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CPT 69602 Fee Schedule

Last Verified: January 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.

Rev Mastoidect To Modified Radical
Key FactDetail
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 LevelHigh

National average reimbursement for CPT 69602 by major payers:

bcbs

$1,475.67

uhc

$1,404.46

aetna

$1,437.43

cigna

$1,816.13

Preview provider-level rates for...
For billing codeCPT 69602
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 69602

United
69602$8238.001023341740 - OPHTHALMOLOGY SURGERY CENTER OF DALLAS, LLC261914835 - (TX) OPHTHALMOLOGY SURGERY CENTER OF DALLASTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$2100.001891728382 - MISSISSIPPI COAST ENDOSCOPY & AMBULATORY CENTER LLC, MISSISSIPPI COAST ENDOSCOPY & AMBULATORY SURGICAL640927074 - (MS) MISSISSIPPI COAST ENDOSCOPY AND AMBULATORY CENTER, LLCMSAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$1040.001861089666 - BARNET DULANEY PERKINS EYE CENTER, PC, BDPEC ASC TUCSON 5TH ST562589722 - BARNET DULANEY PERKINS EYE CENTER PLLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$4704.001316359532 - LONE STAR ENDOSCOPY CENTER, LLC273635726TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$2225.001255351714 - FASA FAMILY WELLNESS, PLLC472330607 - (WA) FASA FAMILY WELLNESS PLLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$5354.001336246099 - VALLEY BAPTIST AMBULATORY SURGERY CENTER, LLC, PLATINUM SURGERY CENTER871904768TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$3193.001518300102 - SPRINGFIELD SURGERY CENTER, LLC461041413 - (NJ) SPRINGFIELD SURGERY CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$1995.001750386322 - NOVAMED SURGERY CENTER OF COLORADO SPRINGS, LLC, PREMIER SURGERY CENTER731630170COAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$550.001861660151 - HOWERTON SURGICAL CENTER, LLC450581270 - (TX) HOWERTON SURGICAL CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$1500.001184682445 - PORTSMOUTH SURGERY CENTER743085624 - (OH) PORTSMOUTH SURGERY CENTEROHAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$5705.001710321328 - VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC800864336 - (CA) VALLEY PHYSICIANS SURGERY CENTER OF NORTHRIDGE LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$1125.001972572964 - CENTRAL ILLINOIS SURGERY CENTER, LLC370661199 - DECATUR MEMORIAL HOSPITALILAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$7391.001174586606 - BELLEAIR SURGERY CENTER LTD742544710 - (FL) BELLEAIR SURGERY CENTER LTDFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$11972.001659839686 - AURORA SURGERY CENTERS, LLC811401714 - (WI) AURORA SURGERY CENTERS LLCWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
69602$2800.001992248512 - LUBBOCK VASCULAR ACCESS CENTER352344583 - (TX) LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES PATXAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 69602 vs. Other Surgical Procedures on the Auditory System Codes

The CPT 69602 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 69602 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.

CodeComplexityDescription
69601-CPTHighRevis.Mastoidectomy;Results:Compl Mastoi
69602-CPTHighRev Mastoidect To Modified Radical
69603-CPTHighRevis.Mastoidectomy;Results:Rad Mastoide
69620-CPTModerateMyringoplasty Uncomplicated

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69602. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 69602 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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