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See a sample rate comparisonCPT 69501 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.
Treatment For Bone Infection, Surgery In Which The Space Behind The Mastoid Bone (Bone Behind The Ear) Is Exposed To Treat An Infection.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 21 - Inpatient Hospital 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 69501 |
| Medicaid Fee Schedule | View Medicaid rates for 69501 |
National average reimbursement for CPT 69501 by major payers:
$965.82
$934.89
$985.15
$1,173.56
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CPT 69501
5 of 25 sample ratesHigher to lower in this preview
Rock Hill Surgery Center, LLC, Carolina Surgical Center
Rock Hill Surgery Center LLC
$25,829.00Published rateLone Star Endoscopy Center, LLC
$4,704.00Published rateSt Marks Surgical Center LLC
$1,995.00Published rateGraystone Eye Surgery Center LLC
$1,230.00Published rateDesert View Endoscopy Center, LLC.
Desert View Endoscopy Center LLC
$464.00Published rate
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See a sample payer proposalCPT 69501 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69501 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 69501 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 |
|---|---|---|
| 69420-CPT | Moderate | Myringotomy Inclu Aspirat &/Or Eustachian Tube Inflation, Myringotomy Including Aspiration And/Or Eustachian Tube Inflation |
| 69424-CPT | Low | Ventilating Tube Removal-Inserted By Ano |
| 69440-CPT | Moderate | Middle Ear Explora Through Postauricular Or Ear Canal Ncision, Middle Ear Exploration Through Postauricular Or Ear Canal Incision |
| 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 69501. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69501 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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