Data Platform
Sign InTry for Free

CPT 69222 Fee Schedule

Last Verified: February 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.

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
Medicare Fee ScheduleView Medicare rates for 69222

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$293.001609872597 - COLISEUM SAME DAY SURGERY CENTER LP621805346 - (GA) COLISEUM SAME DAY SURGERY CENTER LPGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$1344.001609803204 - AFFILIATED ENDOSCOPY SERVICES OF CLIFTON LLC, AFFILIATED ENDOSCOPY SERVICES OF CLIFTON270064844 - (NJ) AFFILIATED ENDOSCOPY SERVICES OF CLIFTON LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$172.411275145369 - AMY SULLIVAN350593390 - DEACONESS HOSPITAL INCINNurse Practitioner (363L00000X)
United
69222$180.001558372029 - HOLIDAY SURGERY CENTER LIMITED PARTNERSHIP L L P593591411 - (FL) HOLIDAY SURGERY CENTER LIMITED PARTNERSHIP L L PFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$371.001073588356 - DIGESTIVE HEALTH SPECIALISTS ENDOSCOPY CENTER ARIZONA, LLC201456252 - (AZ) DIGESTIVE HEALTH SPECIALISTS ENDOSCOPY CENTER ARIZONA LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$1708.001720182835 - LIMESTONE MEDICAL CENTER, LLC, LIMESTONE AMBULATORY SURGERY CENTER510277181 - (DE) LIMESTONE MEDICAL CENTER, INC.DEAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$530.001710688627 - BAPTIST HEALTH SURGERY CENTER BRECKENRIDGE LLC922359229 - (KY) BAPTIST HEALTH SURGERY CENTER BRECKENRIDGE LLCKYAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$186.001508304692 - THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, UCLA DEPT OF MEDICINE954373071CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$255.001780871319 - SURGICAL SPECIALISTS ASC, LLC208066886 - (FL) SURGICAL SPECIALISTS ASC LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$1665.001346235058 - EAST MEQUON SURGERY CENTER LLC861075286 - (WI) EAST MEQUON SURGERY CENTER LLCWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$217.001386028439 - JOHNSTON MEMORIAL HOSPITAL, INC, JOHNSTON MEMORIAL SURGERY CENTER540544705 - JOHNSTON MEMORIAL HOSPITAL INCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$144.001407829773 - LA JOLLA ENDOSCOPY CENTER LP, LA JOLLA ENDOSCOPY CENTER621806062 - (CA) LA JOLLA ENDOSCOPY CENTER LPCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$375.001053328781 - LOS ALAMITOS SURGERY CENTER L P550823348 - (CA) LOS ALAMITOS SURGERY CENTER L PCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$108.001083694319 - KINGS EYE CENTER MEDICAL GROUP, INC., KINGS EYE SURGICAL CENTER770566388 - (CA) KINGS EYE CENTER MEDICAL GROUP, INC.CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69222$329.001811932791 - LASER & SURGERY CENTER, LLC200593658 - (WA) LASER SURGERY CENTER LLCWAAmbulatory 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

Want to see your competitors' rates?

Start your trial today to unlock complete access to provider rates and fee schedules in your area.

Here's what you can do with PayerPrice

Renegotiate your managed care contracts

Benchmark your current rates against market averages to identify opportunities for rate optimization.

Prospect for new business using fee schedules

Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.

Integrate real-time payer data into your workflows

Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.

PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.

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
69020-CPTModerateI & D Exter.Auditory Canal,Abscess
69155-CPTHighExc Les Ext Aud Canal W Neck Dissec
69209-CPTLowRemoval Impacted Cerumen Using Irrigation/Lavage, Unilateral
69222-CPTModerateDebride 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.

FREE SAMPLE MARKET COMPARISON

Let's review your payer contracts side-by-side with the market.

Bring your top codes (like CPT 69222) and we'll show you how you compare in 15 minutes or less.