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See a sample rate comparisonCPT 69550 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.
Exc Aural Glomus Tumor 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 | High |
| Medicare Fee Schedule | View Medicare rates for 69550 |
| Medicaid Fee Schedule | View Medicaid rates for 69550 |
National average reimbursement for CPT 69550 by major payers:
$1,428.33
$1,339.05
$1,409.41
$1,721.15
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CPT 69550
5 of 25 sample ratesHigher to lower in this preview
Hoag Outpatient Centers, LLC, Hoag Endoscopy Center
Hoag Outpatient Centers LLC
$5,623.00Published ratePhysicians Surgery Center Of Chattanooga, LLC, Physicians Surgery Center Of Chattanooga
Physicians Surgery Center Of Chattanooga LLC
$5,249.00Published rateFirst Coast Orthopedic Center, LLC, First Coast Surgery Center
First Coast Orthopedic Center LLC
$3,275.00Published rateMark Fromer, LLC, Eye Surgery Centers Of New York
Mark Fromer LLC
$2,430.00Published rateAtlantic Surgery Center,LLC
Atlantic Surgery Centerllc
$824.00Published rate
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See a sample payer proposalCPT 69550 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69550 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 69550 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 |
|---|---|---|
| 69540-CPT | Moderate | Excision Aural Polyp |
| 69550-CPT | High | Exc Aural Glomus Tumor Transcanal |
| 69552-CPT | High | Excision Aural Glomus Tumor;Transmastoid |
| 69603-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69550. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69550 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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