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See a sample rate comparisonCPT 69530 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 Around The Ear, Surgery To Remove A Portion Of The Temporal Bone (Part Of The Skull That Contains The Ear) As Well As The Mastoid Bone (Bone Behind The 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 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69530 |
| Medicaid Fee Schedule | View Medicaid rates for 69530 |
National average reimbursement for CPT 69530 by major payers:
$2,123.54
$2,130.29
$2,212.85
$2,712.47
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CPT 69530
5 of 25 sample ratesHigher to lower in this preview
Christus Santa Rosa Outpatient Surgery, Christus Physicians Surgery Center - New Braunfels
$7,666.00Published rateEndoscopy Center Of Dayton Ltd
$5,249.00Published rateAkron Surgical Associates, LLC, The Surgery Center At Akron General Health & Wellness Center
Akron Surgical Associates LLC
$3,008.00Published rateHalcyon Laser & Surgery Center, Inc.
Halcyon Laser Surgery Center Inc
$1,813.00Published rateSurgery Center At Corporate Way LLC
$839.00Published rate
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See a sample payer proposalCPT 69530 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69530 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 69530 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 |
|---|---|---|
| 69440-CPT | Moderate | Middle Ear Explora Through Postauricular Or Ear Canal Ncision, Middle Ear Exploration Through Postauricular Or Ear Canal Incision |
| 69511-CPT | High | Remove Bones In And Near Ear, Surgery To Remove The Mastoid Bone (Bone Behind The Ear) As Well As All Of The Bones Of The Middle Ear. |
| 69530-CPT | High | Remove Bones Around The Ear, Surgery To Remove A Portion Of The Temporal Bone (Part Of The Skull That Contains The Ear) As Well As The Mastoid Bone (Bone Behind The Ear). |
| 69535-CPT | High | Resect Temporal Bone Extern Appr |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69530. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69530 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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