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See a sample rate comparisonCPT 69650 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.
Surgery To Restore Hearing, Surgery That Restores The Ability To Hear By Allowing Movement Of The Stapes. This Is A Small Bone In The Middle Ear That Transmits Sound.
| 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 69650 |
| Medicaid Fee Schedule | View Medicaid rates for 69650 |
National average reimbursement for CPT 69650 by major payers:
$1,094.75
$1,032.32
$1,069.60
$1,310.77
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CPT 69650
5 of 25 sample ratesHigher to lower in this preview
Hss Asc Of Manhattan LLC, Hss Asc Of Manhattan
$6,848.00Published rateWestlake Spine & Outpatient Surgery Center
Journey Lite Of The Central Coast LLC
$2,334.00Published rateBryan College Station Asc, Lp, The Heart And Vascular Surgery Center
$1,550.00Published rateMohs And Skin Surgery Center, LLC
Mohs And Skin Surgery Center LLC
$1,258.00Published rateBel Air Ambulatory Surgical Center ,L.L.C.
Bel Air Ambulatory Surgical Center LLC
$911.00Published rate
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See a sample payer proposalCPT 69650 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69650 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 69650 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 |
| 69650-CPT | High | Surgery To Restore Hearing, Surgery That Restores The Ability To Hear By Allowing Movement Of The Stapes. This Is A Small Bone In The Middle Ear That Transmits Sound. |
| 69660-CPT | High | Surgery On The Middle Ear, Surgery On The Middle Ear To Remove One Of The Bones (Stapes Bone) And Replace It With A Prothesis (Man-Made) So That Sound Is Transmitted. |
| 69661-CPT | High | Stapedectomy Or Stapedotomy Wi, Stapedectomy Or Stapedotomy With Reestablishment Ofossicular Continuity With Or Without Use Of Foreign Material With Footplate Drill Out |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69650 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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