Common Place of Service

11 - Office

22 - On Campus Outpatient Hospital

Common Modifiers

None

LT - Left side of body

RT - Right side of body

Complexity LevelModerate

National average reimbursement for CPT 69222 by major payers:

bcbs

$269.71

uhc

$272.99

aetna

$294.48

cigna

$359.38

Preview provider-level rates for...
For billing codeCPT 69222
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 69222

United
69222$109.001033734785 - CARDIOVASCULAR INSTITUTE OF THE SOUTH ASC, LLC850871914 - (LA) CARDIOVASCULAR INSTITUTE OF THE SOUTH ASC LLCLAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$482.001902863723 - OAK & MAIN SURGICENTER LLC223532371 - (NJ) OAK MAIN SURGICENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$105.001679602544 - TGH SURGERY CENTER AT MORSANI, LLC, TGH SURGERY CENTER871193981 - (FL) TGH SURGERY CENTER AT MORSANI LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$341.001881804508 - FAIRFIELD SURGERY CENTER, LLC61555691 - (CT) FAIRFIELD SURGERY CENTER LLCCTAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$579.001760875983 - BAPTIST MEDICAL PARK SURGERY CENTER, LLC593535262 - (FL) BAPTIST MEDICAL PARK SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$820.001962663559 - GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC262157335WIAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$250.001295365864 - NORTH FORK SURGERY CENTER LLC813251284 - (NY) NORTH FORK SURGERY CENTER LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$131.001114990231 - SURGERY CENTER OF MIDDLE TENNESSEE LLC, THE SURGERY CENTER OF MIDDLE TENNESSEE621839266 - (TN) SURGERY CENTER OF MIDDLE TENNESSEE LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$51.001679566228 - AMBULATORY FOOT AND ANKLE CENTER, INC.521910756 - (MD) AMBULATORY FOOT AND ANKLE CENTER INCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$223.001659574283 - PROVIDENCE VENTURES, LLC, BONE AND JOINT SURGERY CENTER OF NOVI161704029 - (MI) PROVIDENCE VENTURES, LLCMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$80.001639375108 - HEALING ARTS SURGERY CENTER INC204635621 - (CA) HEALING ARTS SURGERY CENTER INCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$200.001588203723 - SOUTHWEST CARDIOVASCULAR INTERVENTIONAL CENTER, LLC832560085 - (AZ) SOUTHWEST CARDIOVASCULAR INTERVENTIONAL CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$150.001427577840 - DIALYSIS ACCESS CENTER OF CINCINNATI, INC.815023998 - (OH) DIALYSIS ACCESS CENTER OF CINCINNATI INCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$90.001467089599 - CONWAY AMBULATORY SURGERY CENTER, LLC832516939 - (AR) CONWAY AMBULATORY SURGERY CENTER LLCARAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$566.001295860302 - GOLD COAST SURGERY CENTER LLC, GULF COMPREHENSIVE SURGERY CENTER203958739 - (FL) GOLD COAST SURGERY CENTER LLCFLAmbulatory 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 69222 vs. Other Surgical Procedures on the Auditory System Codes

The CPT 69222 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 69222 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
69020ModerateI & D Exter.Auditory Canal,Abscess
69155HighExc Les Ext Aud Canal W Neck Dissec
69209LowRemoval Impacted Cerumen Using Irrigation/Lavage, Unilateral
69222ModerateDebride Mastoidect Cav Complx Unil

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69222. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 69222 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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