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See a sample rate comparisonCPT 69320 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.
Reconstr Xtrnal Auditory Canal For Congenital Atresia Sngle, Reconstruction External Auditory Canal For Congenital Atresia Single
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69320 |
| Medicaid Fee Schedule | View Medicaid rates for 69320 |
National average reimbursement for CPT 69320 by major payers:
$2,102.04
$1,970.82
$2,092.98
$2,524.15
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CPT 69320
5 of 25 sample ratesHigher to lower in this preview
Iu Health Arnett Hospital, Inc, Arnett Surgery Center, LLC
Indiana University Health Arnett Inc
$13,049.00Published rateLandmark Surgical Suites, LLC
Landmark Surgical Suites LLC
$4,652.00Published rateAntelope Valley Surgery Center, PC
Antelope Valley Surgery Center PC
$2,400.00Published rateSarasota Ambulatory Surgery Center Ltd, Sarasota Ambulatory Surgery Center
Sarasota Ambulatory Surgery Center Ltd
$1,600.00Published rateAmbulatory Surgery Center Of Wny
$875.00Published rate
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See a sample payer proposalCPT 69320 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69320 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 69320 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 |
|---|---|---|
| 69300-CPT | Moderate | Corrective Ear Surgery, Surgery To Correct The Ear Position So That It Is Not Sticking Out. The Procedure May Include Reducing The Overall Size Of The Ear. |
| 69310-CPT | High | Reconstruction Of External Aud, Reconstruction Of External Auditory Canal (Meatoplasty) (Egfor Stenosis Due To Trauma Infection) (Separate Procedure) |
| 69320-CPT | High | Reconstr Xtrnal Auditory Canal For Congenital Atresia Sngle, Reconstruction External Auditory Canal For Congenital Atresia Single |
| 69420-CPT | Moderate | Myringotomy Inclu Aspirat &/Or Eustachian Tube Inflation, Myringotomy Including Aspiration And/Or Eustachian Tube Inflation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69320 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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