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CPT 69667 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.

Repair Round Window Fistula
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Auditory System

Common Place of Service

24 - Ambulatory Surgical Center

22 - On Campus Outpatient Hospital

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelHigh

National average reimbursement for CPT 69667 by major payers:

bcbs

$1,094.19

uhc

$1,042.75

aetna

$1,097.56

cigna

$1,352.28

Preview provider-level rates for...
For billing codeCPT 69667
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 69667

United
69667$8000.001750071007 - DISC SURGERY CENTER AT MARINA DEL REY LLC880601479 - (CA) DISC SURGERY CENTER AT MARINA DEL REY LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$2000.001528145778 - OVERLAKE AMBULATORY SURGERY CENTER, LLC, OVERLAKE SURGERY CENTER LLC911925618 - (WA) OVERLAKE AMBULATORY SURGERY CENTER,WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$2500.001164723011 - SURGICAL SPECIALTY CENTER OF WESTCHESTER LLC, PLASTIC SURGERY CENTER OF WESTCHESTER LLC273453889 - (NY) SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1490.001922542745 - NORTH TEXAS SURGERY CENTER, LLC813775233 - (TX) NORTH TEXAS SURGERY CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$500.001750383295 - EYE SURGERY CENTER OF SAINT AUGUSTINE INC200127648 - (FL) EYE SURGERY CENTER OF SAINT AUGUSTINE INCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1370.001255397964 - SURGERY CENTERS OF DES MOINES LTD363562598IAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1059.001740287168 - AFFILIATED PHYSICIANS & SURGEONS, LTD860495569 - (AZ) AFFILIATED PHYSICIANS SURGEONS LTDAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1282.001386749943 - QUAIL SURGICAL AND PAIN MANAGEMENT CENTER, LLC880391609 - (NV) QUAIL SURGICAL & PAIN MANAGEMENT CENTER, LLCNVAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1474.001467783233 - SOUTH SOUND SURGERY, PLLC, AUBURN SURGICAL CENTER204413058 - (WA) SOUTH SOUND SURGERY PLLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$850.001386794980 - NEW VISION CATARACT CENTER LLC, NEW VISION CATARACT CENTER61557487 - (CT) NEW VISION CATARACT CENTER LLCCTAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$2353.001962788059 - SURGCENTER OF SILVER SPRING, LLC452950933 - (MD) SURGCENTER OF SILVER SPRING LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$4902.001760035158 - LEIGH ORTHOPEDIC SURGERY CENTER, LLC832402528 - (VA) LEIGH ORTHOPEDIC SURGERY CENTER LLCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1561.001356903967 - UNITY LINDEN OAKS SURGERY CENTER800798208NYAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$2003.001497068761 - CARNEGIE HILL ENDOSCOPY LLC270385539 - (NY) CARNEGIE HILL ENDOSCOPY LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1040.001528009453 - TGLP, LP, THE ENDOSCOPY CENTER OF TEXARKANA201584968 - (TX) TGLP LPTXAmbulatory 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 69667 vs. Other Surgical Procedures on the Auditory System Codes

The CPT 69667 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 69667 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
69604-CPTHighRev Mastoidect To Tympanoplasty
69610-CPTModerateRepair Tympanic Membrane Wo Graft
69662-CPTHighRevis'n Of Stapedectomy/Stapedotomy
69667-CPTHighRepair Round Window Fistula

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69667. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 69667 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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