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See a sample rate comparisonCPT 69505 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.
Remove Bones In And Near Ear, Surgery To Remove The Mastoid Bone (Bone Behind The Ear) As Well As Some Of The Bones Of The Middle Ear.
| 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 69505 |
| Medicaid Fee Schedule | View Medicaid rates for 69505 |
National average reimbursement for CPT 69505 by major payers:
$1,606.56
$1,549.96
$1,627.36
$1,989.01
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CPT 69505
5 of 25 sample ratesHigher to lower in this preview
Valley Physicians Surgery Center At Northridge LLC
Valley Physicians Surgery Center Of Northridge LLC
$5,705.00Published rateRex Surgery Center Of Wakefield, LLC
Rex Surgery Center Of Wakefield LLC
$3,000.00Published rateFasa Family Wellness, PLLC
Fasa Family Wellness PLLC
$2,225.00Published rateNorth State Surgery Centers, Lp, Mercy Surgery Center
$1,523.50Published rateLake Surgery & Endoscopy Center Ltd
Lake Surgery Endoscopy Center Ltd
$625.00Published rate
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See a sample payer proposalCPT 69505 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69505 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 69505 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 |
|---|---|---|
| 69421-CPT | Moderate | Myringotomy Inclu Aspirat &/Or Eustachian Tube Inflation Requ, Myringotomy Including Aspiration And/Or Eustachian Tube Inflation Requ |
| 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 |
| 69505-CPT | High | Remove Bones In And Near Ear, Surgery To Remove The Mastoid Bone (Bone Behind The Ear) As Well As Some Of The Bones Of The Middle Ear. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69505 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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