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See a sample rate comparisonCPT 69450 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.
Tympanolysis Transcanal
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 69450 |
| Medicaid Fee Schedule | View Medicaid rates for 69450 |
National average reimbursement for CPT 69450 by major payers:
$770.53
$695.24
$723.61
$892.91
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CPT 69450
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Beltway Surgery Center Springmill
$11,291.00Published rateGadsden Surgery Center Lp
$3,625.00Published rateApollo Surgical Center LLC
$2,496.00Published ratePlastic Surgery Specialists, PC
Plastic Surgery Specialists, P.C.
$1,368.00Published rateKansas Endoscopy LLC
$682.00Published rate
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See a sample payer proposalCPT 69450 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69450 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 69450 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 |
|---|---|---|
| 69436-CPT | Moderate | Procedure To Place Ear Tubes, A Procedure To Implant Tubes Into The Ears In Order To Balance Eardrum Pressure Or Treat Frequent Ear Infections. |
| 69440-CPT | Moderate | Middle Ear Explora Through Postauricular Or Ear Canal Ncision, Middle Ear Exploration Through Postauricular Or Ear Canal Incision |
| 69450-CPT | Moderate | Tympanolysis Transcanal |
| 69501-CPT | Moderate | Treatment For Bone Infection, Surgery In Which The Space Behind The Mastoid Bone (Bone Behind The Ear) Is Exposed To Treat An Infection. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69450 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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