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See a sample rate comparisonCPT 69554 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 Extratempor
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 69554 |
| Medicaid Fee Schedule | View Medicaid rates for 69554 |
National average reimbursement for CPT 69554 by major payers:
$3,261.06
$3,249.12
$3,319.64
$4,088.04
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CPT 69554
5 of 25 sample ratesHigher to lower in this preview
Christus Santa Rosa Surgery Center L.L.P., Christus Santa Rosa Surgery Center
$3,493.00Published rateSkyway Surgery Center. LLC
Skyway Surgery Center LLC
$893.00Published rateSouthwest Endoscopy Ltd
$630.00Published rateLb Surgical Center LLC
$450.00Published rateEscnc LLC, Eye Surgery Center Of Northern California
Escnc LLC
$122.00Published rate
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See a sample payer proposalCPT 69554 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69554 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 69554 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 |
|---|---|---|
| 69550-CPT | High | Exc Aural Glomus Tumor Transcanal |
| 69552-CPT | High | Excision Aural Glomus Tumor;Transmastoid |
| 69554-CPT | High | Exc Aural Glomus Tumor Extratempor |
| 69646-CPT | High | Eardrum And Middle Ear Surgery, Surgery To Remove The Bone Behind The Ear (Mastoid Bone) And Reconstruct The Eardrum (Tympanic Membrane). The Procedure May Involve Reconstructing The Chain Of Middle Ear Bones That Transmit Sound (Ossicular Chain). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69554. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69554 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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