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See a sample rate comparisonCPT 69420 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.
Myringotomy Inclu Aspirat &/Or Eustachian Tube Inflation, Myringotomy Including Aspiration And/Or Eustachian Tube Inflation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 69420 |
| Medicaid Fee Schedule | View Medicaid rates for 69420 |
National average reimbursement for CPT 69420 by major payers:
$233.12
$239.34
$261.68
$207.35
Compare published rates across providers.
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CPT 69420
5 of 25 sample ratesHigher to lower in this preview
Park Nicollet Methodist Hospital, Park Nicollet Same Day Surgery Center
Park Nicollet Health Services
$1,534.00Published rateDigestive Diseases Diagnostic & Treatment Center LLC
Digestive Diseases Diagnostic Treatment Center LLC
$364.00Published rateBarnet Dulaney Perkins Eye Center, PC, Bdpec Tucson
Barnet Dulaney Perkins Eye Center PLLC
$344.00Published rateMid Valley Surgery Center LLC
$150.00Published rateMd Laser Surgery Center, LLC
Md Laser Surgery Center LLC
$64.00Published rate
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See a sample payer proposalCPT 69420 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69420 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 69420 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 |
|---|---|---|
| 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 |
| 69421-CPT | Moderate | Myringotomy Inclu Aspirat &/Or Eustachian Tube Inflation Requ, Myringotomy Including Aspiration And/Or Eustachian Tube Inflation Requ |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69420. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69420 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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