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See a sample rate comparisonCPT 69424 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.
Ventilating Tube Removal-Inserted By Ano
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 69424 |
| Medicaid Fee Schedule | View Medicaid rates for 69424 |
National average reimbursement for CPT 69424 by major payers:
$159.50
$161.79
$176.85
$105.26
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CPT 69424
5 of 25 sample ratesHigher to lower in this preview
Deaconess Hospital, Inc, <Unavail>
Deaconess Hospital Inc
$9,765.00Published rateSurgery Center Of Key West LLC
$2,202.00Published rateNephrology Vascular Lab Of Central Alabama Asc LLC
$1,678.00Published rateEye Mds Of Puget Sound PLLC, Narrows Eye Surgery Center
Eye M.D.S Of Puget Sound, PLLC
$632.50Published rateGeorge Derefaka
Deaconess Hospital Inc
$102.30Published rate
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See a sample payer proposalCPT 69424 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69424 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 69424 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 |
|---|---|---|
| 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 |
| 69424-CPT | Low | Ventilating Tube Removal-Inserted By Ano |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69424. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69424 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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