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See a sample rate comparisonCPT 69666 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.
Repair Oval Window Fistula
| 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 69666 |
| Medicaid Fee Schedule | View Medicaid rates for 69666 |
National average reimbursement for CPT 69666 by major payers:
$1,143.90
$1,042.00
$1,093.42
$1,321.86
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CPT 69666
5 of 25 sample ratesHigher to lower in this preview
South Emerson Surgery Center, LLC
$7,842.00Published rateSummit Ambulatory Surgical Center, LLC
$2,353.00Published rateBhatti Gi Surgery Center LLC
$1,530.00Published rateFirst Surgery Center, Inc.
First Surgery Center Inc
$1,168.00Published rateToledo Endoscopy Asc LLC, Northwest Ohio Endoscopy Center
Toledo Endoscopy Asc LLC
$682.00Published rate
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See a sample payer proposalCPT 69666 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69666 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 69666 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 |
|---|---|---|
| 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 |
| 69666-CPT | High | Repair Oval Window Fistula |
| 69667-CPT | High | Repair Hole In Ear Membrane, Surgical Repair Of A Hole In The Round Window (Membrane Between The Middle And Inner Ear That Regulates Pressure Within The Inner Ear). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69666. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69666 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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